HomeMy WebLinkAboutBADGER DAYLIGHTING CORP - INSURANCE CERTIFICATEATE
ACOR" CERTIFICATE OF LIABILITY INSURANCE D11/12/201/8D/YYYY)
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 have ADDITIONAL INSURED provisions or 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
Marsh Canada Limited NAME; - - - -- --__—_--
120 Bremner Blvd., Suite 800 Attn: Canada.Certrequest@marsh.com (ac NNo. Ext): A/c No):
Toronto, ON, M5J OA8 E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE NAIC # _
CN102102280-PPJ-GAWUP-18-19 INSURER A: Liberty Mutual Insurance Company 23043
INSURED INSURER B : Liberty Mutual Fire Insurance Company 23035
Badger Dayligh6ng Corp -- —
8930 Motorsports Way INSURER C :
Brownsburg, IN 46112 INSURER D :
COVERAGES CERTIFICATE NUMBER: HOU-003462464-01 REVISION NIIMRFR- 1
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
LTR
TYPE OF INSURANCE
ADDL
UBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
X
X
TB1-B71-171080-038
07/01/2018
07/01/2019
EACH OCCURRENCE
$ 2,000,000
CLAIMS -MADE � OCCUR
DAMAGE S ( a occurrence)
PREMISES Ea occurrence
$ 300,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 2,000,000
GEN1
AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
$ 2,000,000
POLICY jE LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
X
X
AS1-B71-171080-048
07/01/2018
07/01/2019
COMBINED SINGLE LIMIT
Ea accident)
$ 2,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
X
BODILY INJURY (Per accident)
$
X
PROPERTY DAMAGE
Per accident
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
X
UMBRELLA LIAB
X
OCCUR
X
X
1000212108-03
07/01/2018
07/01/2019
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
EXCESS LIAR
CLAIMS -MADE
DED I X I RETENTION $10 000
$
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICE R/MEM BEREXCLUDED? ❑N
(Mandatory in NH)
NIA
X
WA2-87D-171080-068(AOS)
WC2-B71-171080-058 (WI)
07/01/2018
07/01/2019
07I01/2019
X PER oTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E L. DISEASE - EA EMPLOYEE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
1 00o UUO
$
A
Pollution Liability
TI1TO1ABHZ2R117 - Ded: 25,000
07/01/2017
07/01/2019
Each Incident
10,000,000
Claims -Made
Aggregate
10,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins, its officers, agents, and employees are included as additional insured (except workers' compensation and pollution) where required by written contract. Waiver of subrogation is applicable where
required by written contract.
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Fort Collins, CO 80522 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Manashi Mukherjeet auaeaw .na e
@ 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD