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Home My WebLink About250572 SCHINDLER ELEVATOR CORPORATION - INSURANCE CERTIFICATE (8)A� CERTIFICATE OF LIABILITY INSURANCE 12i`1��2 9 page 1 of 2 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: COVERAGES 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'Ij NSR TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE MM/DD/YYYY POLICY EXPIRATION DATE MMIDD/YYYY LIMITS A GENERAL LIABILITY GLO644543520 1/1/2010 1/1/2011 EACH OCCURRENCE $ 2,000,000 MERCIALGENERALLIABILITY PREMISES(EaocTurence $1 000 000 IX2-0-tractual CLAIMS MADE aOCCUR MED EXP(Any one person) $ 10 000 PERSONAL &ADV INJURY $ 2,000,000 Liabilit GENERALAGGREGATE $ 5,000,000 GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 5,000,000 X POLICY PE� LOC * AUTOMOBILE X LIABILITY ANYAUTO BAP644543620 1/1/2010 1/1/2011 COMBINED SINGLE LIMIT (Ea accident) $ 5,000,000 BODILY INJURY (Per person) $ X ALLOWNEDAUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X X HIREDAUTOS NON-OWNEDAUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHERTHAN EA ACC $ ANYAUTO $ AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE N WC644543821 WC666818719 1/1/2010 1/1/2010 1/1/2011 1/l/2011 X CRY LIMITS OER E.L. EACH ACCIDENT $ 51000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) -- E.L. DISEASE - EA EMPLOYEE $ 51000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 5,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS SEC5230 - CONT# 42-12660 City of Fort Collins (OCP6637049) \,CR I Ir II,H 1 r- nULUCR I,AIVI„CLLA I 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 AUTHORIZEDREPRESENTATIVE Fort Collins, CO 80522 y /' ACORD 25 (2009/01) Coll : 2887127 Tpl : 1022414 Cert: 13 5854E nc 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. AGORD 25 (2009/01) C011:2887127 Tp1:1022414 Cert:13475854 OWNERS AND CONTRACTORS PROTECTIVE LIABILITY POLICY 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 DECLARATIONS 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 LIMITS OF INSURANCE: Aggregate Limit: Each Occurrence Limit: BUSINESS DESCRIPTION Form of Business ADDITIONAL INSURED(S): $2,000,000.00 $2,000,000.00 ❑ 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: $ 1 "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 Authorized Representative U-GL-D-275-C (7/97) ORIGINAL