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HomeMy WebLinkAboutSpectrum (Sensus USA) - Insurance Certificate (2019)ACC> 10/26/2018 CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) 2018 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, Inc. NAME: 1166 Avenue of the Americas (A/CC,NNo. Exti: I A/C. No): New York, NY 10036 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # CN108453421-Pure-GAW-18-19 INSURER A: ACE American Insurance Company 22667 INSURED INSURER B : ACE Fire Underwriters Ins. Co. 20702 Sensus USA, Inc. which will do business as Sensus Metering Systems, Inc. INSURER C : Indemnity Insurance Company of North America 43575 8601 Six Forks Road, Suite 700 INSURER D : Allianz Global Risks US Insurance Company 35300 Raleigh, NC 27615 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-010040392-09 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF ' POLICY EXP LIMITS LTR iN,5n WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) D X COMMERCIAL GENERAL LIABILITY USLOO107118 10/31/2018 10/31/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR I DAMAGETO S(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 POLICY PRO ❑ LOC JECT I PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: SIR: $500,000 $ A AUTOMOBILE LIABILITY ISA H25272754 10/31/2018 10/31/2019 COMBINED SINGLE LIMIT (Ea accident) $ 3,000,000 X ANY AUTO I BODILY INJURY (Per person) $ OWNED SCHEDULED I BODILY INJURY $ AUTOS ONLY AUTOS (Per accident) HIRED NON -OWNED PROPERTY DAMAGE I $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ C WORKERS COMPENSATION WLR C65437065 (AOS) 10/31/2018 10/31/2019 X I PER I 1OTH- AND EMPLOYERS' LIABILITY B Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE SCF C65437107 (WI) 10131/2018 10/31/2019 STATUTE ER I E.L. EACH ACCIDENT 2,000,000 N/A $ A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) WLRC65437028 () CA MA OR 10/31/2018 10/31/2019 I E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below 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. CERTIFICATE HOLDER CANCELLATION City of Gilroy, its Officers, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Officials and Employees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Lauren Giagrancle ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ATE AC"R" CERTIFICATE OF LIABILITY INSURANCE I D10/26/2018DrvYYY) #%�. 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, Inc. NAME: PHONE 1166 Avenue of the Americas I (A/C.No. Ext): I (A/c. No): New York, NY 10036 I E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # CN1 08453421-Pure-GAW-1 8-19 I INSURER A: ACE American Insurance Company 22667 INSURED INSURER B : ACE Fire Underwriters Ins. Co. 20702 Sensus USA, Inc. which will do business as Sensus Metering Systems, Inc. I INSURER C : Indemnity Insurance Company of North America 43575 8601 Six Forks Road, Suite 700 I INSURER D : Allianz Global Risks US Insurance Company 35300 Raleigh, NC 27615 I INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-010040392-09 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYYI D X COMMERCIAL GENERAL LIABILITY USLOO107118 10/31/2018 10/31/2019 EACH OCCURRENCE $ 1 000 000 � DAMAGE TO CLAIMS -MADE OCCUR PREMISESS ( (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 POLICY ❑ PRO ❑ LOC X JECT PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: SIR: $500,000 $ A AUTOMOBILE LIABILITY ISA H25272754 10/31/2018 10/31/2019 COMBINED SINGLE LIMIT $ 3,000,000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) $ OWNS ED SCHEDULED BODILY INJURY _ AUTOONLY AUTOS (Per accident) $ HIRED NON -OWNED I PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY H (Per accident) UMBRELLA LIAB OCCUR HCLAIMS-MADE EACH OCCURRENCE $ EXCESS LIAB AGGREGATE $ DED I I RETENTION $ $ C WORKERS COMPENSATION WLR C65437065 (AOS) 10/31/2018 10/31/2019 X I PER OTH- AND EMPLOYERSLIABILITY ' g Y / N ECUTIVE SCF C65437107 (WI) 1013112018 10/3112019 STATUTE ERANYPRO 2,000,000 N NIA E.L.EACHACCIDENT $ A OF ICER%MEMBER EXCLUDED? (Mandatory in NH) WLR C65437028 CA, MA, OR ( ) 10/31/2018 10/3112019 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, describe under 2,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 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. CERTIFICATE HOLDER CANCELLATION City of Gilroy, its Officers, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Officials and Employees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Lauren Giagrande, ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD