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250572 SCHINDLER ELEVATOR CORP - INSURANCE CERTIFICATE (4)
"� �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 11/16/2012 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 CONTAM'ACT Willis of New York, Inc. c/o 26 Century Blvd. P. O. Box 305191 PHONE FA% 877-945-7378 888-467-2378 EADDRESS -MAIL certificatesOwillis.com Nashville, IN 37230-5191 INSURER(S)AFFORDING COVERAGE NAICa 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 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 18869007 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 TYPE OF INSURANCE DD' SUB POLICY NUMBER POLICY EFF POLICY EXP IMMIDDArvyVi LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEEXI OCCUR X Contractual Liability GLO644543523 1/1/2013 1/1/2014 EACH OCCURRENCE $ 2 000,000 PREMISES Ea o¢arence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL B ADV I NJURY $ 2 00 ,O 000 GENERALAGGREGATE $ 51000,000 GEN'L AGGREGATE LIMIT APPLIES X POLICYFIPRa n PER: LOC PRODUCTS-COMP/OP AGG $ 5,000,000 $ A AUTOMOBILE LIABILITY X ANYAUTO ALLOWX AUTOS NED �AUTOSULED X HIRED AUTOS X AUTOSWNED BAP644543623 1/1/2013 1/l/2014 1 COMBINEDSINGLE LIMIT (Es accident) $ 5,000,000 BODI LY INJU RY(Per person) $ BODILY INJURY(Per accident) $ Perapccdent)AMA $ H UMBRELLA ILIA EXCESS AB B (CLAIMS -MADE EACH CCUR RENCE AGGREGATE $ DED I (RETENTIONS Is A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYR/EXECUTIVE M❑ ANY PROPRIETOR/PARTNE OFFICEUMEMBER EXCLUDED? Mandatory in NH) r s, descuhe under DE SC RIPTIONOFOPERATIONS below N/A WC644543824 WC666818722 1/1/2013 1/1/2013 1/1/2014 1/1/2014 X E.L. EACH ACCIDENT $ 51000,000 E.L. DISEASE -EA EMPLOYEE Is 5,000,000 E.L. DISEASE -POLICY LIMIT Is 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acard 101, Additonal Remarks Schedule, it more space is required) SEC5230 - CONT# 42-12660 City of Fort Collins, PO Box 580, 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. AUTHORI D R ESENT City of Fort Collins, Purchasing Division PO Box 580 Fort Collins, CO 80522 Coll:3924402 Tpl:1554223 Cert:18869007 © 88-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered mark of ACORD 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.Oov/about/organizational-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-1 oat -A (March 2011) Page 1 of 1