HomeMy WebLinkAbout438321 THERMO FISHER SCIENTIFIC INC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE
DATE(MO6/28/I2011 W)
011
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 endomement(s).
PRODUCER
Aon Risk Services Central, Inc.
Chicago IL Office
CONTACT
NAME.
INC No. Eri): (866) 283-7122 FAX
No.): (847) 953-5390
EAVUL
ADDRESS:
200 East Randolph
Chicago IL 60601 USA
INSURER(S) AFFORDING COVERAGE
NAIL 0
INSURED
INSURER A: ACE American Insurance Company
22667
Thermo Electron North America LLC
Thermo Fisher Scientific Inc
5225 Verona Road
INSURER B: Hartford Fire Insurance Co.
19682
INSURER C: Travelers Property Cas Co of America
25674
Madison wI 53711 USA
INSURER o: ACE Property & Casualty Insurance Co.
20699
INSURER E:
INSURER F:
ls1e1"ACQP3 ��M A 31121eg\l a irl G 1-1aalaTPlrL'S1FL'f0rW IN NWAIZI PL'■2plid-1 a:
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. Limits shown are as requested
LTR
TYPE OF INSURANCE
INBR
MD
POLICY NUMBER
POLICY EFF
sa MiDDININY1
I POLICY LAF
MMIDD
LIMITS
A
GENERAL LIABILITY
PMIGZ386b948OU2
U11U112U1U
UIIUIIZU12
EACH OCCURRENCE
S2,000,000
X COMMERCIAL GENERAL LIABILITY
SIR applies per policy terns
& condi
ions
PREMISES Ea occurrence)
S1,000,000
CLAIMS- DE X❑OCCUR
MED EXP(Any one person)
S10,000
PERSONAL &ADV INJURY
S2,000,000
GENERAL AGGREGATE
S4,000,000
GENL AGGREGATE LIMIT APPLIES
PER
PRODUCTS - COMPIOP AGO
S4,000,000
X I POLICY PRO-
LOC
B
AUTOMOBILE LIABILITY
83 UEN PD4550
07 01 201107
01 2012
COMBINED SINGLE LIMIT
nt
Y2, 000, 000
BODILY INJURY ( Per parson)
X ANY AUTO
BODILY INJURY (Per account)
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS NON,CWNED
AUTOS
PROPERTY DAMAGE
Per account
D
%
UMBRELLA LIAB
X
OCCUR
XOOG25833144
07/01/2011
07/01/2012
EACH OCCURRENCE
SS,000,000
EXCESS LNB
C-AIMS-MADE
SIR applies per policy terns
& condi
ions
AGGREGATE
S5,000,000
DED I X
RETENTION
D
E WORKERS
KERSCOMIPENSABILTVION AND YIN
ANYPROPRIETOR/ PARTNER I EXFC.T1- ❑
OFFICEWMEMBER EXCLUOED9
NIA
TC2JUB121D764711
07/01/2011
07/01/2012
X TpRV LIMBS OTH-
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE -EA EMPLOYEE
S1,000,000
(Mandatory In NM
n y dasw ce under
DESCRIPTION OF OPERATIONS below
EL.DISEASE-POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, B more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
City Of Fort Collins
4316 W. Laporte
AUTHORIZED REPRESENTATIVE
Attn: Carl Yost
Fort Collins CO 80521 USA
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010j05) The ACORD name and logo are registered marks of ACORD