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Home My WebLink About292454 THERMO ELECTRON NORTH AMERICA LLC - INSURANCE CERTIFICATE (3)® " o CERTIFICATE OF LIABILITY INSURANCE DATE(N17D/YYYY) 08242014 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(fes) 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 . (800) 363-0105 N. No. EXp: No.: One Federal Street Boston MA 02110 USA E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 0 INSURED INSURER A: Travelers Property Cas CO of America 25674 Thermo Electron North America LLC Thermo Fisher adScientific Inc Then Verona Road INSURER B: ACE American Insurance Company 22667 INSURER C: ACE Property & casualty insurance Co. P Y Y 20699 Madison WI 53711 USA INSURER D: NSUBER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570U54282220 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 LTR TYPE OF INSURANCE INBD WVD POLICY NUMBER IMM/DD MMID LIMITS B % COMMERCIAL GENERAL LIABILITY PMIG EACH OCCURRENCE $1,000,000 CLAIMSMADE %OCCUR SIR applies PP Per policy terms & CODdI ions PREMISES(Ea Ocwerence $1, 000, 000 MED E%P (Any one person) $10, 000 PERSONAL A ADV INJURY $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S4,000,000 X POLICY ❑PEO �LOC PRODUCTS-COMP/OP AGO S4, OOO, OOO OTHER: A AUTOMOBILE LIABILITY TC27CAP-7439L260-14 07/01/201407/01/2015 COMBINED SINGLE LIMIT Ea accident $2,000,000 BODILY INJURY( Per Person) X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY IWURY(Per awdenp PROPERTY DAMAGE Per amdenl C % UMBRELLA LIAB OCCUR xCQG2738027A 07/01/2014 07/01/2015 EACH OCCURRENCE $5,000,000 EXCESS LIAB H CLAIMS -MADE SIR applies per policy terms & condl ions AGGREGATE $5,000,000 DED I % RETENTION A WORKERS EMPLOYERCOMPENSAYTION AND YIN PROPRIETOR I PARTNER I EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA TC21UB121D764714 07 01/2014 07 01/2015 X SrgTUTE 10THANY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE S110001000 (Mandilory In NH) if yes drspiEe under DESCRIPTION OF OPERATIONS delnx E. L. DISEASE -POLICY LIMIT S1, 000, 000. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Renurim Schedule, may M attacM1ed B more space is Muired) I , CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W ACCORDANCE WITH THE POLICY PROVISIONS, City Of Fort Collins AUTHORIZED REPRESENTATIVE 4316 W. Laporte Attn: Carl Yost Fort Collins CO 80521 USA O 4 V 0 U 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) - The ACORD name and logo are registered marks of ACORD