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HomeMy WebLinkAboutVOLT INFORMATION SCIENCES INC - INSURANCE CERTIFICATE (6)A CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 FDATE 03/130/20151 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). 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 nG�TIGIn aTC \It I\aCCG. eneeo cnn PHONE ... R77-q45-7378 IMP FAX n,rn. 888-467- INSURERA:National Union Fire Insurance Company of 19445-002 INSURERS: National Union Fire Insurance Co. of Pitt 19445-001 INSURERC:Nati0nal Union Fire Insurance Company of 19445-008 INSURERD:Starr Indemnity and Liability Company 38318-001 INSURERE: New Hampshire Insurance Company 23841-001 INSURERF: Illinois National Insurance Co. 23817-002 RFVISIl1N NI IRARPR- 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 TYPE OF INSURANCE DDL SUBan �J POLICYNUMBER POLICY EFF POLICY EXP A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 8 OCCUR y I GL9575059 I 3/31/2015 3/31/2016 EACH OCCURRENCE $ 2,000,000 tt��ppl�,,,ttppFr;EE77Qpaocouranoe PREMISES It $ 250,000 MEDEXP(Anyoneperson) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICYPRO- JECTLOC OTHER: GENERAL AGGREGATE $ 2,000,000 8 PRODUCTS-COMP/OP AGG $ $ B AUTOMOBILE LIABILITY C X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIREDAUTOS 8 UTOSWNED CAS260794 CR5260793 3/31/2015 /31/2015 3/31/2016 3/31/2016 EOMscoldEeMSINGLELIMIT $ 2,000,000 BODILY INJURY(Perperson) $ $ — $ BODILY INJURY(Per accident) PROPERTYDAMAGPer accident E D X UMBRELLA LIAR —~ EXCESS LIAB 8 OCCUR CLAIMS -MADE 1000010964 3/31/2015 3/31/2016 EACHOCCURRENCE $ 5,000,000 El AGGREGATE $ 5,000,000 DED RETENTION$ $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E ANY PROPRIETOR/PARTNER/EXECUTIVEa OFFICER/MEMBER EXCLUDED? F' ((MandetoryInNMI fI yes, describe under B DESCRIPTIONOFOPERATIONS below NIA WCO21459984 WCO21459989 NCO21459986 NCO21459988 /31/2015 /31/2015 /31/2015 /31/2015 3/31/2016 3/31/2016 3/31/2016 3/31/2016 $ E.LEACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 E workers Compensation WCO21459990 31 2015 3/31/2016 See above workers Compensation section DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additonal Remarks Schedule, maybe attached 8 more space is required) 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. 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 AUTHORI DR ESENi Attn: James B. O'Neil 215 North Nason Street Fort Collins, CO 80522 Coll:4655882 Tpl:1936643 Cert:22993620 ® 88-2014ACORDCORPORATION.Allrightsreserved. ACORD 25 (2014/01) The ACORD name and logo are registered mark of ACORD