HomeMy WebLinkAboutJOHNSON CONTROLS INC - INSURANCE CERTIFICATE (4)1Cl Branch No/Location 9010 Systems Nonhwest 409 CI-IFYFNNI%Fr COI. SYS
MARSH SAINC Q CERTIFICATE OF INSURANCES
DATF
01/06/2009
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 53202-4419
COMPANIES AFFORDING COVERAGE
(As of 1105/09)
Attn: CPU, Phone (414) 290-4912 Fax: (414) 290-4953
*See Below
Company ACE American Insurance Company
CPU_Milwaukee@marsh.com
A P.O. Box 41484, Philadelphia, PA 19101
A+ XV
INSURED
Company Sentry Insurance A Mutual Co.
Johnson Controls, Inc. Attn: Corp. Risk Mgmt. X-92
B 1800 North Point Drive, Stevens Point, WI 54481
A+ XV
Johnson Controls Battery Group, Inc. P.O. Box 591
Company Indemnity Insurance Company of North America
Johnson Controls Interiors, L.L.C. Milwaukee, WI 53201
Cal -Air, Inc.
C and for CA, WI and EX WC: ACE
A+ XV
GES America, L.L.C.
American Insurance Company
Optima Batteries, Inc.
PO Box 41484, Philadelphia, PA 19101
USI Companies, Inc.
Company ACE Property & Casualty Insurance Company
York International Corporation
D 436 Walnut Street, Philadelphia,
A+ XV
PA 19106
COVERAGES.. :; ,. �;fh1s°�certlficate;su ersetles antl�e lacesan „p�eviousl
issued certificate: IM,_,.,.,�,�� , �� ,,,,,,��;,
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
R
DATE (MM/DD/YY)
DATE (MM/DD/YY)
A
GENERAL
LIABILITY (1) (3) (4)
$ 5,000,000
HDOG23746396
10-1-2008
10-1-2009
GENERAL AGGREGATE
X
PRODUCTS-COMP/OP AGG
$ 5,000,000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE � OCCUR
PERSONAL & ADV INJURY
$ 5,000,000
EACH OCCURRENCE
$ 5,000,000
OWNER'S & CONTRACTOR'S PROT
X
$ 5,000,000
Contractual
FIRE DAMAGE (Any one fire)
X
I X,C,U (Explosion, Collapse, Underground)
-
-
$ 50,000
X
I Additional Insured (See Below)
MED EXP (Any one person)
B
AUTOMOBILE
LIABILITY (2) (3) (4)
- -_•• -� - --
-
- --
- .:
90-04606-01
10-1-2008
10-1-2009
COMBINED SINGLE LIMIT
$ 5,000,000
X
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED'AUTOS -
(Per person)
X
HIRED AUTOS
BODILY INJURY
X
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
ANY AUTO
OTHER THAN AUTO ONLY:'°"°'
ZEN
EACH ACCIDENT
AGGREGATE
D
EXCESS LIABILITY
$ 5,000,000
XOO G23865014
10-1-2008
10-1-2009
EACH OCCURRENCE
$ 5,000,000
X UMBRELLA FORM
AGGREGATE
OTHER THAN UMBRELLA FORM
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
X
WC STATU-
TORY LIMITS
TH
OER
:, RA
^���
(4)
WLRC42850585 — AOS
10-1-2008
10-1-2009
$1,000,000
WLRC42850573 — CA
SCFC42850615 — WI
EL EACH ACCIDENT
EL DISEASE -POLICY LIMIT
$ 1,000,000
THE PROPRIETOR/ X INCL
WCUC42850627 — EX WC
$ 11000,000
PARTNERS/EXECUTIVE EXCL
OFFICERS ARE: I
EL DISEASE -EACH EMPLOYEE
OTHER
(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 OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS JC Contract No. 94095061
Project Name: City of Ft Collins: ADX Upgrade Ins
Customer PO Number: 8857558 4.09102E+11 CITY OF FT COLLINS
CERTIFICATE HOLDER, ' ' '
CANCELLATION
„', ,..
�. ,.
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
CITY OF FT COLLINS
THE ISSUING COMPANY WILL EN0EA4644T® MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
James Hume
NAMED HEREIN, BUT -FA ILURE TO P1A16611111 E-NG-GS 16P.N P LIABllddY-AF•AAA'-K1NB
UR@RbFHEd9&URER-AFFORDWG-GGVERA^eE—,4T&,,:6E4T&.G-REPRESENTA:4VE&
PO BOX 580
MARSH USA INC. BY:
FORT COLLINS, CO 80522
,
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