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HomeMy WebLinkAboutSpectrum (Sensus USA) - Insurance Certficiate"-- , ® ACORN CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10120/2017 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 Marsh USA, Inc 1166 Avenue of the Americas New York, NY 10036 CONTACT NAME PHONE FAX Arc No E -MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC q INSURER A Alhanz Global Corporate& Specialty CGL 20101272 506636 - Sensu- GAWex -17 -18 INSURED Sensus USA, Inc which will do business as Sensus Metering Systems, Inc INSURER B ACE American Insurance Company 22667 INSURER c . Indemnity Insurance Company of North America 43575 INSURER D. ACE Fire Underwriters Ins Co 20702 8601 Six Forks Road, Suite 700 Raleigh, NC 27615 INSURER E INSURER F $ 1,000,000 COVERAGES CERTIFICATE NUMBER: NYC -010040392 -06 REVISION NUMBER: 0 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POUCY_EXP MMIDD/YYYY OMITS A X COMMERCIAL GENERAL LIABILITY CGL 20101272 1013112017 1013112018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FX_1 OCCUR PRREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 JECT X PRO - POLICY ❑ PRO ❑ LOC $ OTHER B AUTOMOBILE LIABILITY ISA H09063742 10/3112017 10/3112018 COMBINED SINGLE LIMIT Ea..cl.nt $ 2,000.000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C D B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OFFICER/MEMBER EXCLUDED ECUTIVE N (Mandatory in NH) NIA WLR 064619536 (AOS) SCF 064619548 I () WLR C64621695 (CA, AZ HI MA NM (, , , , , 10!3112017 10/31/2017 10/3112018 10/31!2018 10!31 /2018 X STATUTE ERH E L EACH ACCIDENT $ 2,000,000 E L DISEASE - EA EMPLOYEE $ 2,000,000 E L DISEASE - POLICY LIMIT $ 2,000,000 Ir yes, describe under DESCRIPTION OF OPERATIONS below NV, OK, OR, VT, WA ) DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Repair of tow base stations Including, all testing and weatherproofing, check waveguide and antenna for exact location of trouble, check antenna connection to LMR 400 jumper cable, site performance has deteriorated since heavy rains, repair as required, weather proof connections, retest antenna and cable for VSWR and DTF City of Gilroy, its Officers, Officials and Employees are named as Additional Insureds under General Liability where required by written contract City of Gilroy, Its Officers, Officials and Employees 7351 Rosanna Street Gilroy, CA 95020 UANt,;tLLA I IUIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc Manashi Mukhepee _MtrluaoU-;L VA. AAe_KsAj-es ©1988 -2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ACOR®® CERTIFICATE OF LIABILITY INSURANCE #*. % DATE (MM /DD/YYYY) 12/16/2016 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 Marsh USA, Inc. 1166 Avenue of the Americas CONTACT NAME: PHONE � No): E-MAIL ADDRESS: New York, NY 10036 INSUR S AFFORDING COVERAGE NAIC # INSURER A: Allianz Global Corporate & Specialty 12/17/2016 506636- Sensu- GAW -16 -17 INSURED Sensus USA, Inc. 8601 Six Forks Road, INSURER B: ACE American insurance Company 22667 INSURER C : ACE Fire Underwriters Ins. Co. 20702 INSURER D : Suite 700 Raleigh, NC 27615 DAMAGES ( RENTED PREMISES Ea occurrence ) INSURER E INSURER F: $ 10,000 COVERAGES CERTIFICATE NUMBER: NYC- 008694430-01 REVISION NUMBER-0 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 LTR TYPE OF INSURANCE ADDL SU R POLICY NUMBER POLICY EFF MM/DD/YYYY ) POLICY EXP (MMIDONYM LIMA A X COMMERCIAL GENERAL LIABILITY CGL 2008032 12/17/2016 10/31/2017 EACH OCCURRENCE $ 1;000,000 CLAIMS -MADE a OCCUR DAMAGES ( 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: GENERAL AGGREGATE $ 2,000,000 X JECT POLICY PRO F—] LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY ISA H0905148A 10/31/2016 10/31/2017 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS Coverage for above Insured BODILY INJURY (Per accident) $ AMAGE PeOacoRde D $ NON -OWNED HIRED AUTOS AUTOS effective 12117 /2016 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANYPROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A WLR C49104807 (AOS) SCF C49104819 �) I Coverage for above Insured 10/31/2016 10/31/2016 10/31/2017 10/31/2017 X STATUTE ERH E.L. EACH ACCIDENT $ 2,000,000 E. L. DISEASE - EA EMPLOYEE $ 2,000,000 If as, describe under DESCRIPTION OF OPERATIONS below effective 12/17/2016 E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Repair of tow base stations including, all testing and weatherproofing, check waveguide and antenna for exact location of trouble, check antenna connection to LMR 400 jumper cable, site performance has deteriorated since heavy rains, repair as required, weather proof connections, retest antenna and cable for VSWR and DTF. City of Gilroy, its Officers, Officials and Employees are named as Additional Insureds under General Liability where required by written contract. ./ i.1 lur 17,7 e -1 City of Gilroy, its Officers, Officials and Employees 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukhedee .�LaLyw ao a tc man u ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD