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HomeMy WebLinkAboutInsurance Certificate: Zoll Medical Corp. AC.�® � - CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)D6/28/2D22 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 CONTACTNAME: SI Aon Risk'Services Northeast, Inc. PHONE FAX rr Stamford CT Office (NC:No.Ext): (866) 283-7122 (NC.No.): (800) 363 0105 '0 1600 Summer,Street E-MAIL. o Stamford CT 06907-4907 USA . '. ADDRESS: _ 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 D: Federal Insurance Company 20281 INSURER E: Mitsui Sumitomo Insurance USA Inc. 22551 • INSURER F: 'i.• COVERAGES CERTIFICATE NUMBER:570094144779 REVISION NUMBER: I 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. Limits shown are as requested INSR - ADM SUER - - POLICY EFF . POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYY (NMDD/YXYY) LIMITS B •X COMMERCIAL GENERAL LIABILITY - CLL640976005 07/01/2022 07/01/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X❑OCCUR PREMISES(Ea occurrence) $100,000 MED EXP(Any one person) _ $5,000 PERSONAL&ADV INJURY T .$1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL'AGGREGATE $2,000,000 li XPOLICY I I PE n LOC. PRODUCTS-COMP/OP AGG Excluded rn .OTHER :o n,. A CA640976105 07/01/2022 07/01/2023 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $1,000,000 .„ (Ea accident) � �. .. ,• X ANY AUTO BODILY INJURY(Per person) Z OWNED —SCHEDULED BODILY INJURY(Per accident) 42) -- AUTOS ONLY AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE V r ONLY _AUTOS ONLY (Per accident) F, C E. X 'UMBRELLA LIAB X OCCUR • EX55200217 • 07/01/2022.07/01/2023 EACH OCCURRENCE . . $25,000,000 8 EXCESS LIAB CLAIMS-MADE AGGREGATE $25,000,000 DED RETENTION, 'D WORKERS COMPENSATION AND JCD40122W0 ' 07/01/2022 07/01/2023 . PER STATUTE• 0TH- EMPLOYERS'LIABILITY y/N AOS ER •ANY PROPRIETOR/PARTNER/EXECUTIVEn E.L.EACH ACCIDENT '$1,000,000 C M,1gFER/MEMBERExCLU EED? I ' N/A JCR40013N0 07/01/2022 07/01/2023 (Mandatory in NH) WI - E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under I EL.DISEASE-POLICY LIMIT $1,.000 000= DESCRIPTION OF OPERATIONS below r D Products Liab 36019266 07/15/2022 07/15/2023 Prod/Comp Ops/Agg $5,000,000 Retro Date 10/1/2004 Prod/Comp Ops/Occ . $5,000,000 Deductible $200,000 • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) ' liP irw- Products Liability - claims made coverage. J. The City of Ashland is included as Additional Insured in accordance with the policy provisions of General Liability Policy. ■ 0 CERTIFICATE HOLDER CANCELLATION m O SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE m " ' EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. EN $ M. City of Ashland AUTHORIZED REPRESENTATIVE Attn: Kariann-olson. 90 N. Mountain Avenue Or o Ashland OR 97520 USA - [�/J . � e�E G�� �ilT� ig o O� ✓ o ©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#: '4 ADDITIONAL REMARKS SCHEDULE Page — of AGENCY NAMED INSURED Aon Risk services Northeast, Inc. ZOLL Medical corporation POLICY NUMBER See certificate Number: 570094144779. CARRIER MAIC CODE ' See Certi fi cate Number: 570094144779 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TQ ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificatq 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 corresponding policy on the ACORD certificate form for policy limits. INSR POLICY POLICY ADDL SUBR .POLICY NUMBERLIMITS , LTR TYPE OF INSURANCE INSD WVD EFFECTIVE EXPIRATION DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) • EXCESS LIABILITY D 79882432 07/15/2022 07/15/2023 Aggregate . $5,000,000 Ex products Li ab Each $5,000,000 Occurrence • ACORD 101(2008/01) ©2008 ACORD CORPORATION.AU rights reserved. The ACORD name and logo are registered marks of ACORD MSC#17755 • Aon Risk Services PO Box 1447 • Lincolnshire,IL 60069 MDG2022 0000117601 "IIIii'li111.11,1111,11.1ii1li1iI1'IIJ'1111ii'1.1111"111111'lI j��,''' City of Ashland Attn: Kariann Olson • 90 N. Mountain Avenue Ashland OR 97520. • • • • • • • • • • • • • • • ' N co fp. • • • • • Certificate No: 570094144779 ON City of Ashland Attn:-Kariann.Olson 90 N. Mountain Avenue. Ashland OR 97520 USA Thursday, June 30, 2022 To whom it may concern: Following a concentratedeffort to reduce our environmental footprint and providetimely 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 Certificate (Certificate No: 570094144779) forfuture renewals: 4 - 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 our.coo cooperation and willingness to helpus;reduce.our impact to the environment. Y p gp MSC# 17755 I Aon P.O. Box 1447 Lincolnshire, IL 60069 vim mom ® ®® r • N. ■ i®■ ® ® 111 •