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Home My WebLink AboutJOHNSON CONTROLS - INSURANCE CERTIFICATE (3)JCI Brunel, Nn4Lips; 9210.Solefions N Iln,va 240 Gran Nbnhdnl PC 13aufcb MARSH USA INC. CERTIFICATE OF INSURANCE DA'117 _ — --- 06/03/2008 PRODUCER IHIS CFR I'I FfCATE IS ISSUEDAS A MATTE R OF I N FORMATION ONLY AND CONFERS Marsh USA Inc. NO RIGHTS UPON THE CERTIF ICA'I E HOLDER OTI IER THAN I HOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EX I END OR ALTER THE COVERAGE 411 East Wisconsin Avenue AFFORDED BY THE POLICIES DESCRIBED HEREIN. Suite 1600 Milwaukee, Wisconsin 53202-4419 AM Bosl Rating COMPANIES AFFORDING COVERAGE LA, of aemvoul Attn: CPU, Phone (414) 290-4912 Fax: (414) 290-4953 _..__ ''"See Beli CPU Milwaukee@marsh.com Company ACE American Insurance Company A+ XV A P.O. Box 41484, Philadelphia, PA 19101 wsuhFil Johnson Controls, Inc. Attn: Corp. Risk Mgmt. X-92 Johnson Controls Battery Group, Inc. P.O. Box 591 Company SentryInsurance A Mutual Co. B A+ XV 1800 North Point Drive, Stevens Point, WI 54481 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. USI Companies, Inc. York International Corporation C and for CA, WI and EX WC: ACE American Insurance Company PO Box 41484 PhilsdelphiayPA 19101_ Company Lexington Insurance Company D 100 Summer Steel, Rosen, MA 02110 A+ XV A+ XV COVERAGES This certificate supersedes and replaces any previously issued certificate. THIS IS TO CERTIFY THAT POLICIES 01: INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE. INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RFOLIIREMENT, TERM OR CONDI FION OF ANY CONTRACT OR O'IHEI2 DOCUMENT WITH RESPECT TO WHICH TI F CERTIFICArL MAYBE ISSUED OR MAY PFRTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT l'O ALL THE HIFIRMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN RFOUCED BY PAID CLAIMS. c0_._.._...._- LT R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YY) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS A GFIFERAt. LIABILITY (1) (3) (4) COMMERCIAL GENERAL LIABILITY _ CLAIMS MADE X OCCUR _ HDOG2373283A 10-1-2007 10-1-2008 GENERAL AGGREGATE $5000,000 X — PRODUCTS-COMP/OP ADS PERSONAL & ADV INJURY -- $5,000,000 $ 5,000,000 EACII OCCURRENCE $ 5,0001000 OWNER'S 8 CONTRACTOR'S PRO( X ContracWal FIRE DAMAGE (Any ono fm $ 5,000,000 X. x,c.0 tEsnlodm,, eollnpse. unnoipiouna) X Addition"] tes,is ROD,) MED EXP (AnY ona parson) $ 50,000 B AUTOMOBILE LIABILITY IS) (3) (4) . X " ANY AUTO 90-04606-01 10-1-2007 10-1-2008 COMBINED SINGLE LIMIT $5,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AU I OS (Per person) X HIREDAULOS BODILY INJURY X NON OWNED AUTOS (Per accident) PROPERTY DAMAGE_ GARAGE LIABILI rY AUTO ONLY -FA ACCIDEN T On IER THAN AUl O ONLY: ANY AUTO EACH ACCIDENT AGGREGATE D EXCESS UABII.EY X UMBRELLA FORM __ 5577735 10-1-2007 10-1-2008 EACH OCCURRENCE $ 5,000,000 AGGREGATE $5,000,000 OTI IER THAN IT Ir'ORM G WORKERS COMPENSATION AND X WC STAMi O'rH- EMPIOYFRS'LIABIIITY(4) WLRC44473094 - AOS 10-1-2007 10-1-2008 TORY LIMITS FR EL EACH ACCIDENT $ 1,000,000 THE: PROPRIETOR/ X INCL --- PARTN W AREECU EXCL OFFICFI2S ARE ._ W LRC44473136 - CA SCFC44473057 - W I WCUC4447301A - EX WC --- EL DISEASE -POLICY IIMr1' ---- $1,000,000 EL DISEASE -EACH FOR LOYEE $ 1.000,000 (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 I4ICLES/SPECIAL ITEMS JC Contract No. 82400117 Project Name: City f Fort CollinsIOPC Lighting Ins Fort Cs PC lighting Ins e Customer PO Number 8852939 2A0102E+11 CITY OF FT COLLINS CERTIFICATE HOLDER - CANCELLATION - SHOULD ANY 01 TI IE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, CITY OF h I COLLINS James OfNCIIt THE ISSUING COMPANY WILL FNDEAVORA) MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN ,BUT -FAILURETOOMAesUGF4NQUI HAl4: IMPOSENO ORIAGATIONOR-NABII MY OF -ANY -KIND UPON 4HHNSURER AFFORDING COVERAGE -Ts -AGENTS OR RNIRESFNTATI0ce PO I30X 580 MARSH USA INC. BY PORT COLLINS, CO 80522 'A.M. Bncl refines of Incorars are provided for inlormnlion nooses only and is Awed upon ishesaion with respect to srich relines evireir wv to Marsh USA Inc. on Ino solo sot Rail heroin with losp0cf to such rnlinV¢..MaraM1 USA Inc. will not, antl will M1OVo no no ...Shll ly or OLllOvlorlo lnlarm lla corl'llcvly polllOr Or vny lgr.On rely ne upo ril ls<an l<.t 1 y lvnVus in vhAM av¢i reline nl rp niter sr ch d<IO Mvrsh USAba dl have no IWARy lu apna asile solvency or ware ahllry lop.<y clo ns of any of Iho Ins mmo cane nlos wM1 ch hvvo Issued Ilro I fsorpnco pol'c os a(oroncatl Foro n 11 sirlill, oom ...... 11,0,OT1............ _)5\\.\1A pr 1a,I..(A. ��1.\nrllA"o, 1 Ilr,u 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 Persofljsj Or Organization If required by contract, CITY OF FT COLLINS Location(s) Of Covered Operations As required by contract, City of Fort Collins PC Lighting Information required to complete this Schedule, if not shown above will be shown in the Declarations. Endorsement #A2 ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — NAMED INSURED'S ACTS OR OMISSIONS ONLY A. Section 11—Who is An Insured is amended to B. With respect to the insurance include as an additional insured the person(s) or afforded to these additional insureds, the following organization(s) shown in the Schedule, but only with additional exclusions apply: respect to liability for "bodily injury", "property damage or ,.personal and advertising injury' caused solely by: This insurance does not apply to "bodily injury" or 1. Your acts or omissions; or "property damage" occurring after: 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. 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 part of the same 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 June 3, 2007 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 May. 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 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. Sincerely, Jacklyn Lindberg Enclosure �_ 4 Marsh & McLennan Compffives