HomeMy WebLinkAbout250572 SCHINDLER ELEVATOR CORPORATION - INSURANCE CERTIFICATE (18)CERTIFICATE OF LIABILITY INSURANCE page 1 of 1
12/`0 /2013
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
Willie of New York, Inc.
C/o 26 Century Blvd.
P. O. Box 305191
PHONE FAX
877- 4 -7 78 888-467-2378
Annnipps -MAIL ert'ficates9wi lia.com
Nashville, IN 37230-SI91
INSURER(S)AFFORDING COVERAGE
NAICk
INSURERA: Zurich American Insurance Company
16535-003
INSURED Schindler Elevator Corporation
INSURERS: American Zurich Insurance Company
40142-001
P.O. Box 1935 25OV�r\
2-
INSURER C:
20 Whippany Road
Norristown, NJ 07962-1935
INSURERD:
INSURER E:
NSURERF:
COVERAGES CERTIFICATE NUMBER:20789171 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
TYPEOFINSURANCE
DD'
SUB
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
Contractual Liability
GL0644543524
1/1/2014
1/1/2015
EACHOECCURRENCE
$ 2,000,000
AEMI ETO E Ea o IE.Ircfi
$ 1,000,000
MEDEXP An one arson
S 10,000
PERSONAL& ADV INJURY
$ 2,000,000
GENERALAGGREGATE
$ 5,000,000
GENLAGGREGATE LIMITAPPLIES PER:
POLICY F PRO- LOC
PRODUCTS-COMP/OP AGO
$ 5, QOO,00
$
A
AUTO MOBILE LIABILITY
X ANYAUTO
X ALLOWNED SCHEDULED
X OS AUTOS
HRTEDAUTOS X NON -OWNED
AUTOS
BAP644543624
/1/2014
1/1/2015
O SIIIC®�INGLE UMIT
$ 51000,000
BODILY INJURY(Per person)
$
BODILY INJURY(Per accident)
$
PROPERTY DAMAGE
PeracGdent)
$
UMBRELLA LIAR
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I IRETENTION$
$
A
B
WORKERS COMPENSATION
AND EMPLOYERTUABILITY X1'0
ANY PROPRIETOR/PARTNER/EXECUTIVEIaI
OFFICER/MEMBER EXCLUDED? LLJJ
yea,randatorY In NH)
descnbeender
DE SCRIPTION OF OPERATIONS below
N/A
WC644543825
WC666818723
1/1/2014
1/l/2014
1/1/2015
1/l/2015
E
E.LEACHACCIDENT
$ 5, 000,000
E.L.DISEASE-EA EMPLOYEE
$ 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, 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:4282408 Tp1:1736641 Cert:20789171 ® 88-2010ACORDCORPORATION.Allrightsreserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marluf of ACORD
0
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.Oov/about/orcanizational-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 pernlssion
UGU-1001-A (March 2011)
Page 1 M 1
Al h® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1
DATE
1 12/(06/2013)
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
CONT'AMFACT
Willis of New York, Inc.
c/o 26 century Blvd.
P. O. Box 305191
PHONE FAX
- 5-7378 BBB-467-2378
ME
ADDRESS- cortificates@willia.com
INSURER(S)AFFORDING COVERAGE
NAICIf
Nashville, TN 37230-5191
INSURERA: Zurich American Insurance Company
16535-003
_
-INSURED
Schindler Elevator Corporation
INSURERS: American Zurich Insurance Company
40142-001
P.O. Hox 1935
INSURER C:
20 Whippany Road
Morristown, NJ D7962-1935
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 20774536 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 INSUIUINCE
D'
SUB
POLICY NUMBER
POLICYEFF
POLICY EXP
UMrrs
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE® OCCUR
Contractual Liability
GLO644543524
1/l/2014
1/l/2015
EACH OCCURRENCE
S 2,000,900
Ep
PREMISES Ea oa�D
$ 1,000,000
MEDEXP An one man
S 10,000
PERSONAL 4ADV INJURY
$ 2,000,000
GENERAL AGGREGATE
$ 5,000.000
GEN'LAGGREGATE LIMIT APPLIES PER:
POLICY PRO- LOC
PRODUCTS-COMP/OP AGG
5 5,000.000
$
A
AUTO MOBILE UA91LnY
X ANYAUTO
X ALLOWNED SCTOESULED
X HIRED AUTOS X AUUTOSWNED
BAP644543624
1/1/2014
1/1/2015
DMacident) NGLE LIMIT
$ 5,000,000
BODILY INJURY(Per person)
$
BODILY INJURY(Per accident)
S
PerscoROPERdenl) MA
$
$
UMBRELLA UAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
I
EACH OCCURRENCE
$
AGGREGATE
$
DED I RETENTION$
$
A
E
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVEIwI
OFFICEWMEMBER EXCLUDED? ��11
randatory in NH1
yes,desodbee er
DE SCRIPTION OF OPERATIONS below
N/A
WC644543825
NC666818723
1/l/2014
1/1/2014
1/1/2015
1/1/2015
X
E.L. EACH ACCIDENT
$ 5,000,000
E.L. DISEASE - EA EMPLOYEE
$ 5,000,000
E.L. DISEASE -PODGY OMIT
$ 5,000,000
DESCRIPTION OF OPERATIONS LOCATIONS / VEHICLES (ADach Acord 101, Addltonal Remarks Schedule, If mom space is required)
SEC5230 - CONT# TED
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 I DR ESENT
CITY OF FORT COLLINS
P.O. BOX 580
FORT COLLINS, CO 80522
Coll:4282268 Tpl:1736769 Cert:20774536 ® B8-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered mar of ACORD
0
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.Oov/abouttoroanizational-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
UGU-1041-A (Memh 2011)
Pepe 1 of 1