HomeMy WebLinkAbout250572 SCHINDLER ELEVATOR CORPORATION - INSURANCE CERTIFICATE (11)"� �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1
12/0 /2011
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
Willie of New York, Inc.
c/o 26 Century Blvd.
P. 0. Box 305191
Nashville, TN 37230-5191
CONTACT
NAM
PHONE FAX
a N 877-945-7378 a No: 888-467-2378
E6MAE'SScertificatesOwillis.com
INSURER(S)AFFORDING COVERAGE
NAIL#
INSURERA: Zurich American Insurance Company
16535-003
INSURED Schindler Elevator Corporation
INSURERS: American Zurich Insurance Company
40142-001
INSURERC:
P.O. Box 1935
20 Whippany Road
Morristown, NJ 07962-1935
INSURERD:'
INSURER E'
INSURER F:
COVERAGES CERTIFICATE NUMBER: 17038231 REVISION NUMBER:
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
TYPE OFINSURANCE
DD'
SUB
POLICYNUMBER
POLICY
MMMDEFF
POLICY E%PMYYI
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X Contractual Liability
GLO644543522
1/1/2012
1/l/2013
EACH OCCURRENCE
$ 2,000,000
PR EM SES E.coc'ENTurence
$ 1 000 000
MED EXP(My one Person)
S 10,000
PERSONAL B ADV INJURY
$ 2,000,000
GENERAL AGGREGATE
S 5,000,000
GEWL AGGREGATE LIMITAPPLIESPER:
X POLICY F PRP LOC
PRODUCTS - COMP/OP AGG
S 51000,000
$
A
AUTO MOBILELIABILITY
X ANY AUTO
X ALLOWNED SCHEDULED
AUTOS AUTOS
X HIREDAUTOS X NON -OWNED AUTOS
BAP644543622
1/1/2012
1/1/2013
COMBINECOMINED SINGLE LIMIT
$ 5,000,000
BODILY INJURY(Per Person)
$
BODILY INJURY(Per accident)
$
(Peraccident) AMA
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACHOCCURRENCE
$
AGGREGATE
$
DED RETENTION $
$
A
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY IN
ANY PROPRIETOR/PARTNER/EXECUTIVEY
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
ft yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
WC644543823
WC666818721
1/1/2012
1/1/2012
1/1/2013
1/1/2013
X I T IMIT R
E.L. EACH ACCIDENT
$ 5,000,000
E.L. DISEASE - EA EMPLOYEE
$ 5,000,000
EL.DISEASE - POLICY LIMIT
$ 5,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach Acord 101, Addilonal Remarks Schedule. it more space is required)
SEC5230 - CONT# 42-12660
City of Fort Collins, PO Box 580, Fort Collins, CO $0522
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.
AUTHORIZED REPRESENTATIVE
City of Fort Collins, Purchasing Division
PO Box 580
Fort Collins, CO 80522
Coll:3571398 Tpl:1373297 Cert:l 8231 01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
ZURICHa
Advisory notice to policyholders regarding the
U.S. Treasury Department's Office of Foreign Assets Control
("OFAC") regulations
No coverage is provided by this policyholder notice nor can it be construed to replace any provisions of your policy
You should read your policy and review your declarations page for complete information on the coverages you are
provided.
This notice provides information concerning possible impact on your insurance coverage due to directives issued by
the U.S. Treasury Department's Office of Foreign Assets Control ('OFAC").
Please read this Notice carefully.
OFAC administers and enforces sanctions policy based on Presidential declarations of "national emergency".
OFAC has identified and listed numerous:
• Foreign agents;
• Front organizations;
• Terrorists;
• Terrorist organizations; and
• Narcotics traffickers;
as 'Specially Designated Nationals and Blocked Persons.' This list can be located on the United States Treasury's
web site - htto://www.treasury.Qov/about/ormanizational-structure/offices/Paaes/Office-of-Foreian-Assets-
Control.asox.
In accordance with OFAC regulations, if it is determined that you or any other insured, or any person or entity
claiming the benefits of this insurance has violated U.S. sanctions law or is a Specially Designated National and
Blocked Person, as identified by OFAC, this insurance will be considered a blocked or frozen contract and all provi-
sions of this insurance are immediately subject to OFAC restrictions. When an insurance policy is considered to be
such a blocked or frozen contract, no payments or premium refunds may be made without authorization from OFAC.
Other limitations on the premiums and payments also apply.
Includes copyrighted material of Insurance Services Office, Inc., with its pennission
U-GU-tea 1-A (March 2011)
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