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HomeMy WebLinkAboutVOYA FINANCIAL INC - INSURANCE CERTIFICATE (6)Is
A� EP CERTIFICATE OF LIABILITY INSURANCE °o o;izo20°" '
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 COVERAGEAFFORDED 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 Acquire an endorsement. A statement on
this certificate does not confer rights to thebertificate holder in lieu of such a dorseme s .
PRODUCER _ CONTACT
'MARSH USA, INC. NAME:
PHONE FAX
TWO ALUANCE CENTER
arNo:
3560 LENOX ROAD, SUITE 2400 E-DVUL
ATLANTA, GA 30326
INSURED Voya Finandal, Inc. INSURER a: National Union Fire Insurance Co. of P ittsburgh, PA
230 Park Avenue INSURER c : American Home Assurance Co
New York, NY 10169 IriciIRFR In
COVERAGES CERTIFICATE NUMBER: ATLM"1854413 REVISION -NUMBER: .
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IL
TYPE OF INSURANCE
A
POLICY
NUMBER
MNUDDCDT.EFF
M EXP IDDY.
LIMITS.
B
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F�x] OCCUR
Contractual Liab. Coverage
X
GLI947014
05/3012020
05130/2021
EACH OCCURRENCE
$. 2,000,000
DAMAGE-T RENTED
PREMISES Ea oc nce
$. 250,000
X
MED EXP (Any one person)
$ 10,000
X
Host Liquor is Included
PERSONAL a ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X PRO -
POLICY JECT LOC
OTHER:
GENERAL AGGREGATE
$ 5,000.000
PRODUCTS -COMP1OPAGG
$ 2,000,000
$
B
B
AUTOMOBILELIABIIJTY
X ANY AUTO
CHEDULED
X OWNEDONLY SUTOS
AUTOS A
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
X
CA1722382(AOS)
CA1722363
(MA)
05W/2020
05130/2020
05/30/2021
05/3012021
EOMBIaaN isINGLEUMn
$ 2,000,000
BODILY INJURY (Par person)
$
BODILY INJURY (Per accident)
E
PROPERTY DAMAGE
Per acddent
$
COMP/COLL $1,000 DIED
$
UMBRELLALIAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
_
AGGREGATE
$
DED I .RETENTION$_.__
$
A -
A
C
WORNERSCOMPENSATION
AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNERIEXECUfIVETATUTE
YIN
OFFICER{MEMBEREXCLUDED?
(Mandatory In NH)
rc yes. describe under
DESCRIPTION OF OPERATIONS below
NIA
WC06425884
WC048425887
WC048425885(CA)
'iNC Contirllied
(ADS)
(AZ, VA)
on Attached'
__. _..
05130/2020
0513012020
1
05/3012021
05I30I2021
X .ERE
E.L.E:L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE -EA EMPLOYEE
E 1,000,000
E.L. DISEASE - POLICY LIMIT
E 11000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD iOl, Addithmial
City of Fort Collins is included as additional insured on the above general and auto liability
Remarks Schedule, may be attached H more apace Is required)
policies, where required by written contract but only with respect to liability arising out of the operations of the named insured
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
215 N. Mason St, 2nd Floor
THE EXPIRATION DATE THEREOF, NOTICE, WILL. BE DELIVERED IN
P.O. BOX 580
ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80522
AUTHORIZED REPRESENTATIVE
'
or Marsh USA Inc.
Ronald A. Santaniello
01988.2016 ACORD CORPORATION. All rights reserved..
ACORD 25 (2016/03) The ACORD ne me and logo are registered marks of ACORD
AGENCY CUSTOMER ID: CN1014221342
LOC #: Atlanta
Ac0 v® ADDITIONAL REMARKS SCHEDULE Page 2 of 2
L I _
AGENCY
'MARSH USA, INC.
-
NAMED INSURED ----
Voya Financial, Inc.
230 Park Avenue
New York, NY 10169
POLICY NUMBER
CARRIER
NAIC CODE
EFFECTIVE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE:: Certificate of l iability Insurance
Workers Compensation Continued:
Policy No. WC048425888 (IL,KY,NC,NH,UT,VT)
Carrier: New Hampshire Insurance Company
Effective Date:. 0513012020 - 05/3012021
Policy No. WC 048425889 (NJ, PA)
Cartier. New Hampshire Insurance Company
Effective Date: 0513012020 - 05/302021
Policy No. WC 048425886 (FL)
Carder. Illinois National Insurance Company
Effective Dace: 05/302020 - 051302021
Policy No. WC 048425890 (MA, ND, OH, WA, WI,WY)
Cartier. New Hampshire Insurance Company
Effective Date: 051302020 - 05/302021
ACORD 101 (2008101) 1 © 2008ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD