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Home My WebLink About164966 SCHNEIDER ELECTRIC USA INC - INSURANCE CERTIFICATE (2)"--lil , ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 04/25/2018 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 MARSH USA INC 99 HIGH STREET BOSTON, MA 02110 Attn: Boston. CertRequest@Marsh.com I Fax: 212-948-4377 CONTACT NAME: PHONE — FAX (A/C. No, Extl, .(A/C,No): E-MAIL ADDRESS: —_ INSURER(S) AFFORDING COVERAGE NAIC p _ INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 LSPIKE INSURED Schneider Electric Holdings, Inc. (See page 2 for Additional Named Insureds) 200 North Martingale Road, Suite 1000 INSURER B : HDI Global Insurance Company 41343 INSURER C : New Hampshire Insurance Co. 23841 INSURER D : Illinois National Insurance Company 23817 INSURER E : Schaumburg, IL 60173 INSURER F : .+rnr.r.n wTc wrsaoco. NVGnl n97rT)7-n1 REVISION NIIMRFR, 3 VVYLr�I�V LV 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. ADDL SUBR POLICY EFF POLICY EXP INSR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY X 3629879 01/01/2018 01/01/2019 EACH OCCURRENCE $ 5,000,000 F-vi CLAIMS -MADE OCCUR Contractual Liability DAMAGE PREMISES (Ea occurrence) $ 5,U05,000 X MED EXP (Any one person) S,000 $ PERSONAL & ADV INJURY $ S,000,OOO GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COMP/OP AGG $ 5,000,000 X POLICY PRO ❑ LOC JECT OTHER. A AUTOMOBILE LIABILITY X 1921780 ( ADS) 01/01/2018 01/01/2019 COMBINFD SINGLE LIMIT Ea accident ) $ 5,000,000 _ BODILY INJURY (Per person) $ A X ANY AUTO 1921781 (NIA) 01/01/2018 01/01/2019 BODILY INJURY (Per accident) $ _ $ $ q OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 1921779 (VA) 01/01/2018 01/01/2019 PROPERTY DAMAGE Per accident X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUD11986-06 0110112018 0110112019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 _ DED RETENTION $ WORKERS COMPENSATION _ X STATUTE ERH $ C 014649569(AOS) 01/Q1/201 E.LEACHACCIDENT $ S,000,OOO AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED (Mandatory in NH) It yes describe under DESCRIPTION OF OPERATIONS below / NA Additional VVCIEL policies are shown P on the following page E L DISEASE - EA EMPLOYEE $ 5,000,000 E L DISEASE -POLICY LIMIT $ 5,000,000 D PROFESSIONAL 05-505-28-00 01/0112018 01/01/2019 EACH CLAIM I AGGREGATE 5,000,000 E&O LIABILITY POLICY IS CLAIMS MADE 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 with respect to General Liability and Auto Liability per the endorsement(s) attached. CERI I City of Fort Collins Attn:IT 215 N Mason St PO Box 580 Fort Collins, CO 80522 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 of Marsh USA Inc. Manashi Mukherjee lJ I V00-LV IV Fltr..y..w ..s... ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD