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HomeMy WebLinkAboutVOYA FINANCIAL INC - INSURANCE CERTIFICATE (7)CERTIFICATE OF LIABILITY INSURANCE DATE(..IDDNYYY) 05128/2015I2015 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). PRODUCER CONTACT NAME'— — 'MARSH USA, INC. --- PHONE FAX TWO ALLIANCE CENTER A/c No : EMAIL 3560 LENOX ROAD, SUITE 2400 ATLANTA, GA 30326 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC # INSURER A: New Hampshire Insurance Company 23841 AI525-Voya-AMER-15-16 INSURED INSURER B : National Union Fire Ins Co Pittsburgh PA 19445 Voya Financial, Inc. INSURER C : Granite State Insurance Co 23809 230 Park Avenue INSURER D : New York, NY 10169 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: ATL-003476246-08 REVISION NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP N MM/DDYYY LIMITS B X COMMERCIAL GENERAL LIABILITY GL1721754 05/30/2015 05/30/2016 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 250,000 X MED EXP (Any one person) $ 5,000 Contractual Liab. Coverage X Host Liquor is included PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 X POLICY PRO- JECT LOC PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER. A AUTOMOBILE LIABILITY CA3940556 (AOS) 05/30/2015 05/30/2016 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 X BODILY INJURY (Per person) $ C ANY AUTO CA3940557 (MA) 05/30/2015 05/30/2016 ALL OWNED SCHEDULED AUTOS AUTOS X BODILY INJURY (Per accident) $ X Pe aPER ci ZDAMAGE _ $ NON -OWNED HIRED AUTOS X AUTOS COMP/COLL $1,000 DIED $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT _ $ E.L. DISEASE - EA EMPLOYEE - $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / 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. 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 /�f7►slAL!/J/.F! © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD