HomeMy WebLinkAboutVOYA FINANCIAL INC - INSURANCE CERTIFICATE (3)1 ® DATE (MM/DD/YYYY)
AIR" CERTIFICATE OF LIABILITY INSURANCE 05128/2019
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: PHONE --—
"MARSH USA, INC. — FAX
TWO ALLIANCE CENTER /C No Ex ; A/C No
3560 LENOX ROAD, SUITE 2400 E-MAIL
ADDRESS:
ATLANTA, GA 30326
INSURER(S) AFFORDING COVERAGE _ NAIC#
J01 525-Voya-GAW-1 9-20 INSURER A: New Hampshire Insurance Company 23841
INSURED INSURER B: National Union Fire Insurance Co. of Pittsburgh, PA 19W
Voya Financial, Inc. 19380
230 Park Avenue INSURER C : American Home Assurance Co _
New York, NY 10169 INSURER D :
eTI _nnAA1ArnA_1I RFVICIf)N NI IMRFRt
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.
INSA7
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM/DDNYYY
POLICY EXP
MM/DDlYYYY
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
GL1930012
05/30/2019
05/30/2020
EACH OCCURRENCE
$ 2,000,000
CLAIMS -MADE OCCUR
Contractual Liab. Coverage
DAMA E RENTED
PREMISES (Ea occurrence
$ 250,000
X
MED EXP (Any one person)
$ 10,000
X
Host Liquor is included
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 5,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
X PRO El LOC
POLICY ❑ JECT
OTHER
B
AUTOMOBILE LIABILITY
CA1722299 (AOS)
05/30/2019
05/30I2020
COMBINED SING LE LIMIT
Ea accident
$ 2,000,000
BODILY INJURY (Per person)
$
B
X ANY AUTO
CA1722298 (MA)
05/30/2019
05/30/2020
BODILY INJURY (Per accident)
$
X OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
PerOac accident)
$
COMP/COLL $1,000 DED
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DIED I I RETENTION $
$
A
WORKERS COMPENSATION
WC014022136(AOS)
05/30/2020
X I STATUTE EORH
E.L- EACH ACCIDENT
$ 1,000,000
A
C
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRI ETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N
(Manda
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
WC014022139 (AZ, VA)
WC014022135(CA)
'WC Continued on Attached'
05130/2019
05/30I2019
05130/2020
05130/2020
E.L DISEASE - EA EMPLOYEE
$ 1,000,000
E L. DISEASE POLICY LIMIT
1,000,000
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins is included as additional insured on the above general liability policy and auto liability policy, where required by written contract but only with respect to liability arising out of the operations of the
named insured.
City of Fort Collins
215 N. Mason St. FI 2
Fort Collins, CO 80524-4402
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 /�n►.y��iJG6
�J
1W 1 V00-4V IV My•.w •...+..• �....
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD