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HomeMy WebLinkAboutInsurance Certificate: HACH CO. , CC0120 CERTIFICATE OF LIABILITY INSURANCE DATE 06/16/2023D!YYYY) 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 LLC. .NAME: 1050 CONNECTICUT AVENUE,SUITE 700 (A/C No.Ex): 202-258 5895 FAX No): 202-263 7700 WASHINGTON,DC 20036-5386 E-MAIL SS: Justin.Llizo@marsh.com ADDRE Attn:Danaher.certrequest@marsh.com Fax(212)948-0503 INSURER(S)AFFORDING COVERAGE NAIC# ' CN102997607-ALL.7/1.23-24 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-006426437-17 ., , 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, TERMOR 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. , ILTR TYPE OF INSURANCE NSD R ADDL SUBR WVD POLICY NUMBERPOLICY EFF POLICY LIMITS (MM/DD/YYYY) '(MM/DD/YYYYYY) A X COMMERCIAL GENERAL LIABILITY HDO G747314264 07/01/2023 07/01/2024 EACH OCCURRENCE $ 2,000,000_ DAMAGE TO RENTE CLAIMS-MADE X OCCUR PREMISES(Ea occcur ence) $ 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 WI: LOC ' PRODUCTS-COMP/OP AGG $ 5,000,000 JEC OTHER: $ A AUTOMOBILE LIABILITY ISA H10709131 07/01/2023 07/01/2024 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 UAB X OCCUR ' XEUG71535290 005 07/01/2023 07/01/20242,000,000 EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE • AGGREGATE $ 2,000,000 DED RETENTION$ $ C WORKERS COMPENSATION ' WLR C70314162(AOS) 07/01/2023 07/01/2024 x PER 0TH- , l , A AND EMPLOYERS'LIABIL•ITY Y/N WLR C70314125 CA,MA,AZ) 07/01/2023 07/01/2024 STAT TE ER _ ANYPROPRIETOR/PARTN (ER/EXECUTIVE E.L.EACH ACCIDENT $ 2,000,000 D OFFICER/MEMBER EXCLUDED?. N N/A SCF 070314204(WI) 07/01/2023 07/01/2024 (Mandatory in 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 I ' ' ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 0002256 SP 0194 -C01-P02257-1 CITY OF ASHLAND 20 EAST MAIN STREET ASHLAND,OR 97520 0194-01-00.0002255-0001-0005647 MO Marsh Dear Certificate Holder: To streamline certificate delivery for our clients and in an effort to support our firm's commitment to sustainability,going forward,we will only be providing renewal certificates of insurance electronically. If you need to continue receiving a copy of the attached certificate, please send an email to USOperations.email@marsh.com and include the following: --Certificate#(Shown below Insured Name—e.g.,ABC-123456789-01) —E-Mail for future delivery For your.convenience, If We-do not receive your,response,we will conclude that you no longer require proof of insurance from the named insured and will remove you from,our records. , . Thank you, . US Operations, Marsh USA, LLC A business of Marsh McLennan • 0194-01-00-0002256-0002-0006648