Loading...
HomeMy WebLinkAboutInsurance Certificate: Hach Company Ac ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)06/17/2022 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 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 CONTACT Justin Llizo MARSH USA INC. NAME: 1050 CONNECTICUT AVENUE,SUITE 700 IA/C.No.Ext:NEFAX No): 202-263-7700 WASHINGTON,DC 20036-5386 ADDRESS: Jusfn.Llizo@marsh.com Attn:Danaher.certrequest@marsh.com Fax(212)948-0503 ' INSURER(S)AFFORDING COVERAGE NAIC# CN102997607-ALL.7/1.22-23 HACH NO INSURER A:ACE American Insurance Company 22667 INSURED INSURER B:ACE Property and Casualty Insurance Company 20699 HACH COMPANY 5600 LINDBERGH DRIVE INSURER c:Indemnity Ins Co Of North America 43575 LOVELAND,CO 80539 INSURER D:ACE Fire Underwriters Insurance Company 20702 INSURER E: . INSURER F: COVERAGES CERTIFICATE NUMBER: CLE-006426437-14 REVISION NUMBER: 6 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 ADDL S TYPE OF INSURANCE NW SD VD POLICY NUMBER POLICY EFF POLICY EXP (M M/DD/YYYY) (M M/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G7248521A 07/01/2022 07/01/2023 EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR PRRENTED PREMISES l DAMAGE occurrence) $ 2,000,000 ( X Contractual Liability - MED EXP(Any one person) $ 10,000 X Broad Form PD PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 5,000,000 OTHER: $ A AUTOMOBILEUABIUTY ISA H25561156 07/01/2022 07/01/2023 COMBINED SINGLE LIMIT $ 5,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ B X UMBRELLA LIAB X OCCUR XEUG71535290 004 07/01/2022 07/01/20232,000,000 EACH OCCURRENCE _ $ EXCESS UAB CLAIMS-MADE AGGREGATE $ 2,000,000 . DED RETENTION$ $ C WORKERS COMPENSATION WLR 068919125 (AOS) 07/01/2022 07/01/2023 X PER 0TH- AND EMPLOYERS'LIABILITY STATUTE ER A ANYPROPRIETOR/PARTNERJEXECUTIVE YN/A WLR 068919083(CA,MA,AZ) 07/01/2022 07/01/2023 2,000,000 D OFFICER/MEMBEREXCLUDED? I I E.L.EACH ACCIDENT $ (Mandatory in NH) SCF C68919162(WI) ' 07/01/2022 07/01/2023 E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under 2,000,000 DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) THE CITY OF ASHLAND,ITS ELECTED OFFICIALS,OFFICERS&EMPLOYEES ARE ADDITIONAL INSURED FOR GENERAL LIABILITY AND AUTO LIABILITY BUT ONLY AS REQUIRED BY WRITTEN CONTRACT WITH RESPECT TO THE OPERATIONS OF THE NAMED INSURED. GENERAL LIABILITY AND AUTO LIABILITY COVERAGE EVIDENCED HEREIN IS CONSIDERED PRIMARY AND NON- CONTRIBUTORY WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND SHOULD ANY OF.THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 EAST MAIN STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND,OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I 'Milt 4 21,E T O:.C. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 0005208 SP 0214 -C01-P05210-1 CITY OF ASHLAND 20 EAST MAIN STREET ASHLAND, OR 97520 0214-01-00-0005208-0001-0015286