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HomeMy WebLinkAboutElster Holdings US Inc. - Insurance Certificate A CERTIFICATE OF LIABILITY INSURANCE OAT03/19/20 5 D/YYYY) 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 A? certificate does not confer rights to the certificate holder in lieu of such endorsement(s). a PRODUCER CONTACT Aon Risk Services Northeast, Inc. NAME: New York NY Office (PA No.Ext): 866-283-7122 (A C No.): 800-363-0105 m One Liberty P1dZd E-MAIL � 165 Broadway, Suite 3201 ADDRESS: _ New York NY 10006 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Greenwich insurance Company 22322 Elster Holdings US Inc. INSURERB: XL specialty Insurance Co 37885 2221 Industrial Road Nebraska City NE 68410 USA INSURERC: XL Insurance America Inc 24554 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570111473836 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY RGC EACH OCCURRENCE $5,000,000 CLAIMS-MADE M OCCUR DAMAGE TO RENTEU__PREMISES Ea occurrence $5,000,000 MED EXP(Any one person) $50,006 PERSONAL&ADV INJURY $5,000,000 M GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $S,000,OOO 00 X POLICY ❑PRO $El 5,000,000 LOC PRODUCTS-COMP/OP AGG included r OTHER: o n A AUTOMOBILE LIABILITY RAC943764212 04/01/2025 04/01/2026 COMBINED SINGLE LIMIT $1,000,000 Ea accident) X ANY AUTO BODILY INJURY(Per person) Z OWNED SCHEDULED BODILY INJURY(Per accident) N AUTOS ONLY AUTOS PROPERTY DAMAGE HIRED AUTOS NON-OWNED V ONLY AUTOS ONLY Per accident) 1: A UMBRELLA LIAB Hxl OCCUR RA0943764512 04 01/2025 04/01/2026 EACH OCCURRENCE $4,000,000 U EXCESS LIAB CLAIMS-MADE EXCESS AUTO AGGREGATE E E DEDI IRETENTION C WORKERS COMPENSATION AND RWD943540312 04 01 2025 04 01 26 X PER STATUTE OTH. EMPLOYERS'LIABILITY Y/N A05 ER ANY PROPRIETOR/PARTNER/EXECUTIVE B OFFICER/MEM8EREXCLUDED? N N/A RWC943540212 04/01/2025 04/01/2026 E.L.EACH ACCIDENT $5,000,000 (Mandatory in NH) AK, WI E.L.DISEASE-EA EMPLOYEE $5,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $5,000,000 — B Excess workers Compensation RWE943540412 04/O1/2025 26 04/01/20 EL Each Accident 5,000,000— XS WC (AZ, OH, WA) EL Disease - Ea Emp $5,000,000 SIR applies per policy terns 8 condi ions EL Disease - Policy $5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Note: Elster, Elster Perfection Corp., Elster Holdings Us, Inc., Elster Solutions, LLC; Elster AMCO Water, LLC; Elster American Meter Company, LLC; Elster Instromet, Inc.; Eclipse, Inc.; EnergyICT, Inc.; Exothermics, Inc.; CEC Combustion Safety LLC, and Hauck Manufacturing Company, Inc. are wholly owned subsidiaries of Honeywell international Inc. RE: The City of Fort Collins, Colorado / Elster Solutions LLC Master Services Agreement. 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 D POLICY PROVISIONS. g The City Of Fort Collins AUTHORIZED REPRESENTATIVE sc� 8 Attn: City Clerk EN 8 PO Box 580 Fort Collins co 80522 USA �/I ��sbrd `/' ✓tea g 0 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000054391 q ® LOC#: ADDITIONAL REMARKS SCHEDULE Page _ of _AGENCY NAMEDINSURED Aon Risk Services Northeast, Inc. Elster Holdings US Inc. POLICY NUMBER see certificate Number: 570111473836 CARRIER NAIC CODE See Certificate Number: 570111473836 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Named Insured schedule Elster, Elster Perfection Corp. , Elster Holdings us, Inc. , Elster Solutions, LLC., Elster AMCO water, LLC. , Elster American Meter Company, LLC. , Elster Instromet, Inc. , Eclipse, Inc. , EnergyICT, Inc. , Exothermics, Inc. , CEC Combustion Safety LLC and Hauck Manufacturing company, Inc. are wholly owned subsidiaries of Honeywell international Inc. a a� 0 m n o g 0 0 0 ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD