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HomeMy WebLinkAboutInsurance Certificate: Eurofins Eaton Analytical LLC Page 1 of 2, Ac o0 CERTIFICATE OF .LIABILITY TEINSURANCE, DATE(MM/DDPYYY) ��' Y2/29/2021. 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.CONSTITUTEA CONTRACT BETWEEN THE.ISSUING INSURER(S), AUTHORI2ED` REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ' IMPORTANT: If the certificate holder is an.ADDITIONAL INSURED,the policy(les)must.have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to.the terms and::conditlons of the policy,.certain policies mayy require an endorsement. .A statement on this certificate does not confer rights to the certificate holder.in.11eu_of such endorsement(s). ., PRODUCER CONTACT Willis, Towers Watson 'Certificate Center NAME Willis Towers Watson Northeast, Inc. FAX c/o 26 Century Blvd (AHC.No.Ext) 1 877-945-7278 I.(AIC.Mak 1-888-467-2378 E-MAIL.. P.O. Box 305191 :ADDRESS: certificates@willis':com Nashville, TN 372305191• USA INSURER(S)AFFORDING COVERAGE. NAIC# :INSURER A: Travelers Property Casualty ComPasiy of Ante 25674 ,Insurance,Company 25623 Eurofina Eaton Analytical, LLC INSURER S: 'Phoenix 750 Royal Oaks Drive, Suite 100, INSURER C i . Monrovia, CA 91016 INSURER Dt INSURER E: INSURER F e COVERAGES . CERTIFICATE;NUMBER:W23551aos . REVISION NUMBER: THIS IS TO CERTIFY THAT THE'POLICIES OF INSURANCE LISTED,BELOW HAVE BEEN,ISSUED TO THE•INSURED'NAMED ABOVE,FORTHE,;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 BEENREDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUER POLICY EFF ' POLICY EXP INSD WVD POLICY NUMBER (MMiDD/YYYY); (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY ,EACH OCCURRENCE $ CLAIMS-MADEDAMAGE TO.RENTED. OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) 5— '' PERSONAL&ADV INJURY $' GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY UECOT- LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE ' COMBINED SINGLE LIMIT $ 2,000,000 qEa aocidentp • X ANY AUTO BODILY INJURY(Per person) $, A OWNED —SCHEDULED HC2J-CAP-16203822-TIL-22 01/01/2022 01/01/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS, HIRED NON-OWNED • PROPERTY DAMAGE $ AUTOS.ONLY _ AUTOS ONLY (Per•accident)' 5, UMBRELLALIAB OCCUR ' EACH.OCCURRENCE _ $; EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ ' WORKERS COMPENSATIONPER 0TH- AND EMPLOYERS'LIABILITY • STATUTE ER' B .ANYPROPRIETOR/PARTNERIEXECUTIVE n— EL.' EACH ACCIDENT $, 1,.000,000 OFFICERIMEMBEREXCLUDED? I I N/A 13B-211.857672-22-X2-1( 01/01/2022 '01/01/2023 1,.000,000' (Mandatory,In NH) E.L.DISEASE•EA EMPLOYEE $' IIes',describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE'-POLICY LIMIT $ A Excess Auto Liability HJEX-99529942-TIL-22 01/01/2022 01/01/2023 $3,000,000 excess of $2,000,000 DESCRIPTION OFOPERATIONS'I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required), SEE ATTACHED CERTIFICATE HOLDER . CANCELLATION SHOULD ANY.OF THEABOVEDESCRIBED POLICIES SE CANCELLED BEFORE' THE. EXPIRATION DATE THEREOF,, NOTICE WILL. BE DELIVERED' IN ACCORDANCE WITH THE POLICY PROVISIONS. ,AUTHORIZED REPRESENTATIVE City of Ashland , 20 East MainStreet Ashland, OR 97520 I, Ibis M ©1988-2016 ACORD CORPORATION. 'All rights:'reserved. ACORD 25(2016/03) The ACORD name and logo preregistered marks of ACORD' SR_ID:22009171 ' 'EATCE: 2353997 2 of 2 8922 AGENCY CUSTOMER ID: • LOC#c. ' AC ADDITIONAL REMARKS SCHEDULE Page. 2 of 2 AGENCY :NAMED INSURED ' Eurofins,Eaton Analytical, LLC Willis Towers _Watson Northeast,. Inc. 750 Royal oaks Drive, Suite 100, POLICY NUMBER Monrovia, CA 91016 See Page 1 • CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE:See Page 1 ADDITIONAL REMARKS • THIS ADDITIONAL REMARKS'FORM ISA SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM.TITLE: Certificate of Liability Insurance INSURER AFFORDING COVERAGE: Travelers Property Casualty Company of America NAIL#: 25674 POLICY NUMBER: UB.-2R7511520-22-I2-R EFF DATE: 01/01/2022 EXP DATE: 01/01/2023 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation and EL. Each Accident• $1;000,00.0 Employers' Liability-AZ, MA, WI EL. Disease-EA Empl. $1,000,000. Per Statute EL. Disease-Po1.Lim. $1,000,000 • ACORD 101 (2008/01) ©200$ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 22009171 BATCH: 2353997 CERT: W23$51009 WILLIS TOWERS WATSON 26 CENTURY BLVD. 6TH FL, SUITE 101 NASHVILLE,TN 37214 8922 1 MB 0.482 IiIiIhiIluisi11111111111111111I1111111 IIIIII111111IIIIIII1IIui1 CITY OF ASHLAND 20 E MAIN ST 8922 ASHLAND, OR 97520-1814 1 of 2 8922