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292454 THERMO ELECTRON NORTH AMERICA LLC - INSURANCE CERTIFICATE (2)
A�ROao CERTIFICATE OF LIABILITY INSURANCE DATE/ 6/20113 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 Northeast, Inc. Boston MA Office CONTACT NAME: PHONE (866) 283-7122 FAX (800) 363-0105 (A/C. No. Eat): A/C. No.: E-MAIL ADDRESS: One Federal street Boston MA 02110 USA INSURER(S) AFFORDING COVERAGE MARC X INSURED Thermo Electron North America LLC Thermo Fisher Scientific Inc 5225 Verona Road INSURER A: Travelers Property Cas Co Of America 25674 INSURER B: ACE American insurance Company 22667 INSURERC: ACE Property & Casualty Insurance Co. 20699 Madison WI 53711 USA INSURER D: INSURER E: INSURER F: COVFRAr.FS CFRTIFICATF NLIMRER- 570050469392 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. Limits shown are as requested INSIR LTR TYPE OF INSURANCE µSR VJVD POLICY NUMBER MWDD MIND LIMITS GENERAL LIABILITY PMIG EACH OCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY applies per policy terns & conditions PREMISES Ea or�urrence PREMISES $1,000,000 MED EXP (Any one person) $10 , 000 CLAIMS -MADE X❑ OCCUR PERSONAL& ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S4,000,000 X POLICY PRO- LOC A AUTOMOBILE LIABILITY TC23CAP-7439L260-13 1 1 07 01 014 COMBINED SINGLE LIMIT Ea ' nt S2,000,000 BODILY INJURY( Per pereon) AINY AUTO X BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per artident C % UMBRELLA LIM EXCESS LWB X OCCUR CLAIMS -MADE XOOG27052794 SIR applies per policy terns 07/01/2013 & condi 07/01/2014 ions EACH OCCURRENCE S5,000,000 AGGREGATE S5,000,000 DED I X RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDEDT O (Mane datory in NN) NIA TC20UB1 1D 4 1 O7 Ol 2013 07 Ol 2014 TH- WC BTATI} IFIR X TORY LMATS E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 H yes. descrit,e urWer DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S1,000.000 T_ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) 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. City Of Fort Collins AUTHORIZED REPRESENTATIVE 4316 W. Laporte Attn: Carl Yost Fort Collins CO 80521 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD