HomeMy WebLinkAboutVOYA FINANCIAL INC - INSURANCE CERTIFICATE (2)7 ® DATE (MM/DD/YYYY)
ACOR" CERTIFICATE OF LIABILITY INSURANCE 05/28/2019
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 have ADDITIONAL INSURED provisions or 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).
CONTACT
PRODUCER NAME: _ --_--
'MARSH USA, INC. PHONE FAX
TWO ALLIANCE CENTER N __ _ A/C No):
3560 LENOX ROAD, SUITE 2400 E-MAIL
ADDRESS: _ -
ATLANTA, GA 30326
INSURERS AFFORDING COVERAGE NAIC #
J01 525-Voya-GAW-1 9-20 _ INSURER A: NIA NIA
INSURED INSURER B : National Union Fire Insurance Co. of Pittsburgh, PA 19445
Voya Financial, Inc. NIA
230 Park Avenue INSURER C : NIA
New York, NY 10169 INSURER D :
INSURER E :
----. �.... �.- ... .... ATn AAAA1079Q n DGVICInKI Ml IMRFR-
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
LTR
TADU
TYPE OF INSURANCE
INSO
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYYI I
POLICY EXP
(MM/DDrYYYYL
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
Contractual Liab. Coverage
GL1930012
05130/2019
05/30/2020
EACH OCCURRENCE
$ 2,000,000
AMA E T RENTED
PREMISES Ea occurrence
$ 250,000
MED EXP (Any one person)
$ 10,000
X
X
Host Liquor is included
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO JECT El LOC
GENERAL AGGREGATE
$ 5,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
B
OTHER.
AUTOMOBILE LIABILITY
CAt722299 (AOS)
05l3012019
05130/'L020
COIv1BINED SINGLE LIMIT
(Ea accident)
$ 2,000,000
BODILY INJURY (Per person)
$
B
ANY AUTO
CA1722298 (MA)
05/30/2019
05/30/2020
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
�xv HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
COMP/COLL $1,000 DED
$
UMBRELLA LIAB I
OCCUR
_EACH OCCURRENCE — _
$
AGGREGATE
$
EXCESS LAB
CLAIMS -MADE
DED I RETENTION $
WORKERS COMPENSATION
PER OTH-
STATUTE I JER
$
E L. EACH ACCIDENT
$
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
E.L DISEASE -EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
NIA
E.L. DISEASE - POLICY LIMIT
$
It yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City of Fort Collins, its officers, agents and employees are included as additional insured on the above general liability and automobile liability policies, where required by written contract but only with respect to
liability arising out of the operations of the named insured.
GLK I It-IGA I It: MULLJtK
City of Fort Collins
215 N. Mason Street
2nd Floor
Fort Collins. CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Ronald A. Santaniello
lJ I DUO-LV I V nvv.w vv... v..r...v... r.....y.. „, ....._
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD