HomeMy WebLinkAboutJOHNSON CONTROLS - INSURANCE CERTIFICATE (6)trI R.snrl. M.Ir ,..a,..... Onl A c.A .... wl,...l....-... .,nn r
�' DATE
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
Marsh USA Inc.
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
411 East Wisconsin Avenue
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Suite 1600
AM Bed Rating
Milwaukee, Wisconsin 53202-4419 COMPANIES AFFORDING COVERAGE (Aeol4lro3roq
Attn: CPU, Phone (414) 290-4912 Fax: (414) 290-4953 *See Below
CPU_Milwaukee@marsh.com Company Illinois Union Insurance Company
A+ XV
A P.O. Box 41484, Philadelphia, PA 19101
INSURED
Johnson Controls, Inc. Attn: Corp. Risk Mgmt. X-92
Company Sentry Insurance A Mutual Co.
A+ XV
Johnson Controls Battery Group, Inc. P.O. Box 591
B 1800 North Point Drive, Sevens Point, WI 54481
Company Indemnity Insurance Company of North America
Johnson Controls Interiors, L.L.C. Milwaukee, WI 53201
Johnson Controls of Puerto Rico, Inc.
C and for CA: ACE American Insurance Company
A+ XV
Cal -Air, Inc.
PO Box 41484 Philadelphia, PA 19101
GES America, L.L.C.
Company
Optima Batteries. Inc.
D Lexington Insurance Company
Pro Inc.
100 Summer Street, Boston, MA 02110
A+ �/
o
US[ m anies Inc.
Companies'
COVERAGES This ncl t� '' VWSI I ueff'e caw.
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PEINDICATED.
RIOD INDIC
IC
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LT
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
R
DATE(MWDDIYY)
DATE(MMIDDIYY)
A
GENERAL
LIABILITY (1) (2) (3)
GENERAL AGGREGATE
$ 5.000,000
HDOG1723551
10-1-2005
10-1-2006
X
COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMP/OP AGG
$5,000,000
CLAIMS MADE X❑ OCCUR
PERSONAL & ADV INJURY
$ 5,000,000
EACH OCCURRENCE
$ 5,000,000
OWNER'S & CONTRACTOR'S PROT
Contractual
�(
FIRE DAMAGE An one fire
$ 5,000,000
X
%,C,U (Explosion, Collepae, Underground!)
$ 50,000
X
Arldiaonal lnsurw s.8elow)
MED EXP An one person)
B
AUTOMOBILE
LIABILITY
(1) (2) (3)
ANY AUTO
90-04606-01
10-1-2005
10-1-2006
COMBINED SINGLE LIMIT
$ 2,000,000
X
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
X
BODILY INJURY
X
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY
AUTO ONLY_ -EA ACCIDENT
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
D
AGGREGATE
EXCESS LIABILITY
$ 5,000,000
X
5577313
10-1-2005
10-1-2006
EACH OCCURRENCE
$ 5,000,000
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
AGGREGATE
C
WORKERS COMPENSATION AND WC STATU- OTH-
X
TORY LIMITS ER
EMPLOYERS'LIABILITY(3) WLRC44333879 10-1-2005 10-1-2006
WLRC44333880 - CA $ 1,000,000
The Indemnity Insurance Company of North EL EACH ACCIDENT
THE PROPRIETOR/ X
INCL America program applies to all JCI entities in all $ 1,000,000
PARTNERS/EXECUTIVE states except for the selfinsured entitles and the EL DISEASE -POLICY LIMIT
OFFICERS ARE: EXCL monopolistic states. EL DISEASE -EACH EMPLOYEE $ 1,000,000
OTHER
(1) ADDITIONAL INSURED/LOSS PAYEE: Includes coverage for Additional Insureds & Loss Payees as required by lease or contract.
If required by contract, this includes CITY OF FT COLLINS
(2) PRIMARY COVERAGE: Where required by lease or contract, this coverage is primary and not excess of or contributing with other insurance or self-insurance.
3 WAIVER OF SUBROGATION: Insured waives subrogation to the extant required by contract.
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS JC Contract No. 64090010
Project Name: CSU Lorry Transit Center Terminal Ins
Customer PO Number: 5508566 4.09102E+1 t City of Fort Collins
CERTIFICATE L
-600E6Aii)N
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.
CITY OF FT COLLINS
THE ISSUING COMPANY WILL ENDS' VOR;a MAIL _j1L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
James InOniel 2nd
NAMED HEREIN,
P O BOX 580
MARSH USA INC. BY:
FORT COLLINS, CO 80522
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Jaaklyn Lindberg
Insurance Assistant
Marsh USA Inc.
411 East Wisconsin Avenue
Suite 1600
Milwaukee, WI 53202
414 290 4985 Fax 414 290 4953
CPU_Milwaukee@marsh.com
www.marsh.com
January 3, 2006
Johnson Controls' Valued Customer
Subject: Johnson Controls, Inc.
Johnson Controls L.P.
Societe De Controle Johnson Ltee.
Certificate of Insurance
Coverage Period - October 1, 2005 to October 1, 2006
Dear Johnson Controls' Valued Customer:
Our client Johnson Controls has advised us that your company entered into a new contract
with them during the month of December. As Johnson Controls' insurance broker, we are
providing you a certificate of insurance evidencing their insurance coverages for this period.
The project name and your company's contract number or purchase order number are
referenced on the front of the certificate in the Description section. In the Other section is
important information about the insurance coverages, including additional insured
coverage for you as required by contract.
If you have any questions or require additional information, please call, email or fax your
inquiries to the address and number indicated above.
If your firm does not require a certificate of insurance, please disregard this letter and
certificate.
We also want to introduce an option to the certificate of insurance that provides you with
more timely information on Johnson Controls' insurance, the "memorandum of insurance."
This memorandum should reduce the amount of time all parties spend on evidencing
insurance, and you can view and print the evidence as you need. You will find this
memorandum at http://www.marsh.com/moi?client=0969.
Sincerely,
Jacklyn Lindberg
Enclosure
Marsh & McLennan Companies