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HomeMy WebLinkAboutInsurance Certificate: Zoll Medical Corp �—■.,N ® DATE(MM/DD/YYYY) ,� n CERTIFICATE OF LIABILITY INSURANCE 06/26/2019 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 m SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this w certificate does not confer rights to the certificate holder in lieu of such endorsement(s). m PRODUCER CONTACT 'fl ' NAME: Aon Risk Services South, Inc. PHONE Atlanta GA Office (A/C.No.Ext): (866) 283-7122 (A/C.No.): (800) 363-0105 D 3550 Lenox Road NE E-MAIL O Suite 1700 ADDRESS: _ Atlanta GA 30326 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Federal Insurance Company 20281 ZOLL Medical Corporation INSURER B: Trans Pacific Ins CO 41238 269 Mill Road Chelmsford MA 01824-4105 USA INSURER C: Tokio Marine America Insurance Company 10945 INSURER D: Mitsui Sumitomo Insurance USA Inc. 22551 INSURER E: The Travelers Indemnity Co. 25658 INSURER F: The Charter Oak Fire Insurance Company 25615 COVERAGES CERTIFICATE NUMBER: 570017028972 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. Limits shown are as requested INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMM/DD/YYYY MMIDD/YYYY)) LIMITS B X COMMERCIAL GENERAL LIABILITY CLL640976002 07/01/2019 07/01/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE I X I OCCUR DAMAGE TO RENTED $1,000,000 PREMISES(Ea occurrence) MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 NI GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 0 X POLICY PRO LOC PRODUCTS-COMP/OPAGG Excluded JECT o OTHER: o N- C AUTOMOBILE LIABILITY CA6409761-02 07/01/2019 07/01/2020 COMBINED SINGLE LIMIT $1,000,000 `c (Ea accident) , X ANY AUTO BODILY INJURY(Per person) o z OWNED —SCHEDULED BODILY INJURY(Per accident) d AUTOS ONLY _AUTOS ' i HIRED AUTOS NON-OWNED PROPERTY DAMAGE U ONLY _AUTOS ONLY (Per accident) ty.. C) N D X UMBRELLA LIAB X OCCUR EX55200217 07/01/2019 07/01/2020 EACH OCCURRENCE $25,000,000 0 EXCESS LIAB CLAIMS-MADE AGGREGATE $25,000,000 DED I RETENTION E WORKERS COMPENSATION AND UB53319473 07/01/2019 07/01/2020 X (STATUTE I OTH- ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N A05 E.L.EACH ACCIDENT $1,000,000 F OFFICER/MEMBEREXCLUDED? N N/A UB8N278805 07/01/2019 07/01/2020 (Mandatory in NH) see below states E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT 51.000,000— A Products Liab 36019266 07/01/2018 08/15/2019 Prod/Comp Ops/Agg $5,000,000 Retro Date 10/1/2004 Prod/Comp Ops/Occ $5,000,000 Deductible $200,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) F Products Liability - claims made coverage. The City of Ashland is included as Additional Insured in accordance with the policy provisions of General Liability Policy. Policy UB8N278805 - Covered states: FL,IA,MO,NV,NJ,NH,NY,OR,TX,VA,WI 3J 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. City of Ashland AUTHORIZED REPRESENTATIVE Attn: Kariann Olson 90 N. Mountain Avenue . ��� rs � � �Y Ashland OR 97520 USA et 9: ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000057723 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY NAMED INSURED Aon Risk Services South, Inc. ZOLL Medical Corporation POLICY NUMBER See Certificate Number: 570077028972 CARRIER NAIC CODE See certificate Number: 570077028972 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC# INSURER INSURER INSURER 'INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. INSR ADDL SUBR POLICY POLICY LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER EFFECTIVE EXPIRATION LIMITS DATE DATE (MM/DD/YYYY) (MM/DDIYYYY) EXCESS LIABILITY A 79882432 07/01/2018 08/15/2019 Aggregate $5,000,000 Ex Products Liab Each $5,000,000 occurrence ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD