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HomeMy WebLinkAbout250572 SCHINDLER ELEVATOR CORPORATION - INSURANCE CERTIFICATE (6)ACORDM CERTIFICATE OF LIABILITY INSURANCE page 1 Of 2 12/03/2008 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis HER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 305191 Nashville, IN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED Schindler Elevator Corporation NSURERA: Zurich American Insurance Company16535-003 20 Whippany Road INSURERS: Morristown, NJ 07960 ---- -- INSURER D: COVERAGES 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. INSfl LTR 4DD't NSRD TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE M DD V POLICY EXPIRATION DATE MM/DDNY LIMITS A GENERAL LIABILITY GLO6445435 1/1/2009 1/1/2010 EACH OCCURRENCE $ 2,000, 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurence_ $ 000 000 __1 CLAIMS MADE 1XIOCCUH M ED EXP(Any one person) $ 10, 000 PERSONAL&ADVINJURY $ 2 000 000 X Contractual Liability _ GENERAL AGGREGATE 5,000,000 _$ PRODUCTS. COMP/OP ADS $ 5,000, 000 G_EN'LAGGR EG_ATE LIMIT APPLIESPER: X I POLICY PRO E Tn LOC A AUTOMOBILE LIABILITY ANYAUTO BAP6445436 1/1/2009 1/1/2010 COMBINED SINGLE LIMIT (Eaaccident) $ 5, 000,000 X BODILY INJURY (Per person) $ X ALLOWNEDAUTOS SCHEDULED AUTOS X X BODILY INJURY (Peraccitlent) $ HIREDAUTOS NON -OWNED AUTOS PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT OTHERTHAN EA ACC S ANY AUTO $ AUTOONLY: AGO EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE S OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITV WC644543820 1/1/2009 1/1/2010 WC STATU OTH- X V M1j$_ _ ER E.L. EACH ACCIDENT $ 5 000 000 A ANY PROPRIETOR/PARTNER/EXECUTIVE WC666818718 1/l/2009 1/1/2010 E.L. OISEASEEA EMPLOYEE $ 5 000 Q00 OFFICER/MEMB—ER EXCLUDED? If yes, PECIALP Ounder SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT I $ 5,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS SEC5230 - CONT# TBD OLD TOWN PARKING STRUCTURE. CITY OF FORT COLLINS P.O. BOX 580 FORT COLLINS, CO 80522 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED ACORD 25(2001/08) Coll:2552541 Tpl:861671 Cert:1]1716428 I©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. 25(2001/08) Coll:2552541 Tpl:861671 Cert:11716428 TE ACORD,M CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 12�03/2008 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis HRH I HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 26 Century Blvd. P. O. Box 305191 Nashville, TN 372305191 INSURED Schindler Elevator Corporation 20 Whippany Road Morristown, NJ 07960 OVERAGES INSURERS AFFORDING COVERAGE INSURERA: Zurich American Insurance INSURERS BY THE NAIC# 16535-00 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 ADD'L TYPEOFINSURANCE POLICY NUMBER POLICYEFFECTIVE D Y POLICVEXPIflAT10N DATE MMDD Y LIMITS A GENERALLIABILITY GLO6445435 1/1/2009 1/1/2010 EACHOCCURRENCE $ 2,000,000 DAMAGETORENTED PREMISES Eaoccurance $ 1,000,000 X COMMERCIAL GENERAL LIABILITY _ CLAIMSMADE 1XI OCCUR EXP(Any one person) $ 10,000 _MED PERSONAL &ADV INJURY 2,000,000 X Contractual Liability GENERALAGGREGATE _$ $ 5 000 000 G_EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 5 000 000 X1 POLICY PRO E T ELOG A AUTOMOBILE LIABILITY ANY AUTO BAP6445436 l/l/2009 1/1/2010 COMBINED SINGLE LIMIT (Ea accident) § S, QQOr000 X X BODILY INJURY (Per person) $ ALLOWNEOAUTOS SCHEDULED AUTOS X BODILY INJURY (Peraccident) $ HIREDAUTOS NON-OWNEOAUTOS X PROPERTY DAMAGE (Per accident) $ GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUTO $ AUTOONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S AGGREGATE $ OCCUR CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WC644543820 1/1/2009 1/1/2010 WCSTATU- OTH- X T Jy�i T$ ER E.L. EACH ACCIDENT $ 5 000 000 A ANY PROPRIETOR/PARTNER/EXECUTIVE WC666818718 1/l/2009 1/1/2010 E.L. DISEASE - EA EMPLOYEE $ 5,000,000 OFFICER/MEMBER EXCLUDED? If a under SPECIPECI PROVISIONS PROVISIONS below E.L. DISEASE -POLICY LIMIT I § 5 QQQ QQQ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/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 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Fort Collins rTFH" P.O. BOX 580 Fort Collins, CO 80522 ACORD 25(2001/08) Coll:2553333 Tpl:861989 Cert: 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. ACORD 25(2001/08) Coll:2553333 Tpl:861989 Cert:11726973 OWNERS AND CONTRACTORS PROTECTIVE LIABILITY POLICY DECLARATIONS Policy Number Policy Period From to OCP 6637049 01/01/2009 01/01/2010 Named Insured and Mailing Address City of Fort Collins P.O. Box 580 Fort Collins CO 80522 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. 200 LIBERTY PLAZA, ONE WORLD FINANCIAL CENTER NEW YORK, NY 10281 The Policy Period begins and ends on the dates stated above at 12:01 A.M. Standard Time at your mailing address as stated 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. IS�9Ie7�I•ri�[iP[d3�ZiPH7•L�3LH� Designation of Contractor and Mailing Address SCHINDLER ELEVATOR CORPORATION 20 WHIPPANY ROAD MORRISTOWN, NEW JERSEY 07960 JOB/LOCATION OF COVERED OPERATIONS: City of Fort Collins ADDITIONAL INSURED(S): 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. Tax/Other (if applicable) $ Total Advance Premium $ INCL. Audit Period (if applicable): () Annually () Semi -Annually () Quarterly ( ) Monthly Premium shown is payable: $ at Inception: $ 1� Anniversary: $ 2ntl 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-118-A — COMPLETE POLLUTION EXCLUSION; U-GL113-B CW (4/89) —ASBESTOS EXCLUSION; STATE CANCELLATION AMENDATORY Countersigned this 1st day of January 2009 Authorized Representative U-GL-D-275-C (7/97) ORIGINAL