HomeMy WebLinkAbout155264 TREMCO ROOFING WEATHERPROOFING TECHNOLOGIES - INSURANCE CERTIFICATE (2)MMC 10/22/2009 2:36:10 AM PAGE 2/004 Eastern Time Zone
vRd CERTIFICATE OF LIABILITY INSURANCEDATE 10/2 /2009lYYYY)
10/21/2009
PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION
MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
216-937-1700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
200 PUBLIC SQUARE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
SUITE 1000
CLEVELAND, OH 44114-1824
34492-00000-CAS09-09-10 WEAT
INSURED
WEATHERPROOFING TECHNOLOGIES, INC.
TREMCO INCORPORATED AND ITS SUBSIDIARIES
3735 GREEN RD.
BEACHWOOD, OH 44122
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A First Continental Services Co.
INSURER B; Zurich American Insurance Company
16535
INSURER C: N/A
N/A
INSURER D: American Zurich Insurance Company
40142
INSURER E:
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.
NSR
LTR
ADD'
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFFECTNE
DATE(MMIDDIYYYY)
POLICYEXPIPATION
DATE(MMIDDMYYY)
LIMITS
LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERALLIABILITY
1-GL-01/20D9
04/01/2009
04/01/2010
DREMIETORENTED
PREMtSES(Eaoaurrence)
$ 1,000,000
MEDEXP(Artyoneperson)
$ 1,000
CLAWSMADE OCCUR
PERSONAL &ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 1,000,000
GENERAL AGGREGATELIMITAPPLIES PER
X POLICY JECT LOC
PRODUCTS - COMP/OP AG
$ 1,000,000
B
AUTOMOBILE
X
LIABILITY
ANY AUTO
BAP 9259789-02
04/01/2009
04/01/2010
COMBINED SINGLELIMIT
(Ea accident)
$ 2,000,000
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
BODILY INJURY
$
X
HIRED AUTOS
X
NON -OWNED AUTOS
(Peraccident)
PROPERTY DAMAGE
(Per accident)
$
•
AGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
r
OTHER THAN EA ACC
$
$
'
AUTO ONLY:
AGG
EXCESS I UMBRELLA LIABILITY
-
EACH OCCURRENCE
$
OCCUR CLAMISMADE
AGGREGATE
$
$
DEDUCTIBLE
RETENTION $
D
WORKERS COMPENSATION AND
WC 9259788-02 (AOS)
04/01/2009
04/01 /2010
X I WC STATU- orH.
TQRY IR
B
EMPLOYERS'UABIUTY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 N
WC 9258790-02 (ID, KY, WI)
04/01/2009
04,101/2010
L. EACH ACCIDENT
$ 1,000,000
OFFrCER/MEMBER EXCLUDED?
.L.DISEASE- EAEMPLOYE
$ 1,000,000
(Mandatory in NH) (ryes, describe under
SPECIAL PROVISIONS belofa
.L. DISEASE- POLICY LIMIT Is
1,000,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PROVISIONS
City of Fort Collins is named as an additional insured during the course of authorized roof inspection and repair activities to the extent of losses caused solely
and directly by Tremco and/or Weatherproofing Technologies, Inc. employees in an amount not to exceed the cost of the contracted services.
CERTIFICATE HOLDER CLE-002464591-01 CANCELLATION
CITY OF FORT COLLINS
215 NORTH MASON STREET, 2ND FLOOR
FORT COLLINS, CO 80522
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
UTUPPONN THE INSURER, ITS AGENTS OR REPRESENTATIVES.
of Marsh USA IRESENTAnVE
Kevin J. Robinson ��/►�
MVVRL/ L7 tLVVWIV If V 1YYUWZUUY ACUKU COKPUKATION. All KigntS RBS8N8tl
The ACORD name and logo are registered marks.ofACORD
MMC
10/22/2009 2:36:10 AM PAGE 3/004 Eastern Time Zone
IITJU01:i0111111
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
This Certificate of Insurance 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.
MMC 10/22/2009 2:36:10 AM PAGE 4/004 Eastern Time Zone
ADDITIONAL INFORMATION CLE-002464591-01 DATE(MWDDIYY)
10/21/2009
PRODUCER
MARSH USA INC.
216-937-1700
200 PUBLIC SQUARE
SUITE 1000
CLEVELAND, OH 44114-1824
34492-00000-CAS09-09-10 WEAT INSURERS AFFORDING COVERAGE NAIC #
INSURED
INSURER F:
WEATHERPROOFING TECHNOLOGIES, INC. INSURER G:
TREMCO INCORPORATED AND ITS SUBSIDIARIES
3735 GREEN RD. INSURER N:
BEACHWOOD, OH 44122
INSURER I:
TEXT
THE GENERAL LIABILITY AND AUTOMOBILE PHYSICAL DAMAGE PLACEMENT IS A DIRECT PLACEMENT. MARSH MANAGEMENT SERVICES
(VERMONT) MANAGES THE CAPTIVE INSURER INDICATED HERE. MARSH USA INC. HAS ONLY ACTED IN THE ROLE OF A CONSULTANT TO THE
CLIENT WITH RESPECT TO THIS PLACEMENT, WHICH IS INDICATED HERE FOR YOUR CONVENIENCE.
CERTIFICATE HOLDER
CITY OF FORT COLLINS
215 NORTH MASON STREET, 2ND FLOOR
FORT COLLINS, CO 80522
.MTATIVER PRESEN
/ Nla h USA Irrc.
Kevin J. Robinson V