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Home My WebLink About250572 SCHINDLER ELEVATOR CORPORATION - INSURANCE CERTIFICATE (10)A CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 12/17/2009 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis of New York, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE NAIC# INSURED Schindler Elevator Corporation INSURERA:Zurich American Insurance Company, 16535-003 20 Whippany Road INSURERB:American Zurich Insurance Company 40142-001 Morristown, NJ 07960 INSURER C: INSURER D: I INSURER E: (!nVFRAnFR 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 LTR DD' N R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWDD YY POLICY EXPIRATION DATE M DD YY LIMITS A GENERAL LIABILITY GL0644543520 1/1/2010 1/l/2011 EACH OCCURRENCE $ 2 000,000 X COMMERCIAL GENERAL LIABILITY - _ PREMISES Toaoccurence $ 1,000,000 CLAIMSMADE I736 OCCUR MED EXP (Any one person) $ - 10,000 PERSONAL& ADV INJURY $ 2,000,000 X Contractual Liability GENERAL AGGREGATE $ 5,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG $ 5,000,000 X POLICY jE LOG A AUTOMOBILE LIABILITY ANY AUTO BAP644543620 1/1/2010 1/1/2011 COMBINED SINGLE LIMIT (Ea accident) $ 5�000�000 X X BODILY INJURY (Per person) $ ALLOWNEDAUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS X PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC $ ANY AUTO ,$ AUTOONLY: AGG EXCESS/UMBRELLA LIABILITY EACHOCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEYI j WC644543821 WC666818719 1/1/2010 1�1�2010 1/l/2011 1�1�2.011 X TCRY LII ITS OER E.L. EACH ACCIDENT $ 5,000,000 OFFICER/MEMBER EXCLUDED? L"J (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 5,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 5,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS SEC5230 - CONT# 42-12660 City of Fort Collins (OCP6637049) t,rrs I Iri%,A I t rIULutrt L:ANt;tLLA 1 IUN 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 REPRESENTATIVES. P.O. BOX 580 AUTHORIZED REPRES NTATIVE Fort Collins, CO 80522 ACORD 25 (2009/01) Coll:2887127 Tpl:1022414 Cert:13 5854 c 1988-2009 ACORD CORPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD 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 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. v WL,ursuzatzuva/u1) C011:Z68/121 Tp1:1U22414 Cert:13475854 OWNERS AND CONTRACTORS PROTECTIVE LIABILITY POLICY DECLARATIONS Policy Number Policy Period From to OCP 6637049 01/01/2010 01/01/2011 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. DESIGNATION OF CONTRACTOR 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: $ 1s` Anniversary: $ 2nd 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 2010 k-,-- J-6, e�" � Authorized Representative U-GL-D-275-C (7/97) ORIGINAL