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HomeMy WebLinkAboutInsurance Certificate: Zoll Medical Corp. ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) .4G'ORO 06/27/2023 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 rightstothe certificate holder in lieu of such endorsement(s). d PRODUCER CONTACT Aon Risk Services Northeast,' Inc. NAME: ` PHONE No. (866) ,'283-7122 FAX No.): (800) 363-0105 a) Stamford Cr Office 15 1600 Summer street E-MAIL RSS: x Stamford CT 06907-4907 USA INSURER(S)AFFORDING COVERAGE ' NAIC# INSURED INSURER A: Tokio Marine America insurance Company 10945 ZOLL Medical Corporation .INSURER B:.• Trans Pacific Ins Co - ' 41238 269 Mill Road Chelmsford MA 01824-4105 USA INSURER C: Sompo America Fire"& Marine Insurance Co 38997 INSURER C: Mitsui Sumitomo Insurance USA Inc. ,. 22551 INSURER E: Sompo America Insurance Company. 11126 INSURER F: ''.. COVERAGES CERTIFICATE NUMBER:570100287602 REVISION NUMBER:. - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN-ISSUED•TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ,k 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. Limits shown are as requested INSR - ' ADDL.SUBR POLICY EFF (ROM - ' _LTR TYPE OF INSURANCE INS° WVD POLICY NUMBER MM/DDIYYYI� (MMIDDIYYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY - CLL640976006 07/01/2013 07/01/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE• 0 OCCUR occurrence) 5.100,000 DAMAGE fO RENTED PREMISES(Ea o MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 0 GEN-'LAGGREGATE LIMIT APPLIES'PER: • GENERAL AGGREGATE. $2,000,000 ' POLICY ❑JET 0 LOC ' ' PRODUCTS COMP/OPAGG $2,000,000 -c OTHER: N. A AUTOMOBILE LIABILITY. ' CA6409761-06' ' . 07/01/2023 07/01/2024 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) BODILY INJURY(Per person) 0 X-ANY AUTO OWNED —SCHEDULED BODILY INJURY(Per accident) CD — AUTOS ONLY AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE' v ONLY _AUTOS ONLY (Per accident) • y D UMBRELLA LIAR X OCCUR EXS5200217 - 07/01/2023 07/01/2024 EACH OCCURRENCE $15,000,000 .V X EXCESS LIAB CLAIMS-MADE AGGREGATE: $15,000,000 DED RETENTION . C WORKERS COMPENSATION AND JCD40122W0. „ 07/01/2023 07/01/2024X PER STATUTE 0TTH- EMPLOYERS'LIABILITY OFFIPROPRIETOR CER/MEM ER/PARTNER/EXCLUDED?EXECUTIVE ❑ N/A JCR40013N0 07/01/2023E.L.EACHACCIDENT $1,000,000 Y!N AOS C N 07/01/2024 (Mandatory in NH) WI E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000-- NM INM DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) +� The City.of Ashland is included as Additional insured in accordance with the policy provisions of General Liability'Policy. li- • Pi CERTIFICATE HOLDER CANCELLATION g SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Thr—.' N EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE :4 POLICY PROVISIONS. aCa 8 City of AShl and AUTHORIZED REPRESENTATIVE F O Attn: Kariann Olson . R 90 N. Mountain Avenue BIB" o Ashland OR 97520.USA M949Ple,rAiwal m ©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#: ADDITIONAL. REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED •Aon Risk Services Northeast, Inc... ZOLL Medical corporation POLICY NUMBER see Certificate Number: 570100287602 CARRIER NAIC CODE See Certificate Number: 570100287602 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 correspondingpolicy on the ACORD` certificate.form for policy limits. . INSR POLICY POLICY LTR TYPE OFINSURANCE ADDL SUBR POLICY NUMBER ' - LIMITS . EFFECTIVE EXPIRTTION INSD WVD DATE` DATE (MM/DD/YYYY) (MM/DD/YYYY) EXCESS LIABILITY E uux40172u0 07/01/2023 07/01/2024.Aggregate $10,000,000 Each $10,000,000 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 MDG2023 00001742 01 nisi..iiiiiIIIIIIInir.ihrniiIIiii.111Iun11.11,II,111111'Ilni w City of Ashland Attn: Kariann Olson 90 N. Mountain Avenue Ashland OR 97520 ' _ _ i . 1 , ' a m o 8 0 Certificate No: 570100287602 AO N City of Ashland Attn: Kariann Olson 90 N. Mountain Avenue Ashland OR 97520 USA Wednesday, June 28, 2023 To whom it may concern: Following a concentrated effort to reduce our environmental footprint and provide timely certificate delivery,.Aon will begin delivering our Certificates of Insurance electronically in PDF format. Please utilize one of the following methods to ensure,you will receive the electronic copy of your mia. Certificate (Certificate.No: 570100287602) for future renewals: ka - Visit aon.com/e-cert; or - Utilize the QR Code below to enter/validate your information. If your email address has changed or will be changing in the future, or you no longer require this certificate, please let us know using one of the methods above.. Thank you for your cooperation and willingness to help us reduce our impact to the environment. MSC# 17755 I Aon P.O. Box 1.447 Lincolnshire, IL 60069 • ,:en • w ; im E, MN IA• • isi: •IIII 111M1 Mika 3 • 55 H . . . a. 1636,. • , . II IN II I r 111 . I II a liiiII 13 1 • 11 a • p. . — • •., I IP 2 a a a 0 8 2