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HomeMy WebLinkAboutInsurance Certificate: Federal Signal CorporationA` ORL? ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ovoa/2o2a 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 AOn Risk SerViCeS Central, Inc. Chicago IL office CONTACT NPHONE AME: (A/C. No. EXt); (866) 283-7122 aC No.);(800) 363-0105 E-MAIL ADDRESS: 200 East Randolph Chicago IL 60601 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich American Ins Co 16535 Federal Signal Corporation 2645 Federal Signal Drive university Park IL 60484 USA INSURER B: American Zurich Ins CO 40142 INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570103473095 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYY MM/DD/YYY LIMITS X COMMERCIAL GENERAL LIABILITY Y GLO EACH OCCURRENCE $2,000,000 A CLAIMS -MADE X OCCUR GL Premise GLo007560602 11/01/2023 11/01/2024 PREMISES Ea occurrence $2,000,000 MED EXP(Any one person) $10,000 GL Products PERSONAL & ADV INJURY $2,000,000 GEN'LAGGREGATEUMITAPPLIESPER: GENERAL AGGREGATE $4,000,000 X POLICY ❑ PRO ❑ LOD JECT PRODUCTS - COMP/OPAGG $6,000,000 OTHER: Prod-Comp/Ops - Ea Occur $ 3 , 000 , 000 A AUTOMOBILE LIABILITY Y SAID 0075607 02 AOS 11/01/2023 11/01/2024 COMBINED SINGLE LIMIT Ea accident $2,000,000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident) UMBRELLA LIAR EACH OCCURRENCE AGGREGATE EXCESS LIAB HOCCUR CLAIMS -MADE DED RETENTION B A WORKERS COMPENSATION AND EMPLOYERSLIABILITY Y / N ANY PROPRIETOR / PARTNER! EXECUTIVE OFFICER/MEMBER EXCLUDED? NI (Mandatory in NH) N/A WC00075 0 02 A05 WC0007560402 Ret r0 11 1 202 11/01/2023 11 Ol/2024 11/01/2024 X I PER STATUTE OTH- ER E.L. EACH ACCIDENT $1 , OOO , OOO E.L. DISEASE -EA EMPLOYEE $1 , 000 , 000 If as, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1, 000, 000 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. d LO rn 0 n M 0 0 ti u1 CERTIFICATE HOLDER CANCELLATION 5W SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ,uy City of Ashland AUTHORIZED REPRESENTATIVE 20 East Main Street Ashland OR 97520 USA � f �f � p Q� c�4�an sGt+�ed �isZda4 ✓ L ©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 #: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Central, Inc. NAMEDiNSURED Federal Signal Corporation POLICY NUMBER See Certificate Number: 570103473095 CARRIER See Certificate Number: 570103473095 NAIC CODE 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. INtiK L:rR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICI' EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MNI/DD/YYYYI LIMIT'S WORKERS COMPENSATION A N/A EWS007560802 XS WC OH SIR applies per policy to 11/01/2023 ms & conditions 11/01/2024 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Certificate No: 570103473095 City of Ashland 20 East Main Street Ashland OR 97520 USA Saturday, January 6, 2024 To whom it may concern: SON 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 Certificate (Certificate No: 570103473095) for future renewals: - 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 MMU a MSC#17755 Aon Risk Services PO Box 1447 Lincolnshire, IL 60069 MDG2024 00013388 01 r i City of Ashland 20 East Main Street Ashland OR 97520 2