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HomeMy WebLinkAboutVOLT SERVICES GROUP - INSURANCE CERTIFICATE (7)ACORN® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 FD(MM/)D/YYYY) 04/O1/2016 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 Willis of New York, Inc. c/o 26 Century Blvd. P. 0. Box 305191 PHONE FAX 877-945-7378 888-467-2378 ADDRESS E-MAIL certificates@willis.com Nashville, TN 37230 INSURER(S)AFFORDfNGOOVERAGE NAIC # INSURERA:National Union Fire Insurance Company of 19445-002 INSURED Volt Services Group, A Division of Volt Technical Resources INSURER B:New H—pshire Insurance Company 23841-001 INSURERC:Illinois National Insurance Co. 23817-002 1133 Avenue of the Americas, 15th Floor New York, NY 10036 INSURERD: National Union Fire Insurance Co. of Pitt 19445-001 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 24316310 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 TYPE OF INSURANCE DDL SUB vmn POLICY NUMBER POLICY EFF POLICY EXPITR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR GL3796573 3/31/2016 3/31/2017 EACHOCCURRENCE $ 11000,000 pAMp�Erp1aoccurence) PREMISES(t $ 250 000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRO - J❑ LOC POLICY ECT EC OTHER: GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ AUTOMOBILE LIABILITY ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS H RED NON--OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED 11 RETENTION $ $ B C D B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? andatory in NH) (M (f yes, describe under DESCRIPTIONOFOPERATIONS below NIA WC015519373 WC015519376 WC015519375 WC015519377 3/31/2016 3/31/2016 3/31/2016 3/31/2016 3/31/2017 3/31/2017 3/31/2017 3/31/2017 X H E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE is 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 B Workers Compensation WC015519379 3/31/2016 3/31/2017 See above Workers Compensation section DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additonal Remarks Schedule, maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION 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 Attn: Ed Bonnette AUTHORI DR ESENT 215 N. Mason, 2Nd Floor Po Box 580 Fort Collins, CO 80522 Coll:4877830 Tpl:2045380 Cert:24316310 © 88-2014ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered mark of ACORD