Loading...
HomeMy WebLinkAboutElevator Liability Cert 2019Page 1 of 1 AC'©R©`� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/OD/YYYY) 12/os/zDla 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(les) 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 Willis of New York, Inc. c/o 26 Century Blvd P,O. Sox 305191 Nashville, TN 372305191 USA CONTACT NAME: __. PHONE 1-877-945-7378 ;FAX 1-888-467-2378 (A C No Ext) (A/C,No): E-MAIL certificates@willis.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Zurich American Insurance Company 16535 INSURED Schindler Elevator Corporation P.O. Box 1935 20 Whippany Road Morristown, NJ 07962 INSURER B -_ ......__ _....._..._._,__. ... __._,.__.. .. ._....__. _, _,.___,_«_.. .._.......,. _INSURERC:_�,__.._�.� INSURER D : INSURER E ` INSURER F : { ' • COVERAGES CERTIFICATE NUMBER: W9106349 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. INSRr ..'.......__..-...._.....__ __.....___ _.__-.....-1-ADDLTSUBFi.._ .,____.....__-_....__ .._....._......._....,,_.� POLIGYEFF I POLICY EMI -1 �_.... ..' LTR TYPE OF INSURANCE IVSD i WVD POLICY NUMBER I (MMIDD/YYYY) I (MMfDD/YYYY) i LIMBS GEN'L X COMMERCIAL GENERAL LIABILITY i CLAIMS -MADE l__ j OCCUR I i EACH OCCURRENCE I DAMAGE TO RENTED I PREMISES (Ea occurrence) MED EXP (Any one person) MO 6445435-29 101/01/2019 01/01/20201 PERSONAL & ADV INJURY GENERAL AGGREGATE 1PRODUCTS-COMP/OPAGG $ 2,000,000 $ 1 00 000 $ 10, 000 $ 2,000,000 $ 5,000,000 $ 3,000,000 $ Contractual Liability i AGGREGATE LIMIT APPLIES PER: POLICY PRO i LOC _i JECT OTHER: A AUTOMOBILE X LIABILITY ANY AUTO OWNED I 1 SCHEDULED AUTOS ONLY 1 iAUTOS ' • SAP 6445436-29 01/01/2019 I 01/01/20201 COMBINED SINGLE LIMIT lEa eccldenO__ BODILY INJURY (Per person) BODILY INJURY (Per accident}' F PROPERTY - $ 5, 000,000 $ $ $ x x HIRED NON -OWNED , x AUTOS ONLY i AUTOS ONLY UMBRELLA LIAB I I OCCUR { I I EACH OCCURRENCE i i AGGREGATE $ $ EXCESS LIAB i l CLAIMS -MADE DED j ' RETENTION$ A WORKERS AND ANYPROPRIETOR(PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory If yes, DESCRIPTION COMPENSATION! EMPLOYERS' LIABILITY Y / N I WC 6668187-28 101/01/2019 1 I I PER i OTH x; STATUTE I, �R 1 E.L. EACH ACCIDENT 01/01/2020f E.L. DISEASE • EA EMPLOYEE i i E.L. DISEASE - POLICY LIMIT $ . _ 5,000 5,000,000 $ ,000,000 $ 5, 000, 000 No iN/AI In NH) describe under OF OPERATIONS below A Workers Compensation Employers Liability Per Statute WC 6445438-30 I 01/01/2019101/ 01/2020lE1, Each Accident EL Disease - EA Empl. EL Disease - po1 Lmt, 95,000,000 95,000,000 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 8EC6432 - CONT# 41-102105 Cape Canaveral City all, 110 Polk Ave, Cape Canaveral, FL 32920. CERTIFICATE HOLDER CANCELLATION City of Cape Canaveral 100 Polk Ave Cape Canaveral, FL 32920 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 f5- ACORD 25 (2016/03) O 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD eR ID: 17122821 BATCH: 982936 2 of 2 3735 ZURICH � �* ��� ��xuvxmxv� uuvv�ux.*. ,7 �w' ��w�uv.�oxxvuuuvcx� �v���uux�uuu�� �uuvc U.S.'������������eD�art�����»����l����^��� Assets ���������D _ - ~ Department's Office- _ -�� Control ~ ("OFAC") regulations No coverage is provided by this policyholder notice nor can it be construed to replace any provisions of your policy.You should read your policy and review your declarations page for complete information on the coverages you are provided. This notice provides information concerning possible impacon your insurarice coverage due to directives issued by the U.S. Treasury Department's Office of Foreign Assets Control ("OFAC"). Please read this Notice carefully. OFAC administers and enforces sanctions policy based on Presidential declarations of "national emergency". OFAC has • Foreign agents; • Front organizations; ° Terrorists; • Terrorist organizations; and ▪ Narcotics traffickers; as "Specially Designated Nationais and Blocked Persons." This lisi can be ocated on the United States Treasurys web site —htt.://www.treoaur .°Vw/about/oranizationm|'struc1urv/officnu/Pagou/Office'of-Foveign'Asoetu'Contno|.aspx. In accordance with OFAC regulations, if it is determined that you or any other insuredor any person or entily claiming the benefits of this insurance has violated U.S. sanctions law or is a Specially Designated National and Blocked Person, as identified by OFAC, this insurance will be considered a blocked or frozen contract and all provisions of this insurance are immediately subject to OFAC restrictions. When an insurance policis considered to be such a blocked or frozen contract, no payments or premium refunds may be made without authorization from OFAC. Other imitations on premiums and payments also apply. Includes copyrighted material of Insurance Services Office, Inc., with its permission. U-GU1041-A (3/11)