HomeMy WebLinkAboutVOLT SERVICES GROUP - INSURANCE CERTIFICATE (5)AFRO® CERTIFICATE OF LIABILITY INSURANCE
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT
NAME
Willis of New York, Inc.
c/o 26 Century Blvd.
P. O. Box 305191
PHONE FAX
- B77-945-7378 888-467-2378
E-MAIL certificatee®YTillia.com
Nashville, TN 37230
INSURER(S)AFFORDING COVERAGE
NAICI
INSURERA: National union Fire Insurance Company of
19445-002
INSURED
Volt Services Group,
INSURER B: New Hampshire Iasuraace Company
23841-001
INSURER C: National union Firs Insurance Co. of Fitt
19445-001
A Division of Volt Technical Resources
1065 Avenue of the American, 20th Floor
New York, NY 10015
INSURERD: Illinois National Insurance Co.
23817-002
INSURER E:
NSURERF:
COVERAGES CERTIFICATE NUMBER: 21392516 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LM
TYPEOFINSURANCE
D'
SUB
POLICYNUMBEfl
POLICY EFF
POLICY IXP
LIMITS
A
GENERALLIABILITY
$ COMMERCIAL GENERAL LIABILITY
CLAIMS-MADEr—X1OCCUR
GL3823566
3/31/2014
3/31/2015
EACH OCCURRENCE
$ 1,000,000
ERIETeomwnaEW1
$ 250,000
MEDEXP(Anoneperapn)
$ 10,000
PERSONAL& ADV INJURY
$ 1,000.000
GENERAL AGGREGATE
$ 2,000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
17 POLICY 7 PRo- LOC
PRODUCTS-COMP/OPAGG
$ 4,000,000
$
AUTOMOBILE LIABILITY
ANYAUTO
ALLOWNED 77SCHEOULED
AUTOS AUTOS
HIREDAUTOS NON-OMED
AUTOS
IN L LIMIT
EsamId.
$
BODILY INJURY(Per parun)
$
BODILY INJURY(Per aroltlent)
$
PeraeciMnl
$
S
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACHOCCURRENCE
$
AGGREGATE
$
DERETENTION$
S
8
8
C
D
WORKER$ COMPENSATION
AND EMPLOYERS' LIABILITY �Y��pp
ANY PROPRIETOR/PARTNEWEXECUTWE M
OFFICEWMEMBER NH1 EXCLUDED? IJ
S yes, tleuribe antler
DESCRIPTION OF OPERATIONS belay
N/A
NCO26034751
NCO26034752
WCO26034755
NCO26034756
3/31/2014
3/31/2014
3/31/2014
3/31/2014
3/31/2015
3/31/2015
3/31/2015
3/31/2015
Y 914
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE -EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
8
Workers Compensation
NCO26034758
3/31/2014
3/31 2015
sae above Workers Compeneation
section
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Aft ch Acord 101, Additonal Remark. Schedule, it more apace Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City Of Fort Collins
Attn: Ed Bonnette
215 N. Mason, 2Nd Floor
Po Box 580
Fort Collins, CO 80522
Coll:4376721 Tpl:1793531 Cert:21392516 0,S 2011
ACORD 25 (2010/05) The ACORD name and logo are registered marksrof ACORD