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Home My WebLink AboutJOHNSON CONTROLS INC - INSURANCE CERTIFICATE (2)AII CC]RlC7" CERTIFICATE OF LIABILITY INSURANCE DAT12/1/20O9YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Marsh USA Inc. East Wisconsin Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Sui Suite 1600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Milwaukee, WI53202-4419 "SEE REVERSE FOR AM BEST RATING Attn: CPU, Phone (414) 290-4912 Fax (414) 290-4953 NAIC # CPU_Milwaukee@marsh.com INSURERS AFFORDING COVERAGE SEE REVERSE' INSURED Johnson Controls, Inc. Attn: Corp Risk Mgmt. X-92 INSURER A: SEE REVERSE SIDE FOR INFORMATION Johnson Controls Battery Group, Inc. P.O. Box 591 Johnson Controls Interiors, L.L.C. Milwaukee, WI 53201 INSURER B: SEE REVERSE SIDE FOR INFORMATION JCIM US LLC Cal -Air, Inc. GES America, L.L.C. Metro Mechanical Inc. Optima Batteries, Inc. US] Real Estate Brokerage Services Inc. COVERAGES INSURER C: SEE REVERSE SIDE FOR INFORMATION INSURER D: SEE REVERSE SIDE FOR INFORMATION 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. POLICY POLICY NSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS (MM/DD/YY) (MM/DD/YY) A GENERAL LIABILITY (1) (3) (4) HDOG24934056 10/1 /2009 10/1/2010 EACH OCCURENCE $ 5,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ S,000,OOO ® COMMERICAL GENERAL LIABILITY ❑❑ CLAIMS MADE ®OCCUR VIED EXP (Any one person) $ 50,000 Contractual PERSONAL & ADV INJURY $ 5,000,000 GE® X,C,U GENERAL AGGREGATE $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 5,000,000 POLICY PROJECT LOC B AUTOMOBILE LIABILITY (2) (3) (4) 90 04606 01 10/1 /2009 10/1l2010 COMBINED SINGLE LIMIT $ 5,000,000 ® ANY AUTO (Ea Accident) ❑ ALL OWNED AUTOS BODILY INJURY (Per person) $ ❑ SCHEDULED AUTOS BODILY INJURY (Per accident) $ ® HIRED AUTOS ® NON -OWNED AUTOS PROPERTYDAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ❑ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ D EXCESS/UMBRELLA LIABILITY XOO G24901154 10/1/2009 10/1/2010 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 ® OCCUR ❑ CLAIMS MADE $ ❑ DEDUCTIBLE ❑ RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY (4) WLRC45702017 — AOS 10/1 /2009 10/1/2010 WC STATU- OTH- ® TORY LIMITS ❑ ER ANY PROPRIETOR/PARTNER/EXECUTIVE WLRC45702029 — CA E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? FNTJ Y/N SCFC45702030 - WI E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) WCUC45702042 — EX WC E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under WCUC45702625 — EX WC FL 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 Payees 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 I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS JCI Contract No. 4090072 JCI Project Name: City of Ft Collins Police Services RTU Customer PO Number: 9956715 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL CITY OF FT COLLINS MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, PO BOX 580 FORT COLLINS, CO 80522 AUTHORIZED REPRESENTATIVE / Of MARSH USA INC. AL'ursu zz) kduuy/u I) U AGOHD GORPORATION 1988 Jacklyn Lindberg Insurance Assistant Marsh USA Inc. 411 East Wisconsin Avenue Suite 1600 Milwaukee, WI 53202 414 290 4985 Fax 414 290 4953 CPU_Milwaukee@marsh.com www.marsh.com December 1, 2009 Johnson Controls' Valued Customer Subject: Johnson Controls, Inc. Johnson Controls L.P. Societe De Controle Johnson Ltee. Cal -Air, Inc. Certificate of Insurance Coverage Period - October 1, 2009 to October 1, 2010 Dear Johnson Controls' Valued Customer: Our client Johnson Controls has advised us that your company entered into a new contract with them during the month of November. As Johnson Controls' insurance broker, we are providing you a certificate of insurance evidencing their insurance coverages for 2009/2010 policy period as Johnson Controls' insurance program renewed on October 1, 2009. The project name and your company's contract number or purchase order number are referenced on the front of the certificate in the Description section. In the Other section is important information about the insurance coverages, including additional insured coverage for you as required by contract. If you have any questions or require additional information, please call, email or fax your inquiries to the address and number indicated above. If your firm does not require a certificate of insurance, please disregard this letter and certificate. Sincerely, Jacklyn Lindberg Enclosure 14 Marsh & McLennan Companies POLICY NUMBER: HDOG24934056 COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Persons Or Organization s : If required by contract, CITY OF FT COLLINS and CITY OF FT COLLINS Location(s) Of Covered Operations As required by contract, City of Ft Collins- Police Services RTU Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Endorsement #A2 ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — NAMED INSURED'S ACTS OR OMISSIONS ONLY A. Section II —Who is An Insured is amended to B. With respect to the insurance include as an additional insured the person(s) or afforded to these additional insureds, the following organization(s) shown in the Schedule, but only with additional exclusions apply: respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused solely by: This insurance does not apply to "bodily injury" or 1. Your acts or omissions; or "property damage" occurring after: 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to bP'performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 1. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same Endorsement #A2A ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETE NAMED INSURED'S ACTS OR OMISSIONS ONLY Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused solely by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard."