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HomeMy WebLinkAboutKONE INC. - INSURANCE CERTIFICATESHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED $PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
2/28/2024
Aon Risk Services Central, Inc.
Chicago IL Office
200 East Randolph
Chicago, IL 60601
866-283-7122 800-363-0105
Old Republic Insurance Company 24147
Pohjola Insurance Ltd.N/A
AXIS Surplus Insurance Company 26620
A 10,000,000MWZY 57732 1/1/2024 1/1/2025
10,000,000
3
3
10,000,000
10,000,000
10,000,0003
A MWTB 20018 1/1/2024 1/1/2025 5,000,000
3
B 16-683-331-6 1/1/2024 1/1/2025 5,000,0003
5,000,0003
A MWC 115397-16 (AOS)1/1/2024 1/1/2025 3
A MWXS 822-16 (OH)1/1/2024 1/1/2025 5,000,000N
5,000,000
5,000,000
C Excess Auto & Employer's Liability P-001-001065181-02 1/1/2024 1/1/2025 $5M Ea. Occurrence / $5M Aggregate
Aon Risk Services Central, Inc.
Aon Client Services
Acs.chicago@aon.com
KONE Inc.
Attn: insurancerequests@kone.com
One KONE Court
Moline IL 61265
78858151
3 3
33
3 3
3
As respects Excess Liability, if evidenced above, Aon Risk Solutions U.S. is generating & distributing this COI in an administrative capacity.
A Waiver of Subrogation is granted to the extent required by contract.
City of Fort Collins
Purchasing Division
PO Box 580
Fort Collins CO 80522-0580
Contract No. 41616132 - Project/Location: Various Locations Fort Collins, CO Fort Collins CO
30-day Notice of Cancellation provided according to contract terms.
Coverage is Primary and Non-Contributory to any other insurance held by Additional Insureds.
3
78858151 | 000-U.S. | 24/25 GL AU XS WC (OT Policy Schedule) | Amanda Johnson | 2/28/2024 4:35:19 PM (CST) | Page 1 of 14
This certificate cancels and supersedes ALL previously issued certificates.
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER:FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
Excess policy provides coverage over the GL, Auto and Employers' Liability policies.
Certificate Holder City of Fort Collins, its officers, agents and employees and other
parties as required by contract are listed as Additional Insured to the extent of the
terms of the contract.
000-U.S.
Aon Risk Services Central, Inc.KONE Inc.
Attn: insurancerequests@kone.com
One KONE Court
Moline IL 61265
P-001-001065181-02
1/1/2024AXIS Surplus Insurance Company 26620
25 Certificate of Liability (03/16)
ADDENDUM
HOLDER:
ADDRESS:
City of Fort Collins Purchasing Division
PO Box 580 Fort Collins CO 80522-0580
78858151 | 000-U.S. | 24/25 GL AU XS WC (OT Policy Schedule) | Amanda Johnson | 2/28/2024 4:35:19 PM (CST) | Page 2 of 14
This certificate cancels and supersedes ALL previously issued certificates.
Page 1 of 1
MSC# 17510, Aon
PO Box 1447
Lincolnshire, IL 60069
January 1, 2024
Re: KONE Inc. – Financial Ratings & NAIC Numbers
To Whom It May Concern:
FINANCIAL STRENGTH (AM Best, S&P, Moody’s):
Pohjola Insurance Ltd & IF are domiciled in Finland and AIG Europe Ltd. is domiciled in Europe.
These three carries do not have an A.M. Best Ratings. These companies do have ratings from
S&P and Moody’s. More information about the credit ratings can be found using the following
links:
-Pohjola Insurance Ltd - Credit ratings | OP.
-Financial information | If (if-insurance.com) .
-AIG EU | Financial Ratings .
Please accept this documentation as sufficient support to evaluate Pohjola’s, IF’s, & AIG
Europe’s financial solvency.
The final excess carrier on KONE's excess casualty program is Allianz Global Corporate &
Specialty SE which is rated by AM Best. Details on this rating can be found here:
-https://ratings.ambest.com/CompanyProfile.aspx?AltSrc=108&Bl=0&GSA=1&AMBNum
=87997
NAIC Numbers (National Association of Insurance Commissioners):
All of the carriers on KONE’s excess casualty program & also included below do not have
NAIC Numbers as these companies are not domiciled in the United States, and therefore
not regulated by the US government.
o Pohjola Insurance Ltd.
o IF Insurance
o AIG Europe
o Allianz Global Corporate & Specialty SE
Regards,
Libby Schrishuhn
Account Executive
78858151 | 000-U.S. | 24/25 GL AU XS WC (OT Policy Schedule) | Amanda Johnson | 2/28/2024 4:35:19 PM (CST) | Page 3 of 14
This certificate cancels and supersedes ALL previously issued certificates.
PCA 001 10 13
IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
SCHEDULE
Name of Person(s) or Organization(s):
With respect to COVERED AUTOS LIABILITY COVERAGE,Who Is An Insured is changed with the
addition of the following:
Each person or organization shown in the Schedule for whom you are doing work is an “insured". But
only for "bodily injury" or "property damage" that results from the ownership, maintenance or use of a
covered "auto" by:
1.You;
2.an "employee" of yours; or
3.anyone who drives a covered "auto" with your permission or with the permission of one of your
"employees".
However, the insurance afforded to the person or organization shown in the Schedule shall not exceed
the scope of coverage and/or limits of this policy. Not withstanding the foregoing sentence, in no event
shall the insurance provided by this policy exceed the scope of coverage and/or limits required by the
contract or agreement.
KONE Holdings, Inc.
__ MWTB 20018
01/01/2024 01/01/2025
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This certificate cancels and supersedes ALL previously issued certificates.
PCA 048 09 19 Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED AND PRIMARY AND
NON-CONTRIBUTORY ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
SCHEDULE
Designated Person(s) or Organization(s):
A. SECTION II – COVERED AUTOS LIABILITY COVERAGE, paragraph 1. Who Is An Insured is
amended to include the person(s) or organization(s) shown in the above Schedule as an
additional “insured”, but only with respect to "accidents" arising out of your work while being
performed for such person(s) or organization(s).
B.The following is added to the Other Insurance Condition in the Business Auto Coverage Form
and the Other Insurance – Primary And Excess Insurance Provisions in the Motor Carrier
Coverage Form and supersedes any provision to the contrary:
This policy's Covered Autos Liability Coverage is primary to and will not seek contribution from
any other insurance available to the “insured” person(s) or organization(s) shown in the above
Schedule provided that:
1.Such “insured” is a Named Insured under such other insurance; and
2.You have agreed in writing in a contract or agreement that this insurance would be
primary and would not seek contribution from any other insurance available to such
"insured".
All Persons or Organizations where Required by Written Contract.
KONE Holdings, Inc.
__ MWTB 20018
01/01/2024 01/01/2025
78858151 | 000-U.S. | 24/25 GL AU XS WC (OT Policy Schedule) | Amanda Johnson | 2/28/2024 4:35:19 PM (CST) | Page 5 of 14
This certificate cancels and supersedes ALL previously issued certificates.
PCA 024 10 13
Page 1 of 1
IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
SCHEDULE
Name of Person or Organization:
(If no entry appears above, information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement.)
The Transfer Of Rights Of Recovery Against Others To Us Condition is changed by adding the
following:
We waive any right of recovery we may have against the person(s) or organization(s) shown in the
Schedule because of payments we make for injury or damage. This waiver applies only to the person or
organization shown in the Schedule.
KONE Holdings, Inc.
__ MWTB 20018
01/01/2024 01/01/2025
78858151 | 000-U.S. | 24/25 GL AU XS WC (OT Policy Schedule) | Amanda Johnson | 2/28/2024 4:35:19 PM (CST) | Page 6 of 14
This certificate cancels and supersedes ALL previously issued certificates.
COMMERCIAL GENERAL LIABILITY
CG 20 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 10 04 13 -RWYVERGI7IVZMGIW3JJMGI-RG Page 1 of 2
ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – SCHEDULED PERSON OR
ORGANIZATION
8LMWIRHSVWIQIRXQSHMJMIWMRWYVERGITVSZMHIHYRHIVXLIJSPPS[MRK
'311)6'-%0+)2)6%00-%&-0-8='3:)6%+)4%68
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location(s) Of Covered Operations
-RJSVQEXMSRVIUYMVIHXSGSQTPIXIXLMW7GLIHYPIMJRSXWLS[REFSZI[MPPFIWLS[RMRXLI(IGPEVEXMSRW
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ERSXLIV IRHSVWIQIRX EXXEGLIH XS XLMW 4SPMG]
KONE Holdings, Inc.
__ MWZY 57732
01/01/2024 01/01/2025
78858151 | 000-U.S. | 24/25 GL AU XS WC (OT Policy Schedule) | Amanda Johnson | 2/28/2024 4:35:19 PM (CST) | Page 7 of 14
This certificate cancels and supersedes ALL previously issued certificates.
Page 2 of 2 -RWYVERGI7IVZMGIW3JJMGI-RG CG 20 10 04 13
A. Section II – Who Is An Insured MWEQIRHIHXS
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Section III – Limits Of Insurance:
-J GSZIVEKI TVSZMHIH XS XLI EHHMXMSREP MRWYVIH MW
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MWZY 57732
01/01/2024 01/01/2025
78858151 | 000-U.S. | 24/25 GL AU XS WC (OT Policy Schedule) | Amanda Johnson | 2/28/2024 4:35:19 PM (CST) | Page 8 of 14
This certificate cancels and supersedes ALL previously issued certificates.
COMMERCIAL GENERAL LIABILITY
CG 24 04 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 24 04 12 19
-RWYVERGI7IVZMGIW3JJMGI-RG
Page 1 of 1
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
8LMWIRHSVWIQIRXQSHMJMIWMRWYVERGITVSZMHIHYRHIVXLIJSPPS[MRK
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8LIJSPPS[MRKMWEHHIHXS4EVEKVETL8. Transfer Of
Rights Of Recovery Against Others To Us SJ
Section IV – Conditions:
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All Persons or Organizations as required by Written Contract or Agreement.
KONE Holdings, Inc.
__ MWZY 57732
01/01/2024 01/01/2025
78858151 | 000-U.S. | 24/25 GL AU XS WC (OT Policy Schedule) | Amanda Johnson | 2/28/2024 4:35:19 PM (CST) | Page 9 of 14
This certificate cancels and supersedes ALL previously issued certificates.
COMMERCIAL GENERAL LIABILITY
CG 20 01 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 01 12 19
-RWYVERGI7IVZMGIW3JJMGI-RG
Page 1 of 1
PRIMARY AND NONCONTRIBUTORY –
OTHER INSURANCE CONDITION
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KONE Holdings, Inc.
__ MWZY 57732
01/01/2024 01/01/2025
78858151 | 000-U.S. | 24/25 GL AU XS WC (OT Policy Schedule) | Amanda Johnson | 2/28/2024 4:35:19 PM (CST) | Page 10 of 14
This certificate cancels and supersedes ALL previously issued certificates.
-2796)('34=
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2.8<98
KONE INC.
__
MWC 115397-16 (AOS)
01/01/2024
01/01/2024 01/01/2025
MWC 115397-16 (AOS)
78858151 | 000-U.S. | 24/25 GL AU XS WC (OT Policy Schedule) | Amanda Johnson | 2/28/2024 4:35:19 PM (CST) | Page 11 of 14
This certificate cancels and supersedes ALL previously issued certificates.
Extensions to KONE OYJ’S Global Liability Insurance conditions
EXTENSION 1: ADDITIONAL INSUREDS
Worldwide general third-party liability and products liability insurance conditions for KONE OYJ are
amended by the following:
Principals/Buyers/(Sub)contractors/Landlords/Lessors/Third Parties are covered as Additional Insureds
as required by law or written contract.
Additional Insureds are covered under this policy but only with respect to liabilities arising out of their
operations performed by or for the named insured, but excluding any negligent acts committed by such
Additional Insured. The inclusion of any Additional Insured(s) shall not entitle them to any rights or
benefits under the Policy except as otherwise described above.
All other terms and conditions of this policy shall remain unchanged.
However, cover described above shall not apply to Pure Financial Loss, Professional Indemnity, Property
in Care, Custody and Control, Excess Auto Liability, and excess Employer’s Liability.
KON( ,1&.
__ 01/01/2024 01/01/2025
16-683-331-6
78858151 | 000-U.S. | 24/25 GL AU XS WC (OT Policy Schedule) | Amanda Johnson | 2/28/2024 4:35:19 PM (CST) | Page 12 of 14
This certificate cancels and supersedes ALL previously issued certificates.
2) The insured have agreed in writing in a contract or agreement that this insurance would be primary
and would not seek contribution from any other insurance available to the additional insured.
In all other cases the decision to use this Policy as primary shall be reserved to the Policyholder. If the
Policyholder shall decide to use this policy as a secondary cover, DIC/DIL coverage shall still apply.
KON( ,1&.
__ 01/01/2024 01/01/2025
16-683-331-6
78858151 | 000-U.S. | 24/25 GL AU XS WC (OT Policy Schedule) | Amanda Johnson | 2/28/2024 4:35:19 PM (CST) | Page 13 of 14
This certificate cancels and supersedes ALL previously issued certificates.
14 Right of recourse
The insurer will agree to waive their rights of subrogation provided that the insured has waived or is
required to waive such rights under a contractual agreement.
KON( ,1&.
__ 01/01/2024 01/01/2025
16-683-331-6
78858151 | 000-U.S. | 24/25 GL AU XS WC (OT Policy Schedule) | Amanda Johnson | 2/28/2024 4:35:19 PM (CST) | Page 14 of 14
This certificate cancels and supersedes ALL previously issued certificates.