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HomeMy WebLinkAboutInsurance Certificate: Stryker Corp. ACS® DAT (M 6/20 ) CERTIFICATE OF LIABILITY INSURANCE 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 d BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED m REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. m IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)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 — certificate does not confer rights to the certificate holder In lieu of such endorsement(s). d PRODUCER CONTACT 'O AME: Aon Risk Services central, Inc. PPHONEFAX Grand Rapids MI Office (AIC.No.Ext): (616) 456-5366 (A/C.No.): (616) 456-7451 a 50 LOuis Street NW Suite 200 ADDRESS: _ Grand Rapids MI 49503 USA • INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Old Republic Insurance Company 24147 Stryker Corporation & Subsidiaries INSURER B: 2825 Airview Boulevard Kalamazoo MI 49002 USA INSURER C: 1 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570080315842 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDITO 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 are as requested INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) JMM/DD/YYY`I LIMITS A ,X COMMERCIAL GENERAL LIABILITY Y MwzY31274720 02/01/2020 02/01/1021 EACH OCCURRENCE $2,000,000 • • I CLAIMS-MADE n OCCUR DAMAGE TO RENTED $100,000 PREMISES(Ea occurrence) ' MED EXP(Any one person) Excluded PERSONAL&ADV INJURY $2,000,000 cq GEEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $4,000,000 to X POLICY( ❑JECT LOC PRODUCTS-COMP/OPAGG $4,000,000 co —{I0 OTHER: N. A AUTOMOBILE LIABILITY Y MWC 312744-20 02/01/2020 02/01/2021 COMBINED SINGLE LIMIT $2,000,000 m (Ea accident) .. X ANY AUTO BODILY INJURY(Per person) 0 OWNED ,—'SCHEDULED BODILY INJURY(Per accident) a) AUTOS CO— AUTOS ONLY HIRED AUTOS —NON-OWNED PROPERTY DAMAGE 0 —ONLY _AUTOS ONLY (Per accident) F. X Phys Dmge-Self Insct= UMBRELLA LIAB OCCUR EACH OCCURRENCE U EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION A WORKERS COMPENSATION AND Mwc31274320 02/01/2020 02/01/2021 x PER STATUTE OETTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N AOS E.L.EACH ACCIDENT $2,000,000 A OFFICERIMEMBEREXCLUDED? N/A Mwx531274520 02/01/2020 02/01/2021 (Mandatory In NH) Excess WC - MI E.L.DISEASE-EA EMPLOYEE $2,000,000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT - $2,000,000— liiili. 2x DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) "TF-^ The City of Ashland, Oregon, its officers, agents and employees are included as Additional Insured (form cG2026 0413 or most current edition) in accordance with the policy provisions of the commercial general liability & automobile policies, but only if or to the extent required by written contract. . r-r_ CERTIFICATE HOLDER CANCELLATION • SHOULD ANY OF E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ...i 'NM EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE • POLICY PROVISIONS. City of Ashland AUTHORIZED REPRESENTATIVE 1�.rr 90 N Mountain Ave K.11 Ashland OR 97520- USA ,� is `�a f M a MI ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD