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Home My WebLink AboutJOHNSON CONTROLS - INSURANCE CERTIFICATE (4)- MARSH USA INC. CERTIFICATE OF INSURANCE nnnE o9iosT 2008 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 Best Rating Milwaukee, Wisconsin 0 COMPANIES AFFORDING COVERAGE (As of 09mvoh) Attn: CPU, Phone (414) 290-4912 4972 Fax (414) 290-4953 *See $Clow Company ACE American Insurance Company CPU_Milwaukee@marsIi.com A P.O. Box 41484, Philadelphia, PA 19101 A+ XV INSURED Johnson Controls, Inc. Attn: Corp. Risk Mgmt. X-92 Company P y Sentry Insurance A Mutual Co. A+ XV Johnson Controls Battery Group, Inc. P.O. Box 591 B t600 North Point Drive, Stevens Point, WI 54481 Company Indemnity Insurance Company of North America Johnson Controls Interiors, L.L.C. Milwaukee, WI 53201 JCIM US LLC C and for CA, WI and EX WC: ACE Cal -Air, Inc. American Insurance Company A+ XV GES America, L.L.C. P.O. Box 41484, Philadelphia PA 19101 Metro Mechanical Inc. Company Optima Batteries, Inc. D ACE Property & Casualty Insurance Company Inc. 436 Walnut Street, Philadelphia. PA 19106 A+ XV Y Yor YorkCompanies,k International lCorporation COVERAGES This certificate supersedes and replaces any previousl 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 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 IFIAVE BEEN REDUCED BY PAID CLAIMS. CO LT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS R DATE fMM/DD/YY) DATE (MM/DD/YY) A GENERAL LIABILITY (1) (3) (4) GENERAL AGGREGATE $ 5,000,000 COMMERCIAL GENERAL LIABILITY HDOG23746396 10-1-2008 10-1-2009 X CLAIMS MADE X❑OCCUR PRODUCTS'COMP/OP AEG $ 5,000,000 PERSONAL &AOV INJURY $5,000,000 EACH OCCURRENCE $ 5,000,000 OWNER'S & CONTRACTOR'S PROT Contractual X FIRE DAMAGE An one lire $ 5,000,000 X X,C.0 (Explosloq Collapse. UnOoryrovntl) $ 50,000 X Addin,ollroans.owlmrs Lesseesor Comractorp see Below MED EXP (Any one person B AUTOMOBILE LIABILITY (2) (3) (4) X ANY AUTO 90-04606-01 10-1-2008 10-1-2009 COMBINED SINGLE LIMIT $5,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS NON,OWNEOAUTOS BODILY INJURY (Per accident) X PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT D EXCESS LIABILITY $ 5,000.000 X XOO G23865014 10-1-200$ j 0-j _'2009 EACH OCCURRENCE $ 5,000,000 UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM C WORKERS COMPENSATION AND WLR42850585 - AOS 10-1-2008 10-1-2009 X WCSI'ATU- OTH EMPLOYERS'LIABILITY(4) WLRC42850573 - CA TORY LIMITS ER SCFC42850615 - WI $ 1,000.000 X WCUC42850627 - EX WC EL EACH ACCIDENT EL DISEASE -POLICY LIMIT $ 1,000,000 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EXCL OFFICERS ARE El. DISEASE.EACH EMPLOYEE $ 1,000,000 OTHER (1) ADDITIONAL INSURED: If required by contract, Includes coverage for Additional Insureds per endorsement attached. (2) ADDITIONAL INSURED: If required by contract, includes coverage for Additional Insureds and Loss Payees 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 OPERA TIONS/LOCATIONs1VtHICLES/SPECIAL ITEMS JCI Contract No, 84090042 Project Name: City of Ft. Collins - EPIC Center NAE Ins CVslomer PO Number 8851702 409102356001 CITY OF FT COLLINS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OP 1 HE POLICIES DESCRIBED HEREIN BE CANCE To BEFOM I I1E EXPIRATION DAIG THEREOF, CITY OF FTCOLL,INS THE ISSUING COMPANY WILL - N111 r"GA T MAIL a0 DAYSWRITTENNOTICBIOIIIECERTIFICATEMOLDER PO BOX 580 NAMED HBREIN. 9 6.. _ _ k iiowr COLLINS, CO 90522 MARSH USA INC. BY: j •A 1... Best rating, nl inavrery vry Prvvitlad for i.1ao hlion purpose, only vntl Ira u setl o's I information with h-snl to auch rnllnav ovvilvblo to Mvrsh USA Inc. on 11w data [ol lonh Mrvin with re.Peq la such rofinev. tAvrah USA In[. vi41 not, ontl will have no lho urlihcale M1OlJvr or nnY plroon mlYin9 upon lblv<enilicale of nnY chvn9oe in such A.M. Beal rotinae occuuin9 nitar su[F data. MmsM1 USA lne will have nv liahllitY with m,Irccl to the aolvencY or lnhna lhllllV to any dvimv of Ilholinsmvum<ononn Y� Vlnwowhi[Irl,nve i„uvtl lhv inomm�ca polieiea r[Imn,cad here,n. pay '•Ile Ar..fia 'r l: ... bl [{1.. a, Il t..ln[ rOWIV,""In' lon"021 '-II IIpWi1.M1h VA l.r It1..1—l'n.ofi, ,nI,n1 >hrvl' InIf'i v lore fo• POLICY NUMBER: HDOG23746396 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 anization s : If required by contract, CITY OF FT COLLINS Location sOf 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. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS — NAMED INSURED'S ACTS OR OMISSIONS ONLY A. Section II —Who is An Insured is amended to include as B. With respect to the insurance afforded to these additional an additional insured the person(s) or organization(s) insureds, the following additional exclusions apply: shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and This insurance does not apply to "bodily injury' or advertising injury" caused solely by: 'property damage' occurring after: 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. 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 2. 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 #A2A — OWNERS, LESSEES OR CONTRACTORS — COM NAMED INSURED'S ACTS OR OMISSIONS ONLY section It —Who Is An Insured is amended to include as an additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury' or "property 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."