HomeMy WebLinkAboutJOHNSON CONTROLS - INSURANCE CERTIFICATE (5)JCI Bmnch No I.ucall 401)
MARSH USA INC. CERTIFICATE OF INSURANCE
rB
ovo un'IL
7/2009
PRODUCER"
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh USA Inc.
411 East Wisconsin Avenue
NO
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Suite 1600
Milwaukee, Wisconsin 53202-4419
COMPANIES AFFORDING COVERAGE
AM of(Rating
(As aos)(o4me)
Attn: CPU, Phone (414) 290-4912 Fax (414) 290-4953
_
"See Below
CPU_Milwaukee@marsh.com
Company ACE American Insurance Company
A P.O. Box 41484, Philadelphia, PA 19101
q+XV
INSURED
Johnson Controls, Inc. ACorp. Risk Mgmt. X-92
Johnson Controls Battery Group, Inc. P.O.O. Box 597
Johnson Controls Interiors, L.L.C. Milwaukee, WI 53201
JCIM US LLC
Cal -Air, Inc.
GES America, L.L.C.
Metro Mechanical, Inc.
Optima Batteries, Inc.
USI Companies Inc.
Company Sentry Insurance A Mutual Co.
B laoo North Point Drive, Stevens Point. At 54481
A+ XV
Company Indemnity Insurance Company of North America
and for CA, WI and EX WC : ACE
C American Insurance Company
P.O. Box 41484, Philadelphia, PA 19101
A+XV
Company
D
York International Cor oration
COVERAGES This certificate supersedes and replaces any previouslyissued 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 HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LT
R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDD/YY)
POLICY EXPIRATION
DATE (MMIDD/YY)
LIMITS
A
GENERAL
LIABILITY (1) (3) (4)
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
HDOG23746396
10-1-2008
10-1-2009
GENERAL AGGREGATE
$ 3,000,000
X
PRODUCTS-COMP/OP AGG
$3000,000
PERSONAL &ADV INJURY
$3,000.000
EACH OCCURRENCE
$ 31000,000
OWNER'S & CONTRACTOR'S PROT
Contractual
X
FIRE DAMAGE An one fire
$ 3,000,000
X
%C,U (Explosion. Collapse. Unaloegrounll)
MED EXP (Anyone person)
$ 50,000
X
Adliilional lnalwd.O.ers Loaseos of
clopectors BY. Gas"
B
AUTOMOBILE
LIABILITY (2) (3) (4)
X
ANY AUTO
90-04606-01
10-1-2008
10-1-2009
COMBINED SINGLE LIMIT
S 2,000,OOD
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person)
X
X
HIRED AUTOS
NON-OWNEDAUTOS
JURY
BODILY accident)
(Per accitlent)
PROPERTY DAMAGE
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
EXCESS LIABILITY
EACH OCCURRENCE
UMBRELLA FORM
AGGREGATE
OTHER THAN UMBRELLA FORM
C
WORKERS COMPENSATION AND
EMPLOYERS'LIABIUTY(4)
WLR42850585 — AIDS
WLRC42850573 — CA
10-1-2008
10-1-2009
X
WC STATD-
TORY LIMITS
OTH-
ER
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
OARE: EXCL
FFICERS
SCFC42850615 — WI
WCUC42850627 — EX WC
EL EACH ACCIDENT
$ 1,000,000
EL DISEASE -POLICY LIMIT
$ 1,000,000
EI. DISEASE -EACH EMPLOYEE
$ 1,000,)DO
0'rl{ER
(1) ADDITIONAL INSURED: If required by contract, Includes coverage for Additional Insureds
(2) ADDITIONAL INSURED: If required by contract, includes coverage for Additional insureds and Loss Payee e. equimd by contract.
(3) PRIMARY COVERAGE: Where required by lease or contract, this coverage is primary and not excess cr of comrionti I with otil - .lace or self-insurance.
DESCRIPTION OF OPERATIONS/LOCATIONSNEFIICLES/SPECIAL ITEMS JCI Contract No. 9409-5061
Project Name: CITY OF FT COLLINS - AOX UPGRADE
Customer PO Number: 88575588
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE ISSUING COMPANY WILL E-0IBEAVBR-TB MAIL 3_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
NAMED HEREIN,
CITY OF FORT COLLINS
- At I'D
ACCOUNTING DEPARTMENT
"PBN''"E'"s"r''1111rale8EN`l
ATTN, ,TAMES OINEIL 11
MARSH USA INC. BY:
FT COLLINS, CO 80522
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