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HomeMy WebLinkAboutCertificates of Insurance ,�►� CERTIFICATE OF LIABILITY INSURANCE rDATI CMINNlrDIRUdYYYYI ,.. , .. 16I3CU"2CI25 THIS CERTIFICATE IS ISSUED AS 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 IINISUIRER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder its an ADDITIONAL INSURED,the polilcy(iles)must have AD DIITIONAL INSURED provisions or Ibe 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). PR'(MUCER CONTACT MARSH USA,LLC. NAME. 445 SOUi1"H S'I'RE:E"I P ra Ext: F INd MORRISTOWN„NJ 07966,6454 � E-MAIL. ADDRESS: IINSURERISD AFFORDING COVERAGE NIAIC Uk C II4700'3-RAM-PR F,29" 4433 GRAM NOC60 INSURER A: Zurich Atriencain Irnsuiraince Company 16535 INSURED SIEMENS INDUSTRY,IINC.. INSURER U: Traivelers Property Casualty Co,.of Arnehca 25674 1000 DEEIRI IEILI:D PARKWAY INSURER C: NIA NIA BUFFALO,GROVE„II.. 60W9..4513 INSURER LD: T"ravellers Casualty&Surety company 1r9036 INSURER E INSURER F` COVERAGES CERTIFICATE NUMBER: NYC--009184004 3'0 REVISION NUMBER: THIS IS TO CERTIFY THAT THE PC:DLICiES OF INSURANCE LISTED II'E.l.l"7"W HAVE BEEN ISSIIIEU TO THE INSURED NAMED Ak6C1'VE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM( OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH' RESPECT TO WHICH THIS CERTIFICATE MAY 131E IISSIUEILD OR MAY PERTAIN, THE IINSUIRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT To ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCI°'I POLICIES.LIMITS SHOWN MAY HAVE BEEN REILDUCEED BY PAID CLAIMS RCS INSU. POLICY Err POLICY EXP TYPE INSURANCE LD, POLICY NUMBEINR MITI I)MYI"YY IWIICWIWUCYw1?YYW LIMITS A K GL00444623-061 10K,1025 10K1110026 EAQ1 OCCURRENCE $ 1,000,000 CLAIIMaS•MaAEDE Fx-1 CXCLPR PREMTISES Ea occurmloo $ 1,000,000 M9ED EXIP(Any one PeDson) $ 1100,000 PERSONAL$AEDV INJIUIRY $, 1,000;000 GElhIAGGRL.C4AiELIM'rAPIFLIE$PE:R:: GENERAL AGGRE'GA"rE $ I6,I CY,000 POLICY 1 PROF, F7 LCDC PRO DUC"I"S.COMIPIOP AG4 D, $ INCL. uEc"r rl Cp"rHER:' $' R AuTOMOEHLE L.IABILffY TC21 CAP 74401.34ATIII.-25 IGpd' 1025 10K1110026 C OMBIINE:IT SIN A E I..IIFAIT $ 2, �,64D6 Ea atodenl K ANY AUTO BO DIL Y'INJURY(Per Pep'sdrr) $ NIA OWNED CbLIJE'DULErY UCDEDID.:Y'INJdDRM CF r�aroder18� $ NAAUTCpSONILY AUros HIRED 11 NC?WOWadNEIT PROPERTY DAMAGE AUTOS UMaRIRE.L N ALLUArI AUTOS CD;NILY �• .T�� Per dlrruderunl ,.. � NAOCCURDDATF _.___ EAQ1OC,CURRENICE $ EXCESS DAR CLAIM&MaAIUE wA NIA. yyF. AC43REGA'rE $ DED I I RIE"rENI"ION$ $ B WORMERS COMPENSATION UIU 9P6'3929A 2..51.K(ACDS)I 10MII2625 1134U'I0026 UI PE,R'TU"rE 0 I. AND E,MrPLCDYERS"LIAIFYILfrY U' ANYPROPRIEP4'7I~�F'AR�'I NEWS CP.N�I.IVE Y P LUR$ 79 3UA a Lro1•R�A7„ A�it 4l 1 1�2�5 1 11 12 b EEl EACH L DISEASE A CI 4 EMPLOYEE $ 1.1 !CLI9 O'FIFP EFUMEM BEREX.CLUDED'? � N(A 00 B ITWlalldatory in NLI'l TARKI'UR..7449 L3' -TIL 25 C7I I' II II�2'D 1 11 dI126 S.. .,e $ 1,000,000 ur ,s„d crrl under �� - r 1,I CD,¥36C 0 SCRIPI ICDNI�OF OPERA"I"IONS below �6K LIMIT/ ,D6N6K SIIR""'�"' E L DISEASE'-POLIICY LI I"'r �$ A PROFESSIONAL LIABILITY EUC3245101.0011 IC I1a! 2�5 10K,10026 Llrnil 1,0001,000, SIR 1,0001„000, DESCRIPTION Or OPERATIONS I LOCATIONS I VE HICULES IACCDRD Tat a A(kiihmiai Rernarkss Sd*du ie,may be attached d(MOM Space Is Aldred) RE;JOB NiO,INA, SEE A'l""TACHEU CERTIFICATE HOLDER CANCELLATION MONIR'OE COUNTY BOCCU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. IINSUIRANCE C'OMPLIANIC;E THE (EXPIRATION DATE THEREOF, NOTICE WILL BIE DELIVERED IIN 1 I11 12TH STREET„SUITE 408 ACCORDANCE WITH THE POLICY PROVISIONS. KFY WEST,FL. 3,3040, A9UTHICDRIZErD REPRESENTATIVE: of MAamb(USA I CLD 1 88-2116 ACORD CORPORATION. All rights reserved. ACORD 2 (201610t 3) The ACOR©name and logo are registered)marks of A ORD AGENCY CUSTOMER ID. CN102147003 LOC#: Miorristown ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA,LI-C. SIIEMIENS INDUSTRY,INC 1000 DEE RFIEI D PARKWAY POLICY NUMBER BUFFALO GROVE,,IIL 600894513 CARRIER NAIIC CODE DAAi� ADDITIONAL REMARKS THIS ADDITIONAL REMARKS(FORM IS A SCHEDULE TO ACORD FORMI, FORM NUMBER: 25 FORM TIITLE: Certificate of Liablility Insurance Cyr Garner Steadfast Insurance Company Pdkylem� IOMV2025-10112026 RE:JOB,NO,NA MONROE COUNTY BOr CC IS HEREBY ADDITIONAL IINSUIIRED AS OBUGATED UNDER CONTRACT UINIDEIR THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY INSURANCE POLICIES. WAIVER OF SUBRO4'TA11014 2,EFFECTUAL WHERE REQUIRED BY WRITTEN CONTRACT IF THESE POLICIES ARE CANCR LED FOR ANY REASON OT11ER THAN NON PAYMENT OF PREMIUM,THE dNSUIRER WILL DELIVER NOTICE OF CANCELLATION TO THE CERTIFICATE H101 DER UP TO 60 DAYS PRIOR TO THE CANCELLATION OR AS REQUIRED BY WRfl7FN CONTRACT,WHIC HEV'ER IS LESS. ACORD 10,11 (20,08101) @ 20108 ACORD CORPORATION. All righits reserved. The ACORD name and logic are registered marks of ACORD,