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HomeMy WebLinkAbout250572 SCHINDLER ELEVATOR CORPORATION - INSURANCE CERTIFICATE (20)A�Ro® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 11/`0 12016 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 Willis of New York, Inc. c/o 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230-5191 CONTACT NAME: O EXT: 877-945-7378 FAX A/C No.C No: 888-467-2378 E-MA ADDRESS: certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC # INSURERA:Zurich American Insurance Company 16535-003 INSURED Schindler Elevator Corporation INSURER B: American Zurich Insurance Company 40142-001 INSURERC: P.O. Box 1935 20 Whippany Road Morristown, NJ 07962-1935 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 24873055 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. INSR LTR TYPEOFINSURANCE ADDL SUBF D POLICYNUMBER POLICY EFF M YY POLICY EXP M DD YYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y GL0644543526 1/1/2016 1/1/2017 $ 2,000,000 CLAIMS -MADE OCCUR pEEAAqCC�HgqOEECrCOoURgqRENCE PREMRES?OENIED C.) $ 1,000,000 X MED EXP (Anyone person) $ 10,000 Contractual Liability PERSONAL BADVINJURY $ 2,000,000 G_EN'L X AGGREGATE LIMIT APPLIES PER: PRO- ❑ LOC POLICY ❑ JECT GENERAL AGGREGATE $ 51000,000 PRODUCTS $ 5,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y BAP644543626 l/l/2016 1/l/2017 COMBIINED dent) SINGLE LIMIT (Ea accident) $ 5,000,000 X BODILY INJURY(Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X er accident ( ) BODILY INJURY(Per $ X HIRED AUTOS X NON -OWNED AUTOS PROP ERTYDAMA Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ H AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ p B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUIIVEY� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) f yes, describe under N/A Y Y WC644543827 WC666818725 1/1/2016 1/1/2016 1/1/2017 1/1/2017 T X STAT TE OH ER E.L. EACH ACCIDENT $ 5,000,000 E.L. DISEASE - EA EMPLOYEE $ 5,000,000 E.L. DISEASE -POLICY LIMIT $ 5,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached if more space is required) SEC5230 - CONT# 42-12660 THE INSURANCE COVERAGE REFERENCED FOR THE ADDITIONAL INSURED(S),PER POLICY FORM AND WRITTEN CONTRACT, IS PRIMARY AND NON-CONTRIBUTORY. Lincoln Center, 417 W Magnolia St, Fort Collins, CO 80521. 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. AUTHOR[ D R ESENTA The City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522 Coll:4987792 Tpl:2016604 Cert:24873055 © 88-2014ACORDCORPORATION.Allrightsreserved. ACORD 25 (2014/01) The ACORD name and logo are registered mark of ACORD AGENCY CUSTOMER ID: LOC#: 0000 A ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis of New York, Inc. Schindler Elevator Corporation P.O. Box 1935 20 Whippany Road Morristown, NJ 07962-1935 POLICY NUMBER See First Page CARRIER NAIC CODE ,See First Page I EFFECTIVEDATE: See First Page AUUI I IUNAL HEMAHKb THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE To the extent regwired by written contract, the following is named as an Additional Insured: The City of Fort Collins Purchasing Department, PO Box 580, Fort Collins, CO 80522. See Attached Additional Insured Endorsements. Waiver of Subrogation is provided on the referenced policies to the extent required by written contract and where permitted by law. ACORD 101 (2008/01) Coll:4987792 Tpl:2016604 Cert:24873055©2008ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD