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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."