HomeMy WebLinkAboutInsurance Certificate: ZOLL medical Corporation DATE(MM/DDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE
06/25/2026
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 CONTACTNAM �-
AOn Risk Services Northeast, Inc. PEE FAX
New York NY Office (AC.No.Ext): (866) 283-7122 (AC No.):
<800) 363-UI05
One Liberty Plaza fiooR SS:
16S Broadway, Suite 3201 Z
New York NY 10006 USA
INSURER(S)AFFORDING COVERAGE NAIC#
INSURED INSURER A: AllianZ Global Risks US Insurance Co. 35300
ZOLL Medical corporation INSURERB: Mitsui Sumitomo Insurance USA Inc. 22551
269 Mill Road
Chelmsford MA 018 2 4-410 5 USA INSURERC: Trans Pacific Ins Co 41238
INSURERD: Tokio Marine America Insurance company 10945
INSURERE: SompO America Insurance Company 11126
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570121333265 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 LTR TYPE OF INSURANCE DDLNSD UBRI POLICY NUMBER MMIDDI POLICYIEFF POLIO hXP LIMITS
X COMMERCIAL GENERAL LIABILITY CLL EACH OCCURRENCE $1,000,000
CLAIMS-MADE OCCUR PRDAMAGE TO RENTED EMISES Ea occurrence - _$100,000
MED EXP(Any one person) $5,000
PERSONAL&ADV INJURY $1,000,000 �
GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 Cl)
X POLICY ❑PE� LOD PRODUCTS-COMP/OP AGG Excluded N
OTHER:
n
D AUTOMOBILE LIABILITY CA 6409761-09 07/01/2026 07/15/2027 COMBINED SINGLE LIMIT $1,000,000 L8
ADS Ea accident
D X ANYAUTO CA 6413711-00 07/01/2026 07/15/2027 BODILY INJURY(Per person)
OWNED SCHEDULED MA BODILY INJURY(Per accident) 4
AUTOS ONLY AUTOS PROPERTY DAMAGE u
HIREDAUTOS NON-OWNED
ONLY AUTOS ONLY Per accident «iw
t
d
B UMBRELLALIAB
XX OCCUR EXS5200217 07/01/2026 07/15/2027 EACH OCCURRENCE $7,000,0070
EXCESS LIAB CLAIMS-MADE AGGREGATE $7,000,000
DED RETENTION
E WORKERS COMPENSATION AND LWL30091690501 07 01 2 22607/15 2027 X PERSTATUTE I OTRH-
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y1 N E.L.EACH ACCIDENT $1,000,000
OFFICER/MEMBER EXCLUDED? � N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under --
. DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000_TT
—
DESCRIPTION OF OPERATIONS t LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
The city of Ashland is included as Additional Insured in accordance with the policy provisions of General Liability Policy.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS. „—
,�•' Cityy Of Ashland AUTHORIZED REPRESENTATIVE
Ashland Fire and Rescue
20 East Main Street
Ashland OR 97520 USA JL
01988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: 570000097583
LOG#:
ADDITIONAL REMARKS SCHEDULE Page _ of _
AGENCY NAMEDINSURED
ADn RiSk Services Northeast, inc. ZOLL Medical Corporation
POLICY NUMBER
See Certificate Number: 570121333265
CARRIER NAIC CODE
See Certificate Number: 570121333265 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) FF 1 to COVERAGE NAIC#
INSURER
INSURER
INSURER
INSURER
ADIDITIONAL 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 NUMBER LIMITS
LTR TYPE OF INSURANCE INSD WVD EFFECTIVE EXPIRATION
DATE DATE
(MMIDDIYYYY) (MMIDDIYYXY)
EXCESS LIABILITY
A USL03153826 07/01/2026 0711512027 Aggregate $3,000,000
$3M xs $7M
Each $3,000,000
Occurrence
ACORD 101(2008/01) 02008 ACORD CORPORATION.All rights reserved.
The ACORD name and logo are registered marks of ACORD