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HomeMy WebLinkAbout113278 KONE INC - INSURANCE CERTIFICATE_1, l DATE (MM/DD/YYYYI I i o CERTIFICATE OF LIABILITY INSURANCE 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 Aon Risk Services Central, Inc. AOn Client Chicago IL Office CONTACT NAME: PHONE IA/C. No): 847-953-5390 200 East Randolph Chicago, IL 60601 E-MAIL ADDRESS: INSURERISI AFFORDING COVERAGE NAIL e INSURED KONE Inc. Attn: insurancerequests@kone.com l 12 T One KONE Court Moline IL 61265 COVERAGES CERTIFICATE NUMBER: 18911582 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 LTR ADDL SUER POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDOfYYYY LIMITS A GENERAL LIABILITY �/ '',MWZY 57732 1/1/2014 1/1/2015 EEACH�00000RRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES ESEd ilErrenoe $ 1,000,000. CLAIMS -MADE FVI OCCUR MED EXP (Any one person) $ PERSONAL B ADV INJURY $ 1,00(),00( GENERAL AGGREGATE $ 1,000,0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 1,000,00 $ POLICY JE PRO- LOC A AUTOMOBILE LIABILITY MWTB 20018 1/1/2014 1/1/2015 Ea Maald of SINGLE LIMIT$ 1 000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS AUTOS AUTOS NONNON-OWNEDPRerOacddeTMrn BODILY INJURY (Per accident) $ AMAGE $ $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB CLAIMS -MADE $ DED RETENTION$ $ A WORKERS COMPENSATION ANY EMPLOYERS' LIABILITY YIN P' ANY PROPRIETOR/PARTNER/EXECUTIVE❑ NH) EXCLUDED? N (Mantlatory in NH) (Mandatory NIA MWC 11539706(AOS) MWXS 82206(OH) 1H/2014 1/1/20t4 1/1/2015 WRYSrATU- OR - 1/1/2015 E.L. EACH ACCIDENT i, E.L. DISEASE - EA EMPLOYEE $ 1,000,000 $ 1,000, If yes, describe under DESCRIPTION OF OPERATIONS belay I I E.L. DISEASE - POLICYLIMIT $ 2,000,000 Other Policies See Schedule of Other Policies DESCRIPTION OF OPERATIONS I LOCATIONS; VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Contract No. 40127571 - Project/Location: Various locations 40127571 Fort Collins, CO Certificate Holder and other parties as required by contract are listed as additional insured to the extent of the terms of the contract. Completed Operations shall be maintained per the terms of the contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins CO 80522-0580 AUTHORIZED REPRESENTATIVE ,n/ X � � Aon Risk Services Central, Inc. ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD C R'f NO.: 16g1 $62 CLZEN'I De: pp V.S. Cindy Cullen 1/10/2g14 1 40:35 PH Page 1 of 3, TrlTia certl icate cancels and supersedes ALL previously issued certificates. THIS FORM APPLIES IN STATES WHICH USE THE CA 0001 (10-13) COVERAGE FORM. IL 10 (12106) OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM SCHEDULE Name of Person(s) or Organization(s): Any club, credit union or other associations sponsored/authorized by the Named Insured. With respect to COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured is changed with the addition of the following: Each person or organization shown in the Schedule for whom you are doing work is an "insured". But only for "bodily injury" or "property damage" that results from the ownership, maintenance or use of a covered "auto" by: You; 2. an "employee" of yours; or 3. anyone who drives a covered "auto" with your permission or with the permission of one of your "employees". However, the insurance afforded to the person or organization shown in the Schedule shall not exceed the scope of coverage and/or limits of this policy. Not withstanding the foregoing sentence, in no event shall the insurance provided by this policy exceed the scope of coverage and/or limits required by the contract or agreement. PCA 001 10 13 MWTB 20018 KONE Holdings, Inc. 0110112014 - 01/01/2015 C 11 NO.: 18911�02 CLIENT CODE: 000-U.S. Cindy Cullen 1/10/2Q14 12:40:35 PM Page 2 o{ 3 T�11s certificate cancels and supersedes ALL previously issued certificates. . ft POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 32 29 06 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COLORADO ADDITIONAL INSURED - OWNERSI LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organization(s) Locations Of Covered Operations As required by written contract unless specifically endorsed On File With Company on another endorsement attached to this policy. A. Who Is An Insured (Section II) is amended to include as an additional insured the person(s) or organizatien(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused by your ongoing operations for the additional insured(s) at the Ioabon(s) designated above and only to the extent that such "bodily injury", "property damage" or "personal and advertising injury" is caused by your acts or omissions or the acts or omissions of those performing operations on your behalf. in the B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 32 29 06 10 © Insurance Services Office, Inc., 2010 Page 1 of 1 UINZY 57732 KONE Hordings, Inc. 01/01/2014 - 01/01/2015 CERT NO.: 1851 "2 CLIENT CODE: 000-U.S. Cind Cullen 1/10/2Q14 11 40:3S PM Page 3 of 3, Th1s certi>'icate cancels and supersedes ALL prevlousl y issued certificates.