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Home My WebLink AboutJOHNSON CONTROLS - INSURANCE CERTIFICATE (7)JCI Branch No/Location 9010 Systems Nonhwmt 409 CHEYENNEIFT COL SYS dA �' "s`' r ' �� I4Y6�'4!r� -- DATE •_� 3 to --"' 01/03/2006 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 III Reding Milwaukee, Wisconsin 53202-4419 COMPANIES AFFORDING COVERAGE (As of01N3106) Attn: CPU, Phone (414) 290-4912 Fax: (414) 290-4953 *See Below Company Illinois Union Insurance Company CPU_Milwaukee@marsh.com A P.O. Box 41484, Philadelphia, PA 19101 A+ XV INSURED Johnson Controls, Inc. Attn: Corp. Risk Mgmt. X-92 Company SentryInsurance A Mutual Co. A+ XV Johnson Controls Battery Group, Inc. P.O. Box 591 B 1800 North Point Drive, Stevens 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 Company GES America, L.L.C. Optima Batteries, Inc. D Lexington Insurance Company Af" XV Pro -Tel, Inc. 100 Summer Street, Boston, MA 02110 USI Com anieS Inc. CQVERAG3 This O1 gu r f 1 lbusi istlol Crtili'" 1e. ' 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. c0 LT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS R DATE (MMIDDIYY) DATE (MMIDDIYY) A GENERAL LIABILITY (1) (2) (3) GENERAL AGGREGATE $ 5,000,000 HDOG1723551 10-1-2005 10-1-2006 X PRODUCTS-COMP/OP AGG $ 5,000,000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1XI OCCUR PERSONAL BADV INJURY $ 5,000,000 EACH OCCURRENCE $ 5,000,000 OWNER'S & CONTRACTOR'S PROT RFContractual FIRE DAMAGE (Any one fire) $ 5,000.000 X X,C,U (Explosion, CoYape, Underground) $ 50,000 X Additional lneured(See Below) MED EXP (Any oneperson) B AUTOMOBILE LIABILITY (1) (2) (3) ANY AUTO 90-04606-01 10-1-2005 10-1-2006 COMBINED SINGLE LIMIT $ 2,000,000 ALL OWNED AUTOS BODILY INJURY 1X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY -EA ACCIDENT OTHER THAN AUTO ONLY. ANY AUTO EACH ACCIDENT AGGREGATE D EXCESS LIABILITY $ 5,000,000 5577313 10-1-2005 10-1-2006 EACH OCCURRENCE $ 5,000,000 X UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM C WORKERS COMPENSATION AND X WC STATU-Y EMPLOYERS' LIABILITY (3) WLRC44333879 10-1-2005 10-1-2006 LIMITs EORH $ 1,000,000 WLRC44333880 - CA THE X The Indemnity Insurance company of North EL EACH ACCIDENT PROPRIETOR/ INCL America program applies to all JCI entities in all EL DISEASE -POLICY LIMIT $ 1,000,000 PARTNERS/EXECUTIVE states except for the self -insured entities and the EL DISEASE -EACH EMPLOYEE $ 1,000,000 OFFICERS ARE: EXCL I I monopolistic states. OTHER (1) ADDITIONAL INSUREDILOSS PAYEE: Includes coverage for Additional Insureds & Loss Payees as required by lease or contract. lf 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 extent required by contract. DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESlSPECIAL ITEMS JC Contract No. 64090010 Project Name: CSU _ Lorry Transit Center Terminal Ins Customer PO Number: 5508566 4.09102E+11 City of Fort Collins C�Fti1FICA HOI. FF � _ � fhN SHOULD ANY OF THE POUCIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, CITY OF, FT COLLINS THE ISSUING COMPANY WILL ENO&WOR TO MAIL �30 DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER James b Oniel 2nd NAMED HEREIN, POPP O BOX 580 MARSH USA INC. BY. FORT COLLINS, CO 80522 'A.M. ask mlBrpeot#namNfe an Tor isrpoese eshL lee a�ekts will dot, arq Wit hav6 no raepemelq ,aoWrpegonlo. �lre+m4141 MrhoftlY' ib yir fabltko Mkas u. oit eats eel tq hemin rMdl loitPeot to euah range, )Itsrelr pN;.. spY! xFMKihAJI.(ipt nd11ge 4oWmnga[Oer aueh d; MrMIUSAMe.wgl hew na ltetl*gP/wM. of 7a. a dr.. t rroL[ of Jacklyn 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