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HomeMy WebLinkAbout126171 VOLT SERVICES GROUP - INSURANCE CERTIFICATEA CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 DATE F 03/24/2017) 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 Willis of New York, Inc. c/o 26 Century Blvd. P. O. Box 305191 PHONE FAX - 877-945-7378 888-467-2378 ADDRESS'E-MAIL certificates@willis.com Nashville, TN 37230 INSURER(S)AFFORDINGOOVERAGE NAIC # INSURERA:National Union Fire Insurance Company of 19445-002 INSURED Volt Services Group, A Division of Volt Technical Resources INSURERB:New Hampshire Insurance Company 23841-001 INSURERC:American Home Assurance Company 19380-001 INSURERD:Illinois National Insurance Co. 23817-002 1133 Avenue of the Americas, 15th Floor New York, NY 10036 INSURER E: INSURER F: rnVGDAnrQ r1:QTIFI(`ATF NI IRA RFR•)S'lrl1 Aor 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 LTRTYPE OF INSURANCE DDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY GL3630051 '3/31/2017 3/31/2018 EACH OCCURRENCE $ 1,000,000 PpAAWMp@fJ;;�T ELATED PREMISESgEaoccurence) $ 250,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT PRO ❑ LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY(Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY(Per accident) $ PROPERTYDAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ $ B C I% B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEN OandatoryinNH) EXCLUDED? Mandatory in NH) ff yes, describe under DE SCRIPTIONOFOPERATIONSbelow N/A WCO23102487 WCO23102489 WCO23102490 WCO23102491 3/31/2017 3/31/2017 3/31/2017 3/31/2017 3/31/2018 3/31/2018 3/31/2018 3/31/2018 X I STATUTE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 B Workers Compensation WCO23102492 3/31/2017 3/31/2018 See above Work Comp B WCO23102494 3/31/2017 3/31/2018 section B WCO23102493 3/31/2017 3/31/2018 B WCO23102488 3/31/2017 3/31/2018 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) rnoTrrif'Arn unl nr-D rtAklrFI I ATION 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 ESENT Attn: Ed Bonnette 215 N. Mason, 2Nd Floor Po Box 580 Fort Collins, CO 80522 Coll:5052014 Tpl:2133447 Cert:25301805 © 88-2015ACORD CORPORATION.All rfgntsreservea. ACORD 25 (2016/03) The ACORD name and logo are registered mark of ACORD