The URL can be used to link to this page

Home My WebLink AboutXEROX CORPORATION - INSURANCE CERTIFICATE (3)'C ."'� ,... 14►.iT#�T �y 11+' �+4 i�� ! �LE ��yYa CERTIFICATE NUMBER ��I�V NVC-000605802-05 PRODUCER MARSH USA Inc. 601 MERRITT 7 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE NORWALK, CT 06856 AFFORDED BY THE POLICIES DESCRIBED HEREIN. CHRISTINE KIMBELL/ FAX 203.229-6970 COMPANIES AFFORDING COVERAGE XEROX.CERTREQUEST@ MARSH.COM COMPANY J54000-XEROX-CAS-05-06 A ACE AMERICAN INSURANCE COMPANY INSURED XEROX CORPORATION AND ITS SUBSIDIARIES 800 LONG RIDGE ROAD COMPANY g INDEMNITY INSURANCE COMPANYOF NORTH AMERICA COMPANY STAMFORD, CT 06904 C COMPANY D C:�11iEiiACil3 '. 7'#'rt4t�ila�Bq�laedO�.mlRrRsplAIG�Bitiy"P�1p�BfIlrlliea�Ik�atBtbtUt�1?G1��p�Brickslllof�!11kY93GrY'. r:. �.....8,: .I. , : ; THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY XSL G21713557(AOS) 01v/05 01/01/06 GENERAL AGGREGRATE $ 10,000,000 PRODUCTS-COMPIOP A.C-G WLUOFD ABOVE X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR PERSONAL & ACV INJURY $ 1,750,000 OWNER'S & CONTRACTOR'S PROT 'GENERAL LIABILITY POLICY APPLIES' EACH OCCURRENCE $ 1,750,000 FIRE DAMAGE (Any one Tire) $ N/A 'EXCESS OF A $250,000 EACH' MED EXP (Any one person) $ N/A 'OCC. SELF -INSURED RETENTION.' A A X AUTOMOBILE LIABILITY ANY AUTO ISA H0793290A(AOS) FAP04710(GUAM) 01/01/05 01/01/05 01/01/06 01/01/06 COMBINED SINGLE LIMIT $ 2,000,000 BODILYINJURY (Per person) $ A A ALL OWNED AUTOS SCHEDULEDAUTOS FAP04711 (SAIPAN) 28-PRB-200215(PR) 01/01/05 01/01/05 01/01/06 01/01/06 BODILY INJURY (per eccidwp $ A HIREDAUTOS NON-OWNEDAUTOS 28-USB-3658(VI) 01/01/05 01/01/06 PROPERTY DAMAGE $ X SELF INSURED COMP/COLL GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ $ OTHER THAN UMBRELLA FORM B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WLR C44166276 (AOS) WLR C44181137 (CA) 01/01/05 01/01/05 01/01/06 01/01/06 X WC STATU- OTH ToRY LIMITS ER EL EACH ACCIDENT ` $ 1,000,000 A THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE SCF C44173839(WI) 01/01/05 01/01/06 EL DISEASE -POLICY LIMIT $ 1,000,000 EL DISEASE -EACH EMPLOYEE $ 1000000 OFFICERSARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS ATTN: JAMES B. O'NEILL WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH 256 W. MOUNTAIN AVENUE NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER P.O. BOX 580 AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS FORT COLLINS, CO 80522-0580 CERTIFICATE. MARSH USA INC BY: Thomas J. Eldridge / A&w, � � ¢- • C.01/w" I h4hdi{b, . - �, VALID AS OF 12/23104 ,;