HomeMy WebLinkAboutVOYA FINANCIAL INC - INSURANCE CERTIFICATE (13)A`CO� RO® CERTIFICATE OF LIABILITY INSURANCE DATE lYYYY) 051261201/2017 7 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 'MARSH USA, INC. TWO ALLIANCE CENTER 3560 LENOX ROAD, SUITE 2400 ATLANTA,GA 30326 CONTACT NAME_ (AIC.� arc No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: New Hampshire Insurance Company 23841 J01 525-Voya-AMER-1 8-17 INSURED Voya Financial, Inc. INSURER B : National Union Fire Insurance Co. of Pittsburgh, PA 19445 INSURER C : N/A N/A 230 Park Avenue New York, NY 10169 INSURER D American Home Assurance Cc 19380 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: ATL-004044106-04 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, IPOLICY LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER EFF MM/DD/YYYY) POLICY EXP (MM/DDIYYYYI LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LJ OCCUR Contractual Liab. Coverage X GL1929920 05/30/2017 05/30/2018 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 250,000 X MED EXP (Any one person) $ 5,000 X Host Liquor is included PERSONAL & ADV INJURY $ 2,000,000 GENT X AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT D LOC OTHER. GENERAL AGGREGATE $ 5,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ 8 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS X CA2820250 (AOS) CA2820251 (MA) 05/30/2017 0513012017 05/30/2018 05/30/2018 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 X BODILY INJURY (Per person) $ X id P BODILY INJURY (Per accent ( ) $ X PROPERTY DAMAGE Per accident $ COMP/COLL $1,000 DED $ UMBRELLA LIAB tEXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ A B D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC055816120 (AOS) WC055816123 (AZ, VA) WC055816121 (CA) 'WC Continued on Attached' 05/30/2017 05/30/2017 05/30/2017 05/30/2018 05/30/2018 05/30/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I 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 and auto liability policies, where required by written contract but only with respect to liability arising out of the operations of the named insured %,F-rc r rrn,M r c r1ULu9Zrc %,AN1,tLLA 1 IUN City of Fort Collins 215 N. Mason St., 2nd Floor P.O. Box 580 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 /��sscA6iiJ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: J01525 LOC #: Atlanta .a oR ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY "MARSH USA, INC. NAMED INSURED Voya Financial, Inc. 230 Park Avenue New York, NY 10169 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation Continued: Policy No. WC055816124 (IL, KY,NC,NH,UT) Carrier: New Hampshire Insurance Company Effective Date: 05/30/2017 - 05/30/2018 Policy No, WC055816125 (NJ, PA) Carrier: New Hampshire Insurance Company Effective Date: 05/30/2017 - 05/30/2018 Policy No. WC055816122 (FL) Carrier: Illinois National Insurance Company Effective Date: 05/30/2017 - 05/30/2018 Policy No. WC055816126 (MA, ND, OH, WA, WI,WY) Carrier: New Hampshire Insurance Company Effective Date: 05/30/2017 - 05/30/2018 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD