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HomeMy WebLinkAboutVOYA FINANCIAL INC - INSURANCE CERTIFICATE (9),acoR CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY)
`... 05/23/2018
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 have ADDITIONAL INSURED provisions or 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
"MARSH USA, INC. NAME:
TWO ALLIANCE CENTER PHONE FAX
3560 LENOX ROAD, SUITE 2400 E-MAIL LAC
No
ATLANTA, GA 30326 ADDRESS:
J01525-Voya-AMER-18-19
INSURER A: New Hampshire Insurance CoTpany
23841
INSURED
Voya Financial, Inc.
230 Paris Avenue
New York, NY 10169
INSURER B : National Union Fire Insurance Co. of Pittsburgh, PA
19445
INSURER C : American Home Assurance Co
19380
INSURER D :
INSURER E :
COVFRAGFS (iFRTIFI('ATP A11111ACCG• ATi nnAAiocno no
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
I TYPE OF INSURANCE
DDL
SUBR
WVDPOLICY
NUMBER
CY EFF
MM DID/YYYYI
POLICY EXP
(MM/DD(YYYYI
--� -- --
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
GL1929920
05/30/2018
05/30/2019
EACH OCCURRENCE
$ 2,000,000
CLAIMS -MADE IXJOCCUR
PREMISES Ea occurrence)
$ 250,000
Contractual Liab. Coverage
X
MED EXP (Any one person)
$ 10,000
X
Host Liquor is included
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 5,000,000
X
PRO-
POLICY D JECT LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER
B
AUTOMOBILE
LIABILITY
CA2820250 (AOS)
05/30/2018
05/30/2 119
COMBINED SINGLE LIMIT
Ea accident)
$ 2,000,000
B
ANY AUTO
CA2820251 (MA)
05/30/2018
05i30/2019
X
BODILY INJURY (Per person)
$
OWNED SCHEDULED
X
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
HIRED fx NON -OWNED
AUTOS ONLY AUTOS ONLY
X
PROPERTY DAMAGE
Per accident
$
COMP/COLL $1,000 DED
$
X
UMBRELLA LIAB
X
I OCCUR
BE20454364
05/30/2018
05/30/2019
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ S,OOQ000
EXCESS LIAR
CLAIMS -MADE
DED X RETENTION $10 000
$
A
WORKERS COMPENSATION
WC055816120 (AOS)
05/3TO/ 201
X PER OTH-
A
AND EMPLOYERS' LIABILITY Y / N
ANY EMPL ETO EMPLOYERS'LIA NER/EXECUTIVE
WC055816123 AZ, VA
( )
05130/2018
05/30/2019
STATUTE ER
E.L
1,000,000
C
ER EXCLUDED?
N/A`
EACH ACCIDENT
$
E.L DISEASE - EA EMPLOYEE
$ 1,000,000
(Mandatory
(Mandatory in NH)
WC055816121 (CA)
05130/2018
05130/2019
If yes, describe under
DESCRIPTION OF OPERATIONS below
'WC Continued on Attached'
E.L DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins is included as additional insured on the above general liability policy and auto liability policy, where required by written contract but only with respect to liability arising out of the operations of the
named insured.
— — �' a+M1�l+CLL/111VIY
City of 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 Collins, CO 80524-4402 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Ronald A. Santaniello '447 v—C., /
(U 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD