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HomeMy WebLinkAbout504949 SIEMENS INDUSTRY INC - INSURANCE CERTIFICATEAC&R'be CERTIFICATE OF LIABILITY INSURANCE DATE (Mp14 DNYYY) 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 MARSH USA, INC. 445 SOUTH STREET CONTACT NAME: PHONE FAX A/C No: E-MAIL ADDRE MORRISTOWN, NJ 07%0-6454 INSURERS AFFORDING COVERAGE NAICY INSURER A: Liberty Mutual Insurance Company 23043 100129-FEDCRIME-14115 MOBI Harper INSURED SIEMENS INDUSTRY INC. INCLUDING: INSURER B : MOBILITY DIVISION INSURER C INSURER D 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 6008"513 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-006447226-10 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 LTRffla rypE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDPOLICY/YYYY EFF XP MM/DDMOLICY E'YY UNITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence S MED EXP(My cne person) $ CLAIMS -MADE OCCUR PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S $ POLICY PRO LOC AUTOMOBILE LABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) S ANY AUTO BODILY INJURY (Per amdera) $ ALL OWNED SCHEDULED AUTOS AUTOS NONOWNED HIRED AUTOS PAUTOS PROPERTY DAMAGE PeramEenl S f UMBRELLA UAS OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORN ERSCOMPENSATION WC STATU- OTH- ANDEMPLOYERS'LIABIUTY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE❑ E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDEDi NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYE S E.L. DISEASE - POLICY LIMIT $ N y de.lue um DESCRIPTION OF OPERATIONS Deloe A FIDELITY/EMPLOYEE TC2JFID7440L39914 10/01/2014 10/01/2015 5,000,000 DISHONESTY DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addluonal Remarks Schedule, If mom space Is repulrad) CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: ED BONNETTE, C.P.M., CPPB, BUYER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 NORTH MASON STREET 2ND FLOOR ACCORDANCE WITH THE POLICY PROVISIONS. FORT COLLINS, CO 80524 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee�Mt.w4c-w-�e.a- ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD