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HomeMy WebLinkAboutInsurance Certificate: Xylem, Inc. ACoR" CERTIFICATE OF LIABILITY INSURANCE 7OT5 9/2025 /YYYY) 9/2 0 2 5 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 CONTACT MARSH USA,LLC. NAME: Lauren Giangrande HONE 1166 Avenue of the Americas A/CC No, o Ext: (212)345-6000 FAX No New York,NY 10036 E-MAIL Lau marsh.com ADDRESS: 9 rande e@marsh.com AFFORDING COVERAGE NAIC# CN 108453421-STND-GAW-24-25 wsURERA: AIU Insurance Co. 19399 INSURED Xylem,Inc. INSURER B: National Union Fire Insurance Company of Pittsburgh, 19445 310 Waters St SE INSURER C: Washington,DC 20003 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-012285641-01 REVISION NUMBER: 4 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MM/DD MM/DD B X COMMERCIAL GENERAL LIABILITY 3609404 10/31/2024 10/31/2025 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X� OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 X POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: SIR:$1,000,000 $ B AUTOMOBILE LIABILITY 3135727(AOS) 10/31/2024 10/31/2025 COEaMBINED ident SINGLE LIMIT $ 3,OOQ000 acc B X ANY AUTO 3135728(MA) 10/31/2024 10/31/2025 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 14111904 AOS 10/31/2024 10/31/2025 PER OTH- AND EMPLOYERS'LIABILITY ( ) X STATUTE ER A Y/N 10/31/2024 10/31/2025 ANYPROPRIETOR/PARTN ER/EXECUTIVE N/A 14111907(WI)) E.L.EACH ACCIDENT $ 2,000,000 A OFFICER/MEMBEREXCLUDED? CA 10/31/2024 10/31/2025 (Mandatory in NH) 51 14111905(CA) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 B If yes,describe under 14111906(OR) 10/31/2024 10/31/2025 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Each of the insurance policies referenced above provides that should such policy be cancelled by the insurer before the expiration date thereof for any reason other than nonpayment of premium,the insuring company will endeavor to mail 30 days written notice thereof to the certificate holder(except 10 days for non-payment of premium), but failure to provide such notice shall impose no obligation or liability of any kind upon the insurer or its agents or representatives,will not extend any policy cancellation date and will not negate any cancellation of the policy. CERTIFICATE HOLDER CANCELLATION City of Ashland,OR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1195 Oak St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ashland,OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA LLC ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD