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HomeMy WebLinkAboutInsurance Certificate: Federal Signal CorporationAC ® CERTIFICATE OF LIABILITY INSURANCE DAT GM41220225 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: It the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 PHONEFAX (A+C.No.ExO: (865) 283a122 A No): (600) 363 0105 E-MAIL ADDRESS: 200 East Randolph Chicago IL 60601 USA INSURER(S) AFFORDING COVERAGE NAIL N INSURED INSURER A: zurich American Ins Co 16535 Federal Signal corporation 2645 Federal signal Drive university Park IL 60484 USA INSURERS: American zurich ins Co 40142 INSURERC: INSURER D; INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER: 570110755724 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLIOIES 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. Llmlts shown are as requested INSR LTR TYPEOF1N5UflRNCE INSD WVD POLICY MAVDDlYYY Mid+061YYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MACE OCCUR ❑ GL GL PremiseDAMAGE GL0007560603 GL Products 11/01/2024 11/01/2075 EACH OCCURRENCE $2,000,000 TO PREMSES Eaoccurrente $2,000,000 MED EXP (Any one person) $10, 000 PERSONAL & ADV INJURY $2,000,000 GENLAGGREGATE LII:4ITAPPLES PER: X POLICY ❑ PRO ❑ LOC JECT OTHER: GENERAL AGGREGATE $4,000,000 PRODUCTS •COMPIOPAGG $6,000,000 Prod-ComplOgs - Ea Occur $3,000,000 A AUTOMOBILE LIABILITY X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS N'ON•01VNED ONLY AUTOS ONLY Y BAP 0075607 03 AOS 11/01/2024 11/01/2025 COMBINED SINGLE LIiAfT Ea accident $2,000,000 BODILY VHJURY ( Per person) BODILY €NJURY (Per accident) PROPERTYDA1.Ap,G£ Per ax7den[) UMBRELLALIAB EXCESS LIAR R 701AI1U1S-MA05 EACH OCCURRENCE AGGREGATE DED RETENTION B A WORKERS COMPENSATION AND EMPLOYERS' LIAWLITY ANY PROPRIETOR/ PARTNER I EXECUTIVE YIN OMCERMEMBEREXCLUD60? M (Mandatory in NM It yyes, describe under DESCWPTIONOFOPERATIONS b9ow NIA WC007560303 AOS WC007560403 Rett-p 11 01 2024 11/01/2024 1116172075 11/01/2025 X PER STATUTE I OTTH. I ER ACHACCID£NT $1,000,000 tEL_'MSEA5E-F_AEMPLOYEE $1, 000, 000 E1.0IS£A5£-1'OLICYL61T $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEMOLES (ACOAD 101, Additional Remarks schedule, maybe attached it 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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland AUTHORIZED REPRESENTATIVE 20 East Main Street Ashland 0R 97520 USA�� r c� ©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 #: ADDITIONAL REMARKS SCHEDULE age _ of _ AGENCY Aon rusk services Central, Inc. NAMED INSURED Federal signal corporation POLICY NUMBER see certificate Number: 570110755724 CARRIER See Certificate Number: 570110755724 NAIC CODE ErFECTNEDATE: 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 (foes not include linik information, refer to the corresponding policy on the ACORD certificate form for policy limits, INSR I.TR TYPE 0FINS URANCE ADDL 1NSD SUI!R 1VVD POLICY NUNIRER t'01'"' EFFECTIVE DATE (AEil11)DI!'1'}'Y7 1'(1LIC1RAT)' ESE'70N DATE (31iVDDlS'S']'S') LIMITS WORKERS COMPENSATION A N/A FW5007560803 xS WC o" SIR applies per policy to 11/01/2024 rns & conditions 11/01/2025 AGOHIJ 101 (20081it11) 0 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD