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HomeMy WebLinkAbout250572 SCHINDLER ELEVATOR CORPORATION - INSURANCE CERTIFICATE (12)A� �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 11/21/2012 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 CONTACT NA Willie of New York, Inc. C/o 26 Century Blvd. P. O. Box 305191 PHONE FAX 877-945-7376 888-467-2378 E-MAIL certificates@willis.com Nashville, IN 37230-5191 INSURERS AFFORDING COVERAGE NAICp INSURERA: Zurich AmeriCan Insurance Company 16535-003 Q INSURED Schindler Elevator Corporation INSURERS: American Zurich Insurance Company 90142 -001 INSURERC: P.O. Box 1935 20 Whippany Road Morristown, NJ 07962-1935 INSURER D: INSURER NCURER PE: COVERAGES CERTIFICATE NUMBER: 18909116 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' SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS-MADEF_x1OCCUR Contractual Liability GLO644543523 1/1/2013 1/1/2014 EACH OCCURRENCE $ 2 000,000 PgEMISES E.Eoccorence $ 1,000,000 MEDEXP(Anyoneperson) $ 10,000 X PERSONAL B ADV INJURY $ 2,000,000 GENERA -AGGREGATE $ 5 000,000 GENT AGGREGATE LIMIT APPLI ES PER: X I POLICY F-1 PRa LOC PRODUCTS-COMP/OP AGO $ 5.000.000 Is A MOBILE LIABILITY ANYAUTO AU OS SCHEDULEDBODILY AUTOS AUTOSHIREDAUTOS X NON -OWNED AUTOS F BAP644543623 1/1/2013 1/1/2014 COMBINED amideDSINGLE LIMIT $ 51000,000 BODILY INJURY(Per person) $ I NJURY(Per accident) $ PROPERTY DAMAGE (Per awident) $ UM BRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION$ $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE� OFFICEWMEMBER E%CLUDED7 fMendatorVin NHj fyes,describe under DE SCRIPTION OF OPERATIONS below N/A WC644543824 WC666818722 -" - 1/1/2013 1/I/2013 "' 1/1/2014 1/1/2014 X E.L. EACH ACCIDENT $ 5,000,000 cL. DISEASE EA EMPLOYEE Is 5,000,000 E.L. DISEASE -POLICY LIMIT $ 5,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (AHech Arord 101, Additanal Remarks Schedule, if mom apace is re9uimd) SEC5230 - CONT# TBD OLD TOWN PARKING STRUCTURE. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHOR] DR ESENT CITY OF FORT COLLINS P.O. BOX 580 FORT COLLINS, CO 80522 Coll:3927782 Tpl:1555140 Cert:18909116 ® 88-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered markSlf of ACORD qeC)RH CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 11121/20 2 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 Willis of New York, Inc. c/o 26 Century Blvd. P. 0. Box 305191 PHONE FAX 877-945-7378 888-467-2378 E-MAIL certificates@willis.com Nashville, TN 37230-5191 INSURER(S)AFFORDING COVERAGE NAICN INSURERA:Zurich American Insurance Company 16535-003 INSURED Schindler Elevator Corporation INSURERB American Zurich Insurance Company 40142-001 INSURERC: P.O. Hox 1935 20 Whippany Road Morristown, NJ 07962-1935 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 18913917 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, INSITR TYPEOFINSURANCE DD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEEXI OCCUR X ContIactual Liability GLO644543523 1/1/2013 1/1/2014 EACHOCCURRENCE $ 2,000,000 PREMISES Ea occTO umnce $ 11000,000 MED EXP(Anyone person) $ 10 000 PERSONAL&ADV INJURY $ 2,000,000 GENERALAGGREGATE $ 5,000,000 DEVIL AGGREGATE LIMITAPPLIES PER: X POLICY PRO - FLOG PRODUCTS-COMP/OP AGO $ 5,000,000 A AUTOMOBILE LIABILITY X ANVAUTO X ALLOWNED SCHEDULED AUTOS AUTS O X HIREDAUTOS X NON -OWNED AUTOS BAP644543623 1/1/2013 1/l/2014 (ECaacitlNED SINGLE LIMIT $ 5,000,000 BODILY INJURV(Per person) $ (eram) BODILY INJURY Pitlent $ PROPERTYDAMAGE (Peraccident) $ UMBRELLALIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ Lj AGGREGATE $ RED I RETENTION$ $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/M EMBER EXCLUDED? 4Mandatory in NH) f yes, describe under DESCRIPTION OF OPERATIONS below N/A WC644543824 WC666818722 1/1/2013 1/1/2013 1/1/2014 1/1/2014 X - - E.L. EACH ACCIDENT $ 5,000,000 E.L. DISEASEEAEMPLOYEE $ 5,000,000 E.L. DISEASE POLICY LIMIT $ 5,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) SEC5230 - CONT# 42-12660 City of Fort Collins (OCP6637049) 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 DR ESENT City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 Coll:3928094 Tpl:1555212 Cert:18913917 © 88-2010ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered mark of ACORD OWNERS AND CONTRACTORS PROTECTIVE LIABILITY POLICY Policy Number Policy Period From to OCP 6637049 01/01/2013 01/01/2014 Named Insured and Mailing Address City of Fort Collins P.O. Box 580 Fort Collins CO 80522 DECLARATIONS 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 LIMITS OF INSURANCE: Aggregate Limit: Each Occurrence Limit: ADDITIONAL INSURED(S): $2,000,000.00 $2,000,000.00 Form of Business: ❑ Individual ❑ Joint Venture ❑ Partnership ❑ Limited Liability Company ❑ Corporation ❑ Organization (Other than one indicated above) DESCRIPTION OF OPERATION: PREMIUM Rate per 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: $ 1" Anniversary: $ 2nd 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-118-A — COMPLETE POLLUTION EXCLUSION; U-GL113-B CW (4/89) —ASBESTOS EXCLUSION; STATE CANCELLATION AMENDATORY Countersigned this 1st day of January 2013 `t7aA9-1 b.-)i7 vw; Authorized Representative U-GL-D-275-C (7/97) ORIGINAL 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 - htto://www.treasury.Qov/aboutlordanizational-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-10,11-A (Mamh 2011) Page 1 of 1