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HomeMy WebLinkAbout292454 THERMO ELECTRON NORTH AMERICA LLC - INSURANCE CERTIFICATE (4)AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/29/2015 1 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 AOn Risk Services Northeast, Inc. Boston MA Office CONTACT NAME: (A/CC..NNo. Ext): (866) 283 7122 F C No.): (800) 363-0105 E-MAIL ADDRESS: One Federal Street Boston MA 02110 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Property Cas Co of America 25674 Thermo Electron North America LLC INSURERB: ACE American Insurance Company 22667 Thermo Fisher Scientific Inc 5225 Verona Road INSURERC: ACE Property & Casualty Insurance Co. 20699 INSURER D: Madison WI 53711 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570058491507 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 INSR LTR TYPE OF INSURANCE ADDL INSD I SUER: WVD POLICY NUMBER POLICY Y MM/DDlYYYY P LI Y XP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY G 1 EACH OCCURRENCE $2,000,000 CLAIMS -MADE X❑ OCCUR SIR applies per policy terns & Condl Ions DAMAGERENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10, 000 PERSONAL &ADV INJURY $2,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4 , 000 , 000 X POLICY ❑ PRO- LOC PRODUCTS - COMP/OP AGG $4,000,000 OTHER. A AUTOMOBILE LIABILITY TC23-CAP-7439L260-TIL-15 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT Ea accident $2,000,000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) C X UMBRELLA LIAB X OCCUR XOOG27834747 07/01/2015 07/01/2016 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $10 , 000 , 000 DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR / PARTNER / EXECUTIVE TC23UB121D764715 07/01/2015 07/01/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1 , 000 , 000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ❑ / NA E.L. DISEASE -EA EMPLOYEE $1 , 000 , 000 If yes, describe under DESCRI^TION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 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 AUTHORIZED REPRESENTATIVE 4316 W. Laporte Attn: Fort Carl Yost Collins Co 80521 USA �f- /��Q ,{/' n/� (%?�,rDfC cJrt�srced c/rla eJ�aa ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD