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HomeMy WebLinkAboutInsurance Certificate: HACH CO. ACORO® DATE(MM/DD/YYYY) AC CERTIFICATE OF LIABILITY INSURANCE 06/14/2021 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 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 MARSH USA INC. NAME' 1050 CONNECTICUT AVENUE,SUITE 700 A/C No.Ext): FAX No): WASHINGTON,DC 20036-5386 E-MAIL Attn:Danaher.certrequest@marsh.com Fax(212)948-0503 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# CN102997607-ALL.7/1.21-22 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-006426437-10 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W /YLIMITS LTR INSD VD POLICY NUMBER IMM/DDYYY),(MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY HDO G72488301 07/01/2021 07/01/2022 EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR PRTORENTED PREMISES lEa 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 PROT LOC PRODUCTS-COMP/OPAGG $ 5,000,000 JEC OTHER: • $ A AUTOMOBILE UABILITY ISA H25540918 07/01/2021 07/01/2022 COMBINED SINGLE LIMIT $ 5,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) B X UMBRELLA LIAB X OCCUR XEUG71535290003 07/01/2021 07/01/2022 2,000,000 EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED RETENTION$ - $ C WORKERS COMPENSATION WLR C67808824 (AOS) 07/01/2021 07/01/2022 X PER OTH- A ( )AND EMPLOYERS'LIABILITY YIN WLR C67808782 CA,MA,AZ 0710112021 07/01/2022 STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 2,000,000 D OFFICER/MEMBEREXCLUDED? N N/A SCFC67808861 (WI) 07/01/2021 07/01/2022 (Mandatory)n NH) 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 of Marsh USA Inc. I Manashi Mukherjee ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 0003246 SP 0237 -C01-P03247-I CITY OF ASHLAND 20 EAST MAIN STREET ASHLAND,OR 97520 F 4y L: 0237-01-00-0003246-0001-0007017 Dear Certificate Holder: As many companies have moved to a remote working environment, mailing Certificates of Insurance to a physical address can cause unnecessary delays in providing you proof of insurance. To streamline delivery and in an effort to support our firm's commitment to sustainability,going forward,we would like to distribute your Certificates of Insurance electronically if possible. We are kindly requesting Certificate Holders provide us an email address where we can deliver your COI in the future. Please send your response to: USOperations.emait®marsh.com and provide the following information so that we can expedite your WI delivery: • Certificate #(Shown below Insured Name—e.g.:ABC-123456789-01) • E-Mail for future delivery: For undeliverable email addresses,our system is configured to automatically redirect the Certificate for de livery via USPS. Lastly, if you no longer need this COI please respond to USOperations.email@marsh.com with the Certificate number and we will inactive the record in our system to avoid future automatic delivery. Thank you. _ US Operations, Marsh USA, Inc. • z L 0237-01-00-0003246-0002-0007018