Loading...
HomeMy WebLinkAboutVOLT SERVICES GROUP - INSURANCE CERTIFICATE (6)DATE MMIDD �� CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 03/(30/2 15 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 I CONTACT Willis of New York, Inc. c/o 26 Century Blvd. P. O. Box 305191 Nashville, IN 37230 INSURED Volt Services Group, A Division of Volt Technical Resources 1065 Avenue of the Americas, 20th Floor New York, NY 10018 National Union Fire Insurance New, Namoshire Insurance INSURERC: 111inois National Insurance CO. INSURERD: National Union Fire Insurance Co. of INSURER E: COVERAGES CERTIFICATE NUMBER:22995230 REVISION NUMBER: NAICli of 19445-002 23841-001 23817-002 itt 19445-001 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 ITRTYPE OF INSURANCE DL SU WVINPOLICY NUMBER POLICY EFF POLICY EXP LIAR A $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE $ OCCUR GL9575059 /31/2015 3/31/2016 EACH OCCURRENCE $ 11000,000 ogMAGE7pp,,RRENTED PREMISES(teomlrerke) $ 250,000 MED EXP (Any one person) $ 10,000 PERSONAL&ADV INJURY $ 11000,000 GENL AGGREGATE LIMITAPPLIES PER: POLICY J� LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG $ 4,000.000 $ AUTOMOBILE LIABILITY ANY AUTO AUTOS OS AUTOS SCHEDULED AU HIRED AUTOS NON -OWNED �O (tee IIfer GLE LIMB $ $ $ _ $ $ BODILY INJURY(Perpawn) BODILY INJURY(Per eoddent) PROP iZ A UMBRELLA LUIB OCCUR EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE S $ _ $ AGGREGATE DED I IRETENTION $ B 8 C D WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTNEI--I OFFICMMEMBER EXCLUDED? LJ fMandatorylnNMI Ryes, describe under DESCRIPTION OF OPERATIONS below NIA WCO21459984 NCO21459989 NCO21459986 NCO21459988 /31/2015 3/31/2015 /31/2015 3/31/2015 3/31/2016 3./31/2016 3./31/2016 3/31/2016 8 STATi ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT IS 1,000,000 B Workers Compensation WCO21459990 3 31/2015 3 31 2016 See above Workers Compensation section DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additonal Remarks Schedule, maybe attached it more space is required) CERTIFICATE HOLDER 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 A 0 ESENT 215 N. Mason, 2Nd Floor Po Box 580 Fort Collins, CO 80522 Coll:4655882 Tp1:1935898 Cert:22995230 88-2014ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered mark© of ACORD