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HomeMy WebLinkAbout113278 KONE INC - INSURANCE CERTIFICATE (3)ACOR" CERTIFICATE OF LIABILITY INSURANCE �../ DATE(MM/DD/YYYY) 12/16/2015 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). Aon Risk Services Central, Inc. Chicago IL Office 200 East Randolph Chicago, IL 60601 CONTPRODUCER NAME: Aon Client Services PAHOC.NEO. 866-283-7122 Fn c No : 847-953-5390 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC N INSURER A: O!d Republic Insurance Company 24147 INSURED KONE Inc. INSURER B : Attn: insurancerequests@kone.com INSURERC: INSURER D: One KONE Court Moline IL 61265 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: 27665559 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. IPOLICY LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER EFF MM/DD/YYYY) POLICY EXP (MM/DDr(YYYI LIMITS A `/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE W OCCUR MWZY 57732 1/1/2016 1/1/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TRENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a JER� LOC OTHER: GENERAL AGGREGATE $ 1,000,000 PRODUCTS-COMP/OPAGG $ 1,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS L MWTB20018 1/1/2016 1/1/2017 EeaBINEDSINGLELIMIT $ 1,000,000 BODILY INJURY (Per person) $ P BODILY INJURY (Per accident ( ) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE_ $ DIED RETENTION $ A A WORKERS AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑N (Myandatory in NH) es, describe under DESCRIPTION OF OPERATIONS below N/A MWC 115397 08 (AOS) MWXS 822 08 (OH) 1/1/2016 1/1/2016 1/1/2017 1/1/2017 TH STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 2,000,000 Other Policies See Schedule of Other Policies DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Contract No. 40127571 - Project/Location: Various locations 40127571 Fort Collins, CO Certificate Holder and other parties as required by contract are listed as additional insured to the extent of the terms of the contract. Completed Operations shall be maintained per the terms of the contract. CERTIFICATE HOLDER CANCELLATION City of Fort Collins PO Box 580 Fort Collins CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 ,eea�. Aon Risk Services Central, Inc. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 27665559 ! 000-U.S. 1 16/17 GL AU XS WC (OT Po"Cy Schedule) I Vickie Parker 1 12/16/2015 2:46:21 PM (CST) I Page 1 of 4 This certificate cancels and supersedes ALL previously issued certificates.