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HomeMy WebLinkAbout155264 TREMCO ROOFING WEATHERPROOFING TECHNOLOGIES - INSURANCE CERTIFICATE (5)A� D® CERTIFICATE OF LIABILITY INSURANCE DATE o2011 rrv> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the puc icy(ies) must be endorsed. 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). PRODUCER MARSH USA INC. 200 PUBLIC SQUARE, SUITE 1000 CLEVELAND, OR 44114-1824 CONTACT NAME: PHONE I FA% ac No: E-MAIL ADDRESS: PRODUCER 34492 -00000-CAS1 0-11-12 WEATH INSURERS AFFORDING COVERAGE NAIL N INSURED INSURER A: First Continental Services Co. WEATHERPROOFING TECHNOLOGIES, INC. TREMCO INCORPORATED AND ITS SUBSIDIARIES INSURER B; Zurich American Insurance Company 16535 INSURER C : NIA N/A 3735 GREEN RD. BEACHWOOD, OH 44122 INSURER DCompany American Zurich Insurance Com n : 40142 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER- CLE-002625147.17N RFVICInN 1U IMRi 1 THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTfl J TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP (MWDD/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,1700 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR 1-GLRPM-0ll2011 0410112011 04/0112012 DAMAG T R NT D PREMISES Ea occurrence)$ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY S 2,000,000 GENERAL AGGREGATE § 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 1,000,000 X PODCY PRO- LOC $ B AUTOMOBILE LIABILITY ANY AUTO BAP9258789-04 0410112011 041WI2012 COMBINED SINGLE LIMIT (Ea accident) $ 2000000 X BODILY INJURY (Par person) S ALL OWNED AUTOS BODILY INJURY (Par accident) $ SCHEDULED AUTOS X PROPERTY DAMAGE (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS § S UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ AGGREGATE $ CLAIMS -MADE fEXESSIAB LEN $ S D B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y / N OFFICER/MEMRER EXCLUDED? F_N_1 N/A WC92587B8-04(ADS) WC9258790-04 (Wp 04/0112011 0410112011 04101/2012 0410112012 X I WC STATu- OTH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE EA EMPLOYE $ 1,000,WO (Mandatory in Ni It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more apace is required) 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 andlor Weatherproofing Technologies, Inc. employees in an amount not to exceed the cost of the contracted services. 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, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kevin J. Robinson %NwL JL. A&rCH 01988-2009 ACORD CORPORATION. All riahts ACOHO 25 (2009/09) The ACORD name and logo are registered marks of ACORD ADDITIONAL INFORMATION CLE-002825347-04 oDATE( MfDDNY) PRODUCER MARSH USA INC. 200 PUBLIC SQUARE, SUITE 1000 CLEVELAND, OH 44114.1824 34492-OOOOMAS10-11-12 WEATH INSURED WEATHERPROOFING TECHNOLOGIES, INC. TREMCO INCORPORATED AND ITS SUBSIDIARIES 3735 GREEN RD. BEACHWOOD, ON 44122 I EX INSURERS AFFORDING COVERAGE INSURER G: INSURER H: INSURERI: INSURER J: NAIC # 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 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kevin J. Robinson Pa9?v a-(-r+-w r �llNt i�r :l• IP'i3 s�.3WN.QiI-ir y-1 4.. x.'n,w._._....v.,...rSt..c�✓s.�.,. ...asli,.:. ,va.,....,..._..,..c., �e�..v �`,�1.+ter. '`� bP CERTIFICATE OF LIABILITY INSURANCE -DATE912011 vvv) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER MARSH USA INC. 200 PUBLIC SQUARE, SUITE 1000 CLEVELAND, OH 44114-1824 CONTACT NAME: PHONE FA% ac No: EMAIL ADDRESS: U CUSTOMER 34492-00000-CAS10-11-12 WEATH INSURER(S) AFFORDING COVERAGE NAIL 0 INSURED INSURER A: First Continental Services CO. WEATHERPROOFING TECHNOLOGIES, INC. TREMCO INCORPORATED AND ITS SUBSIDIARIES INSURER B : N/A N/A INSURER C : N/A N/A 3735 GREEN ROAD BEACHWOOD, OH 44122 INSURER D :NIA NIA INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: CLEM262534610 RFVIBIr1N tJHMRFR- 0 THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MWDO/YYYYI POLICY EXP (MWDDNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,005 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR 1-GLRPM-01/2011 04/01I2011 04/0112012 PAMAGETURTII REMISES Ea occurrence) $ 1,000,000 VIED EXP (My one person) $ 5,000 PERSONAL d ADV INJURY $ 2�000,()DB GENERAL AGGREGATE S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO S 1,000,000 RO- LOG X POLICY P'FIT F $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident)$ SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) $ HIRED AUTOS $ NON -OWNED AUTOS S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE IS - EXCESS LIAR CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION WGSTATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? WA I E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is rec ired) 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, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kevin J. Robinson WAA,��ft �J.- A4f,6� 1988-2009 ACORD CORPORATION. All riahts reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ADDITIONAL INFORMATION CLE-00262534610 DATE( MJDDm) /2011 I PRODUCER MARSH USA INC. 200 PUBLIC SQUARE, SUITE 1000 CLEVELAND, OH 44114-1824 34492-00000-CAS10-11-12 WEATH INSURED WEATHERPROOFING TECHNOLOGIES, INC. TREMCO INCORPORATED AND ITS SUBSIDIARIES 3735 GREEN ROAD BEACHWOOD, OH 44122 INSURERS AFFORDING COVERAGE INSURER G: INSURER H: INSURER I', INSURER J: NAIC # THE GENERAL LIABIUTY 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 COLONS 215 NORTH MASON STREET, 2ND FLOOR FORT COLLINS, CO 80522 - AMORNED REPRESENTATIVE of Marsh USA Inc. Kevin J. Robinson $ .....,»«-_,...�.� `.. �2�rr�'r°'t;. s kT> ,T�.�- .�(.