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HomeMy WebLinkAbout250572 SCHINDLER ELEVATOR CORPORATION - INSURANCE CERTIFICATE (5)ACORD,m CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 11/05TE /2008 PRODUCER 877-945-7378 =ALTER CATE IS ISSUED AS A MATTER OF INFORMATION CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. S CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. OVERAGE AFFORDED BY THE POLICIESBELOW. P. 0. BOx 305191 Nashville, IN 372305191 INSURERS AFFORDING COVERAGE ( NAIC# INSURED Schindler Elevator Corporation 20 Whippany Road Morristo., NJ 07960 GVVCKAIatb THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ___— __._ _____ ____ __ ____.___ INSR DD' POLICYEFFECTIVE POLICYEXPIRATY) LTR lNSRO TYPE OFINSURANCE POLICY NUMBER GATE(MMIODIYY GATE MMIODIYY LIMITS A _ GENERAL LIABILITY GLO644543518 1/l/2008 1/1/2009 EACH OCCURRENCE S J000,000. X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES LEaoccmence) $ 1,000 000 l /CLAIMS MADE OCCUR. DIED EXP(Anyone person) $ 10, 000_„_ X Contractual_ 'Lla-bilitj PERSONAL &AOV INJURY ,. S 2,000�000_— _. GENERAL AGGREGATE $ 5, 000 000__ GE_WL AGGREGATE LIMITAPPLIES PER: PRODUCTS -COMPIOP AGO S 5, 000 000 X I POLICY , LOG _ — A AUTOMOBILE LIABILITY BAP644543618 1/1/2008 1/1/2009 X� AN V AUTO COMBINED SINGLE LIMIT (Ez ace tlent) S 5,000,000 X ALL OWNED AUTOS BODILY INJURY $ ��1 SCHEDULEDAUTOS (Pe,sc.n) HIRED AUTOS BODILY INJURY $ X NON OWNEDAUTOS (Pe zcctlenl) ---- ----- PROPERTY DAMAGE $ (Peraesdenl) GARAGE LIABILITY AUTO ONLY -EAACCIDENT $ ANYAUTO-- OTHERTHAN EAACC AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY CACHOCCURRENOE S I OCCUR I I CLAIMSMADE AGGREGATE S DEDUCTIBLE RETENTION S S A WORKERS COMPENSATION AND WC644543819 1/1/2008 1/1/2009 WCSTATU- OTH- X EMPLOYERS' LIABILITY TORV LIMITS ER A ANY PROPRIETORIPARTNERIEXECUTIVE WC666818717 l/1/2008 1/l/2009 EL EACH ACCIDENT S 5, 000,_000 IM OFFICEREMBER EXCLUDED? - _-- _ E.L.DISEASE - EA EMPLOYEE 5 5, 000,_000 5p'ECIA PROcribe VISIONS $hEGIAL PROVISIONS bclov, E.L.DISEASE-POLICY LIMIT $ 5 000 000 OTHER i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS SEC5230 - CONT# 42-12660 City of Fort Collins (OCP6637049) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 D DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City OE Fort Collins REPRESENTATIVES. P.O. so. 580 AUTHORIZED PRESENTATJVE Fort Collins, CO 80522 i ACORD 25(2001/08) C011:2529209 Tpl:711924 Cert:l 619647 ©ACORD CORPORATION 1988 Page 2 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. �Umu Zo tZvvI 1VO) CO11:LbL 9L U9 '1'Pl:'/11924 Cert:11619647 OWNERS AND CONTRACTORS PROTECTIVE LIABILITY POLICY Policy Number Policy Period From to OCP 6637049 11/07/2008 01/01/2009 Named Insured and Mailing Address City of Fort Collins P.O. Box 580 Fort Collins CO 80522 DECLARATIONS DIVISION: 5230 CONTRACT#: 42-12660 NEG#: ORIGINAL EFFECTIVE DATE: 11/07/2008 POLICY CANCELLATION DATE: Insurance Company ® Zurich -American Insurance Company ❑ American Guarantee and Liability Insurance Company Producer WILLIS OF NEW YORK, INC. 7 HANOVER SQUARE NEW YORK, NY 10004 The Policy Period begins and ends on the dates stated above at 12:01 A.M. Standard Time at your mailing address as staled above. Premium Audit shall be made: IN RETURN FOR THE PAYMENT OF PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. DESIGNATION OF CONTRACTOR Designation of Contractor and Mailing Address: SCHINDLER ELEVATOR CORPORATION 20 WHIPPANY ROAD MORRISTOWN, NEW JERSEY 07960 JOB/LOCATION OF COVERED OPERATIONS: ADDITIONAL INSURED(S): City of Fort Collins LIMITS OF INSURANCE: Aggregate Limit: $2,000,000.00 Each Occurrence Limit: $2,000,000.00 BUSINESS DESCRIPTION Form of Business: ❑ Individual ❑ Joint Venture ❑ Partnership ❑ Limited Liability Company ❑ Corporation ❑ Organization (Other than one indicated above) DESCRIPTION OF OPERATION: PREMIUM Rate per Classification Code No. Premium Basis $1,000 of Cost Advance Premium OWNERS AND CONTRACTORS PROTECTIVE LIABILITY $ INCL. Audit Period (if applicable): O Annually ( ) Semi -Annually Premium shown is payable: $ at Inception: $ Tax/Other (if applicable) $ Total Advance Premium $ INCL. O Quarterly ( ) Monthly V Anniversary:$ 2n' Anniversary:$ FORMS AND ENDORSEMENTS (other than applicable Forms and Endorsements shown elsewhere in the policy) Forms and Endorsements applying to this Policy and made part of the policy at time of issue: CG 0009(07/98); IL 0021(11/85); U-PL-1 1 8-A — COMPLETE POLLUTION EXCLUSION; U-GL113-B CW (4189) — ASBESTOS EXCLUSION; STATE CANCELLATION AMENDATORY Countersigned this 5th day of November. 2008 Authorized Representative U-GL-D-vs-C (7/97) ORIGINAL