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HomeMy WebLinkAboutInsurance Certificate: Johnson Controls Inc. DATE(MMIDDIYYYY) A4CC)J?" CERTIFICATE 4F LIABILITY INSURANCE 0812812025 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 NAAMEACT Marsh I US.Operations MARSH USA LLC. PHONE 155 N.WACKER,SUITE 1700 AMC No E (866)966-4664 A/G No Chicago,IL 60661 ADDRESS: JCI.certre uestOmarsh.com Attn:JCI.CertrequestOmarsh.com INSURERM AFFORDING COVERAGE NAIL# CN101230596--5-25-26' INSURER A: OId Re ublic Insurance Com an 24147 INSURED INSURER B: Johnson Controls US Holdings,Inc. Johnson Controls,Inc. INSURER C Johnson Controls Fire Protection LP INSURER D: Johnson Controls Security Solutions LLC(See attached Acord 101) 5757 North Green Bay Avenue INSURER E Milwaukee,WI 53209 INSURER F: COVERAGES CERTIFICATE NUMBER: CHI-010438143-03 REVISION NUMBER: 2 THIS 1S 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. WGEN'LAGGREGATE ADDL SUBR POLICY EFF POLICY EXPLIMITS E OF INSURANCE IN p POLICY NUMBER MMIDD MM1DDIAL GENERAL LIABILITY MWZY 313947-25 10/01/2025 1010112026 EACH OCCURRENCE $ 5,000,000 DAMAGETO RENTE❑ 5,000,000 S-MADE X❑ OCCUR 4 PREMISES Ea occurrence $Liabili MED EXP(Any one person) $ 50,000 PERSONAL&ADV INJURY ;$ 5,000,000 edTELIMITAPPLIESPER: GENERAL AGGREGATE I$ 2D,0DD,D00 PO-X ET LOC PRODUCTS-COMPIOP AGG $ INC IN GEN AGG POLICY F1 J OTHER: T COMBINE}SINGLE LIMIT A ' AUTO_kT0BtLE LLA5ILITY 1 MW7B 313946-25(Excludes NH) 1010112025 �1{110112b26 n ca accident - $ 5,000,000 A X ANY AUTO MWTB 313949-25(Primary NH) 10/0112025 1010112-026 BODILY INJURY(Per person) $ A OWNED SCHEDULED MWZX 313950-75(Excess NH$4.75M) 10/0112025 10101/7026 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE HIRED NON-OWNED Excess NH Auto is Follow Form per accident $ AUTOS ONLY AUTOS ONLY to Primary NH Auto $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ E EXCESS LIAB CLAIMS-MADE AGGREGATE $ ❑ED RETENTIONS _ $ AWORKERS COMPENSATION MWC 313943-25(AOS-see page 2) 10/0112025 10101/2026 X STATUTE aRH A AND EMPLOYERS'LIABILITY YIN MWXS 313944-25(OH&WA 10101/2025 10/01/2026 1,000,000 ANYPROPAIETORIPARTNER/EXECUTIVE ) E.L EACH ACCIDENT $ OFFICERlMEMBEREXCLUDED? N I A E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS J LOCATIONS 1 VEHICLES{ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Ashland is included as additional insured per the attached. See attached Acord 101 for additional information including Additional Insured,PrimarylNon-contributory.Waiver of Subrogation and Notice of Cancellation provisions. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 90 N.Mountain Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ashland,OR 97520-2D14 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA LLC f ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 0000661 sP 0126 -Cal-P00661-1 City of Ashland 90 N. Mountain Avenue Ashland, OR 97520-2014 0126-01-00-0000s61-0001-000z274 � IL 10 '12106} OLD REPUBLIC INSURANCE COMPANY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS - ENDORSEMENT A2A Named Insured Endorsement Number Johnson Controls US Holdings,Inc. Policy Prefix Policy Number Policy Period Effective Date of Endorsement }Zy 313947 25 10/01125 - M01126 10101125 Issued By Old Republic Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY_ This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organizations): If required by contract,the person or organization listed on the certificate of insurance as additional insured,and each other person or organisation required to be included as an additional insured pursuant to a contract with a named insured. Location And Description Of Completed Operations: As required by contract Information required to complete this Schedule,if not shown above,will be shown in the Declarations_ Section It - Who Is An insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused solely by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard"_ GL 289 002 1012 MVVZY 313947 25 Johnson Controls US Holdings,Inc. 101012v-1010128 IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION - ENDORSEMENT A2 Named Insured Endorsement Number Johnson Controls US Hold]. s,Inc. Policy Prefix Policy( umber Policy Period Effective Date of Endorsement IMWZY 31394725 10101/25 - 10101/26 1010i125 Issued By old Republic Insurance Company HIS ENDORSEMENT CHANGE$THE POLICY. PLEASE REACT IT CAREFULLY. This endorsement modifies insurance provided under the following, COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s).Or Organ ization(s): If required by contract,the person or organizaton listed on the certificate of insurance as additional insured,and each other parson or orgarnization required to be included as an additional insured pursuant to a contract with a named insured. Location(s)Of Covered Operations: As required by contract. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section If P Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage .or "personal and advertising injury"caused solely by: . Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; its the performance of your ongoing operations for the additional insured(s)at thelocation(s)designated above. S. With respect to the insurance.afforded to these additional Insureds,the following additional exclusions apply- This insurance does not apply to"bodily injury'or."property damage"occurring after: 1. All work, including materials, parts or equipment furnished in connection n with such work, on the project .(other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed, or 2. That portion of"your work# out of which the injury or damage arises has been put to its.intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. GL 289 001 1012 0126-01-00-0000661-0003-00QPAIZY31394725 Johnson ConWeUS-Holdin Inc. t�. 1+JI011125-1 0/0.128 Marsh00 Dear Certificate Holder: To streamline delivery and in an effort to support our firm's commitment to sustainability,going forward,we will only be providing renewal certificates of insurance electronically. If you need to continue receiving a copy of the attached certificate, please respond to ICI.certrequest@marsh.com and include: --Certificate#(Shown below Insured Name—e_g.: CHI-123456789-01) -- E-Mail for future delivery For your convenience, If we do not receive your response,we will conclude that you have completed your business with the named insured and will remove you from our records. Thank you. US Operations, Marsh USA, Inc. A business of Mirsh rvirLennan AGENCY CUSTOMER ID: CN101230596 _ LOC#: Milwaukee A4C"R" ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA LLC. Johnson Controls US Holdings,Inc. Johnson Controls,Inc. POLICY NUMBER Johnson Controls Fire Protection LP Johnson Controls Security Solutions LLC(See attached Acord 101) CARRIER NAIL CODE 5757 North Green Bay Avenue Milwaukee,WI 53209 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance WORKERS COMPENSATION: Workers Compensation°A05"Policy includes coverage for employees from the following States WHILE WORKING IN ANY STATE:AK,At,AR,AZ,CA,CO,CT,DC,DE,FL,GA,Hi,IA,ID,IL,IN,KS,KY,LA, MA,MD,ME,Mir MN,MO,MS,MT,NC,NE,Ni NJ,NM,NV,NY,OK,OR,PA,RI,Sc,SO,IN,TX,UT,VA,VT,WI,&WV. PRIMARY COVERAGE: The General Liability and Automobile Liability policies are primary and not excess of or contributing with other insurance or self-insurance,where required by written lease or written contract For General Liability, this applies to both ongoing and completed operations, WAIVER OF SUBROGATIDN: The General Liability,Automobile Liability,Workers'Compensation and Employers Liability policies include a Waiver of Subrogation in favor of the certho€der and any other person or organization,BUT ONLY to the extent required by written contract, ADDITIONAL.INSURED-AUTOMOBILE LIABILITY: The Automobile Liability policy,if required by written contract,Includes coverage for Additional Insureds as required by such written contract ADDITIONAL INSURED-GENERAL LIABILITY: For General Liability,If required by written contract,the following are included as additional insureds,as required pursuant to a written contract with a named insured,per attached Policy Endorsements A2 and A2A:THE CERTIFICATE HOLDER LISTED ON THIS CERTIFICATE OFCIABILI,TY INSURANCE,AND EACH OTHER PERSON OR ORGANIZATION REQUIRED TO BE INCLUDED AS AN ADDITIONAL INSURED PURSUANT TOA WRITTEN CONTRACT WITH THE NAMES]INSURFD. ONGOING OPERATIONS AND COMPLETED OPERATIONS INSURANCE The General Liability Insurance includes insurance for ongoing operations and competed operations. LIMIT OF LIABILITY; The Liability Limit that applies is the amount indicated on the face of this Certificate cf Liability Insurance,or the minimum Liability limit that is required by the written contract,whichever is less. If there is no contract then the Liability Limit is limited to$1,000,000. NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS: Should any of the above described policies be cancelled,other than for non-payment,before the expiration date thereof,30 days advice of cancellation will be delivered to certificate holders in accordance with the policy endorsements. NAMED INSURED: Central Sprinkler LLC;Chemguard,Inc.;Connect 24 Wireless Communications Inc.; Exacq Technologies,Inc.:FM:Systems Europe Limited;FRSystems Group LLC;Grinnell LLC;Haz Tank Fabricators,Inc.; Integrated Systems and Power,Inc.;Johnson Controls(Suisse)SA;Johnson Controls Air Conditioning and Refrigeration,LLC.;Johnson Controls Building Automation Systems,LLC;Johnson Controls Building Solutions,LLC;Johnson Controls Capital LLC;Johnson Controls Federal Systems,LLC;Johnson Controls Fire Protection LP;Johnson Controls Foundation,Inc.;Johnson Controls Government Systems,LLC; Johnson Controls,Inc.;Johnson Controls Navy Systems,LLC;Johnson Controls North America Products,LLC;Johnson Controls PI Project Site Operations LLC:Johnson Controls Security Solutions LLC; Johnson Controls US Holdings,[nc.;M&M Refrigeration,LLC;Master Protection,LP dba FireMaster;Qolsys,Inc.;Rescue Air Systems,Inc.;Retail Expert,Inc.;Security Enhancement Systems LLC;Sensormatic Electronics,LLC;Sensormatic USA LLC;ShopperTrak International Investment LLC;ShopperTrak RCT LLC,Silent-Aire USA Inc.;Silent Aire Mission Critical Service LLC; T7co Fire&Security LLC;Tyco Fire Products LP;Viscr is Inc.;WillFire HC,LLC;York International(SA),Inc.;York International Corporation ACORD 101 (2008101) ID 2008 ACORD CORPORATION. All rights i The ACORD name and logo are registered marks of ACORD D126-01-00-0000661-0002-0002275