Loading...
HomeMy WebLinkAboutInsurance Certificate: Zoll Medical Corp. ACC;"?"® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 06/29/2021 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 d SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this i certificate does not confer rights to the certificate holder in lieu of such endorsement(s). c PRODUCER CONTACTa! •Aon Risk Services Northeast, Inc. PHONE. Stamford CT Office (AIC.No.Ext): 0666) 283-7122 FAX No.): (800) 363-0105 1600 summer street E-MAIL Stamford CT 06907-4907 USA ADDRESS: i INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: . Federal Insurance Company 20281 ZOLL Medical Corporation .INSURER B: Mitsui Sumitomo Insurance USA Inc. 22551 269 Mill Road Chelmsford MA 01824-4105 USA INSURER C: Trans Pacific Ins Co 41238 INSURERD: Tokio Marine America Insurance Company • 10945 INSURER E: Sompo America Fire & Marine Insurance Co 38997 INSURER F: _ COVERAGES CERTIFICATE NUMBER:570088158335 REVISION NUMBER: o, , 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 areas requested INSR ... r:- - OLICY EFF -POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS C X COMMERCIAL GENERAL LIABILITY CLL640976004 07/01/2021 07/01/2022 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X❑OCCUR PREMISES(Ea occurrence) $100,000 , MED EXP(Any one person) $5,000 . —PERSONAL&ADV INJURY $1,000,000 M, GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 Fol GE POLICYJECT LOC PRODUCTS-COMP/OPAGG Excluded co OTHER: o D CA640976104 07/01/2021 07/01/2022 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $1,000;000 - _ (Eaaccident) - X ANY AUTO - BODILY INJURY(Per person) G Z OWNED --SCHEDULED , BODILY INJURY(Per accident) AUTOS ONLY i.AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE V mo —ONLY _AUTOS ONLY (Per accident) w.. C • B X UMBRELLALIAB X OCCUR EXS5200217 07/01/2021 07/01/2022 EACH OCCURRENCE $25,000,000 tD EXCESS LIAB CLAIMS-MADE AGGREGATE $25,000,000 DED I RETENTION E WORKERS COMPENSATION AND 3CD40122W0 07/01/202107/01/2022 X PER STATUTE 0TH- EMPLOYERS'LIABILITY Y/NAOS ER E OFFIPROPRIETOR/PARTNER/CER /MEMBER EXCLUDED?EXECUTIVE n N/A JCR40013NO 07/01/2021 07/01/2022 E.L.EACH ACCIDENT $1,000,000 (Mandatory in NH), I I WI E.L.DISEASE-EA EMPLOYEE'" $1,000,000 If yes,describe under ' DESCRIPTION OF OPERATIONS below _ E.{..DISEASE-POLICY LIMIT $1,000,000 A Products Liab 36019266 07/15/2021 07/15/2022 Prod/Comp Ops/Agg $5,000,000. Retro Date 10/1/2004 Prod/comp ops/occ $5,000,000..--z Deductible '$200,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional.Remarks Schedule,may be attached if more space Is required) Products Liability - claims made coverage.The city of Ashland' is included as Additional Insured in accordance with the policy provisions of General Liability Policy. m CERTIFICATE HOLDER CANCELLATION "a�w .17= 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 - kr., Attn: Kariann Olson 90 N. Mountain Avenue n �. Ashland OR 97520 USA /J ii(�' �i M . C /I ee/ - ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000083508 LOC#: 1E ' ' . ADDITIONAL REMARKS SCHEDULE " Page _ of AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. ZOLL Medical Corporation POLICY NUMBER see Certificate Number: 570088158335 CARRIER NAIL CODE SeeCertificate Number: 570088158335 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 SUER POLICY NUMBER POLICY- POLICY LIMITS LTR TYPE OF INSURANCE INSD WVD' EFFECTIVE EXPIRATION DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) EXCESS LIABILITY A 79882432 07/15/2021 07/15/2022 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 MSC#17755 Aon Risk Services PO Box 1447 Lincolnshire,IL 60069 MDG2021 00001170 01 iIihh111111Ih.1111-IIiiruPIiIr11.1.1uuIIIiuIuIIII111111ui City of Ashland r� Attn: Kariann Olson 90 N. Mountain Avenue Ashland OR 97520