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HomeMy WebLinkAboutPhysio-Control - Insurance Certificate (2020)CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/YYYY) 01 /24/2019 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 AOn Risk Services Central, Inc. NAME: Grand Rapids MI Office (acNN . Ext): (616) 456-5366 I A1C. No.): (616) 456-7451 50 Louis Street NW E-MAIL Suite 200 ADDRESS: Grand Rapids MI 49503 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED Stryker Corporation & Subsidiaries 2825 Airview Boulevard Kalamazoo MI 49002 USA INSURER A: Old Republic Insurance Company 24147 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570074912021 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 AUUL SUBR LTR TYPE OF INSURANCE INSD WVD POLICY hi-F• POLICY EXP POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) + LIMITS A X COMMERCIAL GENERAL LIABILITY Y MWZY 312747-19 02/Ul/2019 02/01/2U2U EACH OCCURRENCE $5,000,000 CLAIMS-MADE—1OCCUR I DAMAGE TO RENTED $500,000 PREMISES (Ea occurrence) MED EXP (Any one person) EXCI uded PERSONAL & ADV INJURY $1, 000, 000 N GEN'LAGGREGATE LIMITAPPLIES PER: I GENERAL AGGREGATE $5,000,000 r POLICY ❑ JE LOC I PRODUCTS -COMP/OP AGG $5,000,000 OTHER: o A AUTOMOBILE LIABILITY MNfrB 312744-19 02/01/2019 02/01/2020 COMBINED SINGLE LIMIT $1, 000 000 � to (Ea accident) , X ANYAUTO BODILY INJURY ( Per person) I �O OWNED SCHEDULED BODILY INJURY (Per accident) q� 21 _ AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED PROPERTY DAMAGE I v — ONLY _AUTOS ONLY (Per accident) X Ph s-Dm a -Self Insc UMBRELLA LIAB OCCUR (EACH OCCURRENCE V EXCESS LIAB CLAIMS -MADE I AGGREGATE DED I (RETENTION A WORKERS MWC H 312743-19 02/01/2019 02/01/2020IE ISTATUTE EMYPROPRS'LRBPA NIEOR/EXD ECUTIVE YNN A OFFICER/MEMBER EXCLUDED? ❑ N / A AOS ER MWXS 312745 19 02/01/2019 02/01/2020 $1,000,000 (Mandatory in NH) EXCeSS WC — MI I E.L. DISEASE -EA EMPLOYEE $1, 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1, 000, 000 o� DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Physio-Control, Inc. and its affiliated companies are named under the referenced policy(s). Governmental Entity (Form G-56015-B) City of Gilroy, its officers, officials and employees are included as additional insured (form CG 2026 0413), where required by written contract, in accordance with the policy provisions of the commercial general liability policy. 2!;1 ni;� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE �r1 POLICY PROVISIONS. im- City of Gilroy Attn: Jennifer Baker AUTHORIZED REPRESENTATIVE !'ii-a aj 7351 Rosanna St. Gilroy CA 95020 USA � tl�..,� (� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD I DATE(MM/DD/YYYY) A� o CERTIFICATE OF LIABILITY INSURANCE 01/24/2019 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 NAME: Aon Risk Services Central, Inc. Grand Rapids MI Office (A/CNNo. Ext): (616) 456-5366 FAX (616) 456-7451 (A/C. No.): 50 Louis Street NW I E-MAIL Suite 200 ADDRESS: Grand Rapids MI 49503 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Old Republic Insurance Company 24147 Strvker Corporation & Subsidiaries (INSURER B: 2825 Airview Boulevard Kalamazoo MI 49002 USA INSURER C: INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 570074912021 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 INSK AUDL SUER POLICY EFF POLIOY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (( MM/DD/YYYY (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y MWZY 312747-19 921011201� U210112020 EACH OCCURRENCE $5,000,000 DAMAGE TO RENTED CLAIMS -MADE X❑ OCCUR I PREMISES (Ea occurrence) $500, 000 MED EXP (Any one person) Excluded GEN'LAGGREGATE LIMITAPPLIES PER: POLICY ❑ PRO ❑ LOC JECT OTHER: AUTOMOBILE LIABILITY IXX ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY Phys-Dmge-Self Ins, UMBRELLA LAB OCCUR EXCESS LIAB CLAIMS -MADE DED(RETENTION WORK RS C MPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N N / A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below PERSONAL & ADV INJURY GENERAL AGGREGATE 'r PRODUCTS - COMP/OP AGG MWTB 312744-19 02/01/2014 02/01/2020 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) EACH OCCURRENCE AGGREGATE MWC 312743-19 02/01/2015 02/01/2020 X (SER TATUTE ORH ADS MWXS 312745-19 02/01/2019 02/01/2020I E.L. EACH ACCIDENT Excess we - MI E.L. DISEASE -EA EMPLOYEE E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Physio-control, Inc. and its affiliated companies are named under the referenced policy(s). Governmental Entity (Form G-56015-B) City of Gilroy, its officers, officials and employees are included as additional insured (form Cc;2026 0413), where written contract, in accordance with the policy provisions of the commercial general liability policy. CANCELLATION $1,000,000 $5,000,000 $5,000,000 $1,000,000 `m $1,000,000 $1,000,000 $1,000,000 — ICJ required by -t; x SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE y - EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ci ty of Gi 1 roy AUTHORIZED REPRESENTATIVE ' w Attn: Jennifer Baker 7351 Rosanna St.Gilroy CA 95020 USA cXKo9a G - ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD