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SCHINDLER ELEVATOR CORPORATION - INSURANCE CERTIFICATE
''CC)R b® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 12/10/2 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. 0. Box 305191 Naahville, IN 37230-5191 PHL ' 877-945-7378 FAx 888-467-2378 AnnRFRR certificates@willis.com INSURER(STIFFORDINGCOVERAGE NAIC# INSURERA: Zurich American Ineuranca Company 16535-003 INSURED Schindler Elevator Corporation INSURERS: American Zurich Insurance Company 40142-001 INSURER C: P.O. Box 1935 20 Whippany Road Morristown, NJ 07962-1935 INSURER O: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 22449777 REVISION NIIMRFR- 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 .TRTYPE OF INSURANCE DOL SUB POLICY NUMBER POUCYEFF POLICYEXP LIMNS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Contractual Liability Y Y GL0644543525 1/l/2015 1/1/2016 $ 2,000,000 EEnAnnCL,l1HHn qOOCcCCCrppURRJ�RENCE PREII.ISES(RENTDD ce) $ 1,000,000 X MEDEXP(An .Peron) $ 10,000 PERSONAL 6 ADV INJURY $ 2,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT F7 LOC OTHER: GENERALAGGREGATE E 51000,000 PRODUCTS -COMPIOP AGO $ 5,000,000 A AUTO MOBILE UABILITY ANY AUTO SCHEDULED ALLOWNED AUTOS AUTOS HIREDAUTOS X NON -OWNED AUTOS Y Y IIAP144543625 1/1/2015 1/1/2016 COMBINED LIMIT (Eaaaeccident) E 51000.000 R BODILY INJURV(Per Perron) $ X BODILY INJURY Per ecdtlent ( ) E X PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS UAB OCCUR CLAIMS -MADE EACHOCCURRENCE $ AGGREGATE $ DEO I RETENTION$ $ A B WORKERS COMPENSATION AND EMPLOYERS' UNBIUTY ANVPROPRIMBEIR ARTNER/EXECUTIVE YIN 01FFIddaERIIMEHH) EXCLUDEDT If es,tlesa6eutler DESCRIPTION OF OPERATIONS below NIA Y Y WC644543826 WC666818724 1/l/2015 1/1/2015 1/1/2016 1/1/2016 X E.L. EACH ACCIDENT $ 5,000,000 E.L. DISEASE - EA EMPLOYEE E 5,000,000 E.L. DISEASE - POLICVLIMIT E 5,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Addltonal Ramares Schedule, may be atmched If mom Beau is rayulmd) SEC5230 - CONT# 42-12660 - THE INSURANCE COVERAGE REFERENCED FOR THE ADDITIONAL INSURED(S),PER POLICY FORM AND WRITTEN CONTRACT, IS PRIMARY AND NON-CONTRIBUTORY. City of Fort Collins, Fort Collins, CO 80522. To the extent reguired by written contract. the following awed as Additional Insured: City f 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 P.O. Box 580 Fort Collins, CO 80522 Coll:4579503 Tpl:1893868 Cert:22449777 © 88-2014 ACORD CORPORATION. All rights ACORD 25 (2014/01) The ACORD name and logo are registered marksf of ACORD AGENCY CUSTOMER ID: 620000 LOC#: ADDITIONAL REMARKS SCHEDULE Page 7 of 2 AGENCY NAMED INSURED Schindler Elevator Corporation Willis of New York, Inc. P.O. Box 1935 POLICY NUMBER 20 Whippany Road Morristown, NJ 07962-1935 See First Page CARRIER NAIC CODE See First Paaa EFFECTIVE DATE: Qpp pjr Pp THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Waiver of Subrogation is provided on the referenced policies to the extent required by written contract and where permitted by law. ACORD 101(2008101) C011:4579503 Tpl:1893868 Cert:22449777 ©2008 ACORD The ACORD name and logo are registered marks of ACORD reserved