The URL can be used to link to this page

Home My WebLink About250572 SCHINDLER ELEVATOR CORP - INSURANCE CERTIFICATE (3)A� �® CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 12/`0 /20 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. O. Box 305191 Nashville, IN 37230-5191 CONTACT NAME' PHONE FAX A/C N 877-945-7378 CNOI 888-467-2378 AoDRE : certificates®willis.com INSURER(S)AFFORDING COVERAGE NAICp INSURERA: Zurich American Insurance Company 16535-003 INSURED b Schindler Elevator Corporation � �/ INSURER B: American Zurich Insurance Company 40142-001 P.O. Box 1935 INSURER C: 20 Whippany Road w Morriaton, NJ 07962-1935 INSURER D: INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER: 17048431 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 T TYPE OF INSURANCE DD' ham SUB POLICYNUMBER PO LICY EFF POLICY EXP A GENERAL LIABILITY -W2LIMITS GLO644543522 1/1/2012 1/1/2013 EACHOCCURRENCE $ 2,000,000 MAGERENTED PREMSESOEa occmence $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY $ 2,000,000 X Contractual Liability GENERALAGGREGATE $ 51000,000 0EN'L ADD REGAT�E APPLI ES PER: PRODUCTS. COMP/OP AGG $ S ,000,000 (LIMIT ILOC X POLICY PR0. $ A AUTO MOBILE LIABILITY HAP644543622 1/1/2012 1/1/2013 COM(EaaBINED SINGLE LIMIT $ 5,000,000 BODILY INJURY(Per person) $ X ANVAUTO ALLOWX AUTOS NED BODILY INJURY(Per accident) $ POra cCldanl $ HALTOSULED X HIREDAUTOS X NON -OWNED AUTOS OCCUR EACH OCCURRENCE $ AGGREGATE $ HUMBREL"LIAB EXCESS LIAR CLAIMS -MADE DED I IRETENTION $ $ A WORKERS COMPENSATION WC644543823 1/1/2012 1/1/2013 X B AND EMPLOYERS' LIABILITY ANY PROPRIETOH/PARTNER/EXECUTIVEFN�Y OFFICER/MEMBER EXCLUDED? falandatory In NH) ff yes, tlescribe under DESCRIPTION OF OPERATIONS below N/A WC666818721 1/1/2012 - 1/1/2013 E.L. EACH ACCIDENT $ 5,000,000 E.L. DISEASE - EA EMPLOYEE $ 5,000,000 E.L. DISEASE -POLICY LIMIT $ 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Arend 101, Additonal Remarks Schedule, 11 more space is re9uired) SEC5230 - CONT# 42-12660 City of Fort Collins (OCP6637049) 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 P.O. Box 580 Fort Collins, CO 80522 Coll:3572050 Tp1:1373646 Cert:l 8431 ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD OWNERS AND CONTRACTORS PROTECTIVE LIABILITY POLICY DECLARATIONS Policy Number Policy Period From to OCP 6637049 01/01/2012 01/01/2013 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 P.O. BOX 1935 20 WHIPPANY ROAD MORRISTOWN, NEW JERSEY 07962-1935 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 ❑ Organization (Other than one indicated above) DESCRIPTION OF OPERATION: PREMIUM Rate per ❑ Corporation 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: $ 1g Anniversary: $ 2' 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-l1B-A — COMPLETE POLLUTION EXCLUSION; U-GL113-B CW (4/89) — ASBESTOS EXCLUSION; STATE CANCELLATION AMENDATORY Countersigned this 1st day of January 2012 Authorized Representative U-GL-D-275-C (7/97) ORIGINAL ZURICHe 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/orcanizational-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 permission U-GU-t Uit-A (March 2011) Page t d t ''1 �® CERTIFICATE OF LIABILITY INSURANCE page I of 1 12/(0 % 0 1 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. O. Box 305191 Nashville, TN 37230-5191 CONTACT AM PHONE FA% N 877-945-7378 N 888-467-2378 gppgE Certificates@willis.Com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Zurich American Insurance Company 16535-003 INSURED Schindler Elevator Corporation INSURERB: American Zurich Insurance Company 40142-001 P.O. Box 1935 INSURERC: 20 Whippany Road Morristown, NJ 07962-1935 INSURERD: ' INSURER E: INSURERF: I COVERAGES CERTIFICATE NUMBER: 17051303 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 ANDCONDITIONS OFSUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OFINSURANCE OD' SUB POLICY NUMBER POLICY EFF POLICY E%PLTR LIMITS -A GENERAL LIABILITY GL0644543522 1/1/2012 1/1/2013 EACHOCCURRENCE $ 2,000,000 PREMISES 6eE«coencri $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP(Anyone person) $ 10,000 PERSONAL B ADV INJURY $ 2,000,000 X Contractual Liability G EN ERAL AGGREGATE $ 51000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 5,000,000 X I POLICY F-1 PRO- F7 LOC JEO $ A AUTOMOBILE LIABILITY BAP644543622 1/1/2012 1/1/2013 COMBINED SINGLE LIMIT $ 5,000,000 BODILY INJURY(Per person) $ X ANY AUTO X AAUTOOS NED SULED OS BODILY INJURY(Per accident) $ PeracciCent $ HAtC�H X HIREDAUTOS X NON -OWNED AUTOS HUMBRELLA LIAR EACHOCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I IRETENTION $ $ A WORKERS COMPENSATION WC644543823 1/1/2012 1/1/2013 X B AND EMPLOYERS' LIABILITY IN ANY PROPRIETOR/PARTNER/EXECUTIVE Y[ N] OFFI CEDMEMBER EXCLUDED? fMantlof in NH) f yes , describe under DESCRIPTION OF OPERATIONS below N/A WC666818721 1/1/2012 1/1/2013 E.L. EACH ACCIDENT $ 5,000,000 E.L. DISEASE - EA EMPLOYEE $ 5,000,000 E.L. DISEASE. POLICYLIMIT $ 5,000,000 DESCRIPTION OF OPERATONS / LOCATIONS/ VEHICLES (Attach Acord 101, Additonal Rsmarks Schedule, If more space is required) SEC5230 - CONT# TBD OLD TOWN PARKING STRUCTURE. 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 P.O. BOX 580 - FORT COLLINS, CO 80522 Co11:3572050 Tp1:1373636 Cert:1'7n1303 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 0 ZURICH 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 - hfto://www.treasury.Qov/abouttorganizational-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 permission U-GU-1041 -A (Wrc 2011) Page 1 of 1