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HomeMy WebLinkAbout155264 WEATHERPROOFING TECHNOLOGIES (TREMCO INC) - INSURANCE CERTIFICATEA �® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYY 0313012012 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 MARSH USA INC. 200 PUBLIC SQUARE, SUITE 1000 CONTACT NAME: PHONE FAX JAIC No Alc No E-MAIL ADDRESS: CLEVELAND, OH 44114-1824 INSURERS AFFORDING COVERAGE NAIC 9 INSURER A: First Continental Services Co. ,.,�• 34492-CAS-CAP-12-43 WEATH —� f�+ INSURED WEATHERPROOFING TECHNOLOGIES, INC. TREMCO INCORPORATED AND ITS SUBSIDIARIES INSURER B : NIA NIA INSURER C : NIA WA INSURER D : NIA NIA 3735 GREEN ROAD BEACHWOOD, OH 44122 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: CLE-003353841-12 REVISION NUMBER: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. HEIR LTA TYPE OF INSURANCE ADDL. UBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR 1-GLRPM-0112012 04/01/2012 04101/2013 EACH OCCURRENCE S 2.000,000 DAMAGE T RENTED PREMISES Eacccurrence $ 100,000 MED EXP (Any one person) $ 5.000 PERSONAL 8 ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 1,000.000 GENT AGGREGATE LIMIT APPLIES PER X POLICY PRO- LOC PRODUCTS - COMPIOP AGO $ 1,000.000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON OWNED HIRED AUTOS PAUTOS COMBINED SINGLE LIMIT Eaacmdem BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECUTIVE OFRCERWEMBER EXCLUDEOp (Mandatory in NH) If yes, describe under DESC RIPTION OF OPERATIONS below NIA WC STAT11 OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEd S E.L. DISEASE -POLICY LIMIT I $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) 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 Manh USA Inc. Kevin J. Robinson- I qllf�Pl'M A-- -'r-&t All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 34492 LOC #: Cleveland ACORO® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA INC. WEATHERPROOFING TECHNOLOGIES, INC. TREMCO INCORPORATED AND ITS SUBSIDIARIES 3735 GREEN ROAD POLICY NUMBER BEACHWOOD, ON 44122 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate Of Liability Insurance 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. ACORD 101 (2003101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD YYYY) 03r3012012 ii 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 CONTACT NAME: MARSH USA INC. PHONE FAX 200 PUBLIC SQUARE, SUITE 1000 -tAlc.Ns..EXtI IAIC Nor. E-MAIL ADDRESS: CLEVELAND, OH 44114-1824 INSURERS AFFORDING COVERAGE NAIC N wBURERA: First Continental Services Co. 34492-CAS-CAP-12-13 WEATH INSURED INSURER B; Zurich American Insurance Company 16535 WEATHERPROOFING TECHNOLOGIES, INC. INSURER C: N/A WA TREMCO INCORPORATED AND ITS SUBSIDIARIES INSURER D: American Zurich Insurance Company 40142 3735 GREEN RD. BEACHWOOD, OH 44122 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: CLE-003353842-06 REVISION NUMBER: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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY MMIOD/YYYY MM IDDIYYYY LIMITS A GENERAL LIABILITY 1-GLRPWO112012 04/01/2012 04101/2013 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PREMISETa EEoccu ante $ 100,000 CLAIMS -MACE rq OCCUR MED EXP (Any we person) $ 5,000 PERSONAL S ADV INJURY $ 2,000,000 GENERALAGGREGATE $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 $ X POLICY PRO- LOC B AUTOMOBILE LIABILITY BAP9258789-05 0410112012 0410112013 COMBINED SINGLE LIMIT Ea accidem 2,000,000 X BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X PROPERTY DAMAGE Per acmdenl $ NON -OWNED HIRED AUTOSAUTOS H 8 UMBRELLA LUIB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE OED RETENTION S $ B WORKERS COMPENSATION WC9258790-05(WI) 0410112012 04/01/2013 X I WC STATU- OTM- ITCHY D AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) NIA WC9258788-05(ADS) 0410112012 04/01/2013 -E E.L. EACH ACCIDENT $ 1.000,000 E. L. DISEASE -EA EMPLOYEE $ 1.000,000 If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Addit onal Remarks Schedule, If 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 and/or Weatherproofing Technologies, Inc. employees in an amount not to exceed the rest 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- I le~J+ "R-e"IrMt ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 34492 LOC #: Cleveland ACO ® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 ��. AGENCY NAMED INSURED WEATHERPROOFING TECHNOLOGIES, INC. MARSH USA INC. TREMCO INCORPORATED AND ITS SUBSIDIARIES 3735 GREEN RD. POLICY NUMBER BEACHWOOD, OH 44122 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance 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. ACORD 101 (2008101) U 2008 ACORD CUKPUKA I IUN. All r1gnts reseme0. The ACORD name and logo are registered marks of ACORD