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HomeMy WebLinkAboutInsurance Certificate: Federal Signal Corp. �....1110 �` o® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/01/2029 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. i 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 2 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). •c PRODUCER CONTACT a) NAME: 'O Aon Risk Services Central, Inc. - PHONE ( ) FAX ILI Chi cago IL Office (AIC.No.Ext): 866 283-7122 (A/C•No.):.(800) 363-0105 200 East Randolph E-MAIL p Chicago IL 60601 USA ADDRESS: x INSURER(S)AFFORDING COVERAGE NAIC# 'INSURED INSURER A: Zurich American Ins Co 16535 Federal signal Corporation INSURER B: American Zurich Ins Co 40142 2645 Federal signal Drive University Park IL 60484 USA - \INSURERC: INSURER D: INSURER E: ' INSURER F: , COVERAGES 'CERTIFICATE NUMBER:570102529969 J 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 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 (MMIDD/YYYYY) (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y GL0007560502. 11/01/2023 11/01/2024 EACH OCCURRENCE $2,000,000 CLAIMS-MADE ❑X OCCUR GL Premise DAMAGE IO REN IED $2,000,000 A GL0007560602 11/01/202311/01/2024 PREMISES(Ea occurrence) GL Products MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2,000,000 S GEN'LAGGREGATE LIMIT APPLIES PER:. GENERAL AGGREGATE $4,000,000 N c I POLICY 1-1 SECT LOC PRODUCTS-COMP/OP AGG $6,000,000 a I OTHER: Prod-Comp/Ops-Ea Occur $3,000,000 O A Y BAP 0075607 02 11/01/2023'11/01/2024 COMBINED SINGLE LIMIT `n AUTOMOBILE LIABILITY $2,000,000 ADS (Ea accident) X ANY AUTO BODILY INJURY(Per person) C Z OWNED —SCHEDULED BODILY INJURY(Per accident) 0 AUTOS ONLY AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE V —ONLY _AUTOS ONLY (Per accident) t.- a a UMBRELLA LIAR OCCUR EACH OCCURRENCE U EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION B WORKERS COMPENSATION AND W0007560302 11/01/202311/01/2024 X PER'STATUTE 0TH- EMPLOYERS'LIABILITY Y/NAOS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.LEACH ACCIDENT $1,000,000 A OFFICER/MEMBEREXCLUDED? N/A wc007560402 11/01/2023',11/01/2024 (Mandatory In NH) Ret ro - E.L.DISEASE-EA EMPLOYEE $1,000,000 , yes, ON OFOdescribeOF OPERATIONS below DRIPTION E.L.DISEASE-POLICY LIMIT $1,000,000— DESCRIPTION hila 2 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) The City of Ashland, Oregon, its officers, agents and employees are included as Additional Insured in accordance with the policy provisions of the General Liability and Auto Liability Policy. m.- -.._ -._ n_ CERTIFICATE HOLDER CANCELLATION o 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE R.;EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE W N POLICY PROVISIONS. g r I:'•• City of Ashland AUTHORIZED REPRESENTATIVE `o, 20 East Main Street Ashland OR 97520 USA 'itife o c. IN ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 10224264 LOC#: '4 ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services Central , Inc. Federal signal Corporation POLICY NUMBER see Certificate Number: 570102529969 CARRIER NAIC CODE see Certificate Number: 570102529969 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 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) WORKERS COMPENSATION A N/A EW5007560802. 11/01/2023, 11/01/2024 XS WC OH SIR applies per policy terms & conditions • • 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 00001289 01 'J1'IiIluuliiIiuIuiilillldululllll'll'I11l'1III111u1�iiu11i� - .- � :: City of Ashland riW 20 East Main Street Ashland OR 97520 • - - ---- -- • a 0 m CO N p 0 0 -0C 0 O O S O Certificate No: 570102529969 SON City of Ashland. 20 East Main Street Ashland OR 97520 USA Thursday, November 2, 2023 To whom it may concern: Following a concentrated effort to reduce ourenvironmental 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 Certificate (Certificate No:570102529969) for future renewals: F.211 - 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 1 Aon P.O. Box 1447 Lincolnshire, IL 60069 ■ •■ III ■ �■ L .11 • mil • Jr.). ■ III ■ ■ • ■ . la o o . O 0 0