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HomeMy WebLinkAboutVOYA FINANCIAL INC - INSURANCE CERTIFICATE (5)® CERTIFICATFfi OF LIABILITY INSURANCE- Dar�oinozoD� 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 INSURANCEDOES 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, certaDT policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endoreemerlt(s). _ 'MARSH USA, INC. TWO ALLIANCE CENTER 3560 LENOX ROAD, SUITE 2400 ATLANTA, GA 30326 Inc. New York, COVERAGES CERTIFICATE NUMBER: ATL-OW18608-14 REVISION NUMBER: THIS IS TO CERTIFY THAT'THE'POLICIESOF.INSURANCE LISTED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM ._-- _ CTIFICATE IN, MAY BE ISSUED OR MAY PERTATHE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS S_ H BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD R CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,. WN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR - TYPE OF INSURANCE ADDL U _POLICY - - NUMBER. __ __ -. POIJCY EFF MWDDNY.YY POLICY PJIP MMIDD - - LIMITS B X COMMERCIALGENERALLNBILITY CLAIMS -MADE a OCCUR Contractual Liab. Coverage GC1947614 05/30/2020 DWO/2021 EACH OCCURRENCE $ 2,00,01000 DAMAGE D RENTED PREMISES. Ea occurrence $. 250,000 X MED EXP (Any one arson) $ 10,000 X Host Liquor is included PERSONAL S ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMff APPLIES PER: X POLICY1:1 PJECTRO ❑ LOC OTHER: GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B B AUTOMOBILELIABILITY X ANY AUTO X OWNED SCHEDULED AUTOS ONLY AUTOS. X HIRED rd NON -OWNED AUTOS ONLY AUTOS ONLY CA1722382 CA1722383 (ADS) - " - --- - -- - (MA) 0513012020' 05/302020 0002021 051302021 EO�I MBa NdEeDtSINGLE LIMIT $ 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) '- - $ PROPERTY DAMAGE Operaccidem - $ COMP/Q0U-$1,0WDED_ $ UMBRELLA UAII EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE. - $. _ AGGREGATE. _ .$ _ DED RETENTION$ - --- -- - -$--- -- - A A - C WORKERS COMPENSATION AND EMPLOYERS! LIABILITY - YIN ANYPROPRIETORIPARTNERIEXECITTIVE - - OFFICERIMEMBEREXCLUDED? (MandatorymNH) If yyes. describe under DESCRIPTION OEOPERATIONS.below NIA WC084258 WC048425887 WC048425885(CA) 'WC Continued (AOS) AZ, VA ( ) l on Attached" 05130/2020 0513012020 mn - 05/30/2021 051302021 X PER OTH= STATUTE ER— E.L. EACH ACCIDENT $ 1,OODA00 _ 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 City of Fort Collins is included as additional insured on the above general liability policy named insured. Remarks Schedule, may be attached N more space Is required) acid auto liability policy; where required by written contract but only with respect to liability arising out of the operations of the CERTIFICATE HOLDER I CANCELLATION City 0 Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 N. Mason St. FI 2 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Coffins, CO 80524A402 ACCORDANCE WITH THE POLCY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Ina Ronald A. Santaniello /�r+.tdstiJ 01988-2016 ACORD CORPORATION. All rights reserved.. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101422642 LOC #: Atlanta ACORR& ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED 'MARSH USA, INC. Voya Financial, Inc. 230 Park Avenue crn iry AfIAM FR New York, NY 10169 CARRIER I I NAIC CODE. THIS ADDITIONAL REMARKS FORM IS ASCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of I liability Insui Workers Compensation Continued: Policy No. WC048425888 (IL,KY,NC,NH,UT,VI) Carrier. New Hampshire Insurance Company Effective Dale: 051302020 - 05W2021 Policy No. WC 048425M (NJ, PA) Carder. New Hampshire Insurance Company Effective Date: 05/302020 - 05/302021 Policy No. WC 048425886 (FL) Carver. Illinois National Insurance Company Effective Date: 05/302020 - 05/302021 Policy No. WC 048425890 (MA, ND, OH, WA, WI,WY) Cartier: New Hampshire Insurance Company Effective Date: 051302020 - 05/302021 101 (2008I01) © 2008 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD