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HomeMy WebLinkAboutVOLT INFORMATION SCIENCES INC - INSURANCE CERTIFICATE (5)ACORO® DATE (MM/DDNYYY) � CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 03/30/2015 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). PRODUCERI CONTACT Willis of New York, Inc. c/o 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230 Volt Information Sciences, Inc. 1065 Avenue of the Americas, 20th Floor New York, NY 10018 COVERAGES CERTIFICATE NUMBER: 22993620 INSURER(S)AFFORDING COVERAGE NAIC# INSURFRA- National Union Fire Insurance Comnanv of 2.9445-002 INSURER B: National Union Fire Insurance Co. of Pitt 19445-001 INSURER C: National Union Fire Insurance Company of 19445-008 INSURERD: Starr Indemnity and Liability Company 38319-001 INSURERE: New Hampshire Insurance Company 23841-001 INSURERF: Illinois National Insurance Co. 23817-002 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 REOUIREMENT, 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 LTRTYPE OF INSURANCE 14ODL SU POLICY NUMBER POLICY EFF POLICY EXPO A $ COMMERCIAL GENERALLABUTY CLAIMS -MADE $ OCCUR y GL9575059 /31/2015 3/31/2016 EACH OCCURRENCE S 2,000,000 pA�M�ppG�EE7Tp,RENTED PRETAISES (ca ocalrerga $250,000 MED EXP(An one person $ 10,000 PERSONAL& ADV INJURY i 2,000,000 GENT AGGREGATE LIMIT APPLIES PER POLICY EC LOC OTHER: GENERAL AGGREGATE S 2,000,000 X PRODUCTS-COMP/OP AGG S S B C AUTOMOBILE LABILITY X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS $ NON -OWNED AUTOS CA5260794 CAS260793 /31/2015 /31/2015 3/31/2016 3/31/2016 eecaAeDSINGLELIMITnQ $ 2,000,000 n BODILY INJURY(Perpeon) $ BODILY INJURY(PeraccideM) t PROPERTY DAMAGE (Perawidem) $ S D X UMBRELLALL42 EXCESS LIAB $ OCCUR CLAIMS -MADE 1000010964 /31/2015 3./31/2016 EACH OCCURRENCE $ 51000,000 AGGREGATE S 51000,000 DED RETENTIONS S g E F B WORKERS COMPENSATION AND EMPLOYERS'LABILITY YYYYYY��r��r 11X11X1111 ANY PROPRIETOR/PARTNER/EXECUTNEIN OFFICER/MEMBER EXCLUDED? uu (MarWatery M NH) R yes, desrnhe under OE SCRIPTIONOFOPERATIONSbelow N/A NCO21459984 NCO21459989 NCO21459986 NCO21459988 /31/2015 /31/2015 /31/2015 /31/2015 3/31/2016 3/31/2016 3/31/2016 3/31/2016 X STAXI Ell E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE-FAEMPLOYEE S 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 E workers Compensation WCO21459990 31 2015 3 31/2016 See above Workers Compansation section DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addaonal Remarks Schedule, may be attsched Nmom space Is mqulred) City Of Fort Collins, its officers, agents and employees are included as Additional Insured under the General and Automobile Liability policies with respect to services performed by Volt. 7 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 AUTHOR DR ESENT Attn: James B. O'Neil 215 North Mason Street Fort Collins, CO 80522 Coll:4655882 Tpl:1936643 Cert:22993620 © 88-2014ACORDCORPORATION.Allrightsreserved. ACORD 25 (2014101) The ACORD name and logo are registered mark of ACORD