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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 7540 ELEVATOR MAINTENANCE & REPAIR - LINCOLN CENTERZurich American Insurance Company 16535-003 American Zurich Insurance Company 40142-001 877-945-7378 888-467-2378 certificates@willis.com Willis of New York, Inc. c/o 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230-5191 P.O. Box 1935 20 Whippany Road Morristown, NJ 07962-1935 X X X Contractual Liability X 2,000,000 1,000,000 10,000 2,000,000 5,000,000 5,000,000 A GLO644543526 1/1/2016 1/1/2017 X X X X A BAP644543626 1/1/2016 1/1/2017 5,000,000 A WC644543827 1/1/2016 1/1/2017 X 5,000,000 5,000,000 5,000,000 B N WC666818725 1/1/2016 1/1/2017 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. Schindler Elevator Corporation Page 1 of 2 11/08/2016 Y Y Y Y Y Y 24873055 Fort Collins, CO 80522 PO Box 580 The City of Fort Collins Purchasing Department Coll:4987792 Tpl:2016604 Cert:24873055 DATE (MM/DD/YYYY) PRODUCER INSURED INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS’ LIABILITY Y / N N / A ADDITIONAL REMARKS SCHEDULE AGENCY CUSTOMER ID: LOC#: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: 620000 Page 2 of 2 Willis of New York, Inc. See First Page See First Page See First Page Schindler Elevator Corporation P.O. Box 1935 20 Whippany Road Morristown, NJ 07962-1935 25 CERTIFICATE OF LIABILITY INSURANCE To the extent required 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. Coll:4987792 Tpl:2016604 Cert:24873055 (Mandatory in NH) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE CONTACT NAME: PHONE FAX (A/C, NO, EXT): (A/C, NO): E−MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC # INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: EACH OCCURRENCE DAMAGE TO RENTED $ CLAIMS−MADE OCCUR PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN’L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ PRO- POLICY JECT LOC OTHER: $ COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY(Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY(Per accident) $ NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) $ $ OCCUR EACH OCCURRENCE CLAIMS−MADE AGGREGATE $ $ DED RETENTION $ $ PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014/01) © 1988−2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE