HomeMy WebLinkAboutJOHNSON CONTROLS - INSURANCE CERTIFICATE (2)K I Inaml, No/La<xllon 9010 Syslclns Nonhlvcsl J09 CI IP YI_NNE2FI001, SYS
MARSH USA INC. CERTIFICATE OF INSURANCE DA 11
------_--_-- _ __ 04/01/2008
PRODUCER
PHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh USA Inc.
NO RIGHTS UPON TIIII CERTIFICAT E HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
411 East Wisconsin Avenue
AFFORDED BY'I HE POLICIES DESCRIBED HEREIN.
.Suite 1600
AM Best Rating
Milwaukee, Wisconsin 53202-4419
COMPANIES AFFORDING COVERAGE
(As of 04101108)
Attn: CPU, Phone (414) 290-4912 Fax: (414) 290-4953
*See Below
Company ACE American Insurance Company
A P.O. Box 41484. Philadelphia, PA 19101
A+XV
CPU_ Milwaukee@marsh.com
INSURED-
Johnson Controls, Inc. Corp. Risk Mgml. X-92
Johnson Controls Batter Group,P.O. Inc. P.O. Box 591
Company Sent Insurance ve Mutual Co.
B 1800 North r Sentry
Drive, Stevens Point, WI 54481
A+ XV
---- ----------
Company Indemnity Insurance Company of North America
.--
Johnson Controls Interiors, L.L.C. Milwaukee, WI 53201
Cal -Air, Inc.
GES America, L.L.C.
Optima Batteries, Inc.
O and for CA, WI and EX WC: ACE
American Insurance Company
PO Box 41484. Philadelphia PA 19101
A+ XV
US) Companies, Inc.
York International Corporation
Company Lexington Insurance Company
D 100 Summer Siree6 Boston, MA 02110
A+ XV
COVERAGES This certificate su ersedes and replaces any previously issued certificate.
_
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 MAYBE ISSUED OR MAY
PER'rAW, DIP INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECI" TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co LT
R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
A
GENERAL
LIABIL I'I Y (1) (3) (4)
COMMERCIAL GENERAL IABn.rry
— CLAIMS MADE � OCCUR
---111
HDOG2373283A
10-1-2007
10-1-2008
GENERAL AGGREGATE
$ 51000=0
X
_
PRODUCTS-COMP/OP AGO
$e,000,000
PERSONAL 8 ADV INJURY
_
$ 5,000,000
EACH OCCURRENCE
$ 5,000,000
OWNER'S & CONTRAC1OR'S PROT
X
FIRE DAMAG;�Anyone fre
$ 5,000,000
Contractual
------os--- x,C.0iCail:q�a.. Unnogpom[el
MED EXP (AnY one person
$ 50.000
X.
___'__
B
AUTOMOBILE
LIABILITY (2) (3) (4)
X
ANY AUTO
90-04606-01
10-1-2007
10-1-2008
COMBINED SINGLE LIMI'1
$ 5,000,000
ALL OWNED AUTOS
BODILY INJURY
SCHEDUI ED AU I'US
(Per person)
X
HIRED AU TOS
...._._.._...._ _
BODILY INJURY
X
NON OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY
_._....
AUTO ONLY -EA ACCIDENT
OTHER T HAN AU 10 ONLY:
ANY AUTO
EACH ACCIDENT
AGGREGATE
D
EXCESS LIABILITY
IX UMBRELLA FORM
-__ _
5577735
10-1-2007
10-1-2008
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
_
$ 5,000,000
OTI IER TI1AN UMBRELLA FORM
G
WORKERS COMPENSATION AND
X
—
WC STATU-
OTH-
EMPLOYEI2SUABILIfY (4)
WLRC44473094—ADS
10-1-2007
10-1-2008
TORY LIMITS
I
ER
EACH ACCIDENT
$1,000,000
THErNERSp1EE CU INCL
PAREL
THE EXCL
OFFICERS ARE:
OFFICERS f
W LRC44473136 — CA
SCFC44473057 — W
WCUC4447301A — EX WC
EL DlsensE-PoucV LIMIT
_
EI_ DISEASE-EACFI EMPLOYEE
$ 1,000,000
OTHER
(1) ADDITIONAL INSURED: If required by contract, Includes coverage for Additional Insureds per attached endorsement
(2) ADDITIONAL INSURED: If required by contract, includes coverage for Additional Insureds and Loss Payee as required by contract.
(3) PRIMARY COVERAGE: Where required by lease or contract, this coverage is primary and not excess of or contributing with other insurance or self-insurance.
(4) WAIVER OF SUBROGATION: Insured waives subrogation to the extent required by contract.
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS JC Contract No, 84090042
Project Name: City of Ft. Collins - EPIC Center NAE Ins
Customer PO Number: 8851702 4.09102Eall CITY OFF I COLLINS
CERTIFICATE HOLDER
,.:CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF
CITY OF FT COLLINS
James IIonic
THE ISSUING COMPANY WILL ENDEAVOR -TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
NAMED HEREIN, BUT-FWI WRE-To MAILP"i NOTIGESHALI IMPOSENO OBUGATAON QR{UABAmPAQFANKKINB
UPONTHEINSURERAFFORDWG GOVEMGEHS AGf.NiSOR AEPRESENiAi1VES
PO BOX 580
MARSH USA INC. BY:
PORT COLLINS, CO 80522
-A,ef Bost ratings of lnsverc nro pmviJOJfor inlonnolion pmpoms only antl mo Neese upon inbrmollon wilM1 mslq[I to susM1 m11nUs avaiiablo to MarsM1 USAInc. on IM10 Jato sol(oFtlh noroin w,th rospod to sucM1 otliaas. Mersa USA's will ooL antl will M1ovopo tr
ro¢ponLrty orobllgalon o'cl.rm tire wrlll[ato llol4or Ornny pprsan rolying uporlMa. wrt ll[ 1 1 y M1an0o5 rn 5ucM1PM Bosl ral,n0 I r..fe. w[M1Oalo test, me, In. Wn h—eire, eriny IM1ro.r.. to life salvo cy r later. ability to pay
s of any of tM10 lnsurnncO Comp Ios wF[Ir lravo lssuorl ll olnsuran<O Pagc Os rOlaro lmJ M1orOn
'IIs A,nulall nn ♦ ,L inl'I"Hs.11111.11 -_rlan ......flu In .n1'1 J _—
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@marsti.com
w .marsh.com
April 1, 2008
Johnson Controls' Valued Customer
Subject: Johnson Controls, Inc.
Johnson Controls L.P.
Societe De Conhrole Johnson Ltee.
Cal -Air, Inc.
Certificate of Insurance
Coverage Period - October 1, 2007 to October 1, 2008
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 March. As Johnson Controls' insurance broker, we are
providing you a certificate of insurance evidencing their insurance coverages for 2007/2008
policy period as Johnson Controls' insurance program renewed on October '1, 2007.
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 in formation 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 finis does not require a certificate of insurance, please disregard this letter and
certificate.
Sincerely,
Jacklyn Lindberg
Enclosure
�_ 4 marsh &Mclennan (( pamcs
POLICY NUMBER: HDOG2373283A
COMMERICAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
- - - __ ___
SCHEDULE
Name of Additional Insured Persons Or Or anizatlonLs)
If required by contract, CITY OF FT COLLINS
Locations) Of Covered Operations
As required by contract, City of Ft. Collins -EPIC Center NAE
-- - - ----- -------
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
ITIONAL INSURED - OWNERS,
Endorsement
OR OMISSIONS ONLY
A. Section II —Who is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with
respect to liability for "bodily injury", "property damage" or
'.personal and advertising injury' caused solely by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on
your behalf;
in the performance of your ongoing operations for the
additional insured(s) at the location(s) designated above.
- NAMED INSURED'S ACTS
With respect to the insu
afforded to these additional insureds, the following
additional exclusions apply:
This insurance does not apply to "bodily injury' or
"property damage' occurring after:
1. All work, including materials, parts or equipment
furnished in connection with such work, on the
project (other than service, maintenance or repairs)
to be performed by or on behalf of the additional
insured(s) at the location of the covered operations
has been completed; or
1. That portion of "your work" out of which the injury or
damage arises has been put to its intended use by
any person or organization other than another
contractor or subcontractor engaged in performing
operations for a principal as a pan of the same
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS -
NAMED INSURED'S ACTS OR OMISSIONS ONLY
section II — who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the
Schedule, but only with respect to liability for "bodily injury" or "properly damage" caused solely by "your work" at the location
designated and described in the schedule of this endorsement performed for that additional insured and included in the "products -
completed operations hazard."