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HomeMy WebLinkAboutCOI - ZOLL Data Systems Inc. - Expires 2023-07-01% RO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/28/2022 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 Aon Risk Services Northeast, Inc. Stamford CT Office 1600 Summer Street Stamford CT 06907-4907 USA INSURED ZOLL Data Systems Inc. 11802 Ridge Parkway #400 Broomfield co 80021 USA COVERAGES CONTACT NAME: PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: CERTIFICATE NUMBER: 570094143198 (866) 283-7122 (A/X. No.): (800) 363-0105 INSURER(S) AFFORDING COVERAGE NAIC # Tokio Marine America Insurance Company Trans Pacific Ins Co Sompo America Fire & Marine Insurance Co Federal Insurance Company Mitsui Sumitomo Insurance USA Inc. REVISION NUMBER: 10945 41238 38997 20281 22551 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 NSF( AUUL SUBH PULIUY Ehr- POLIOY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYYI LIMITS B X COMMERCIALGENERAL LIABILITY CLLb4U9/bU05 b7/U1/2022 U//U1/LU23 EACH OCCURRENCE CLAIMS -MADE I X I OCCUR GEN'LAGGREGATE LIMIT APPLIES PER: X POLICY I PRO- LOC JECT OTHER: A AUTOMOBILE LIABILITY E X - ANY AUTO - OWNED SCHEDULED — AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED — ONLY AUTOS ONLY X UMBRELLA LIAB EXCESS LIAB x OCCUR CLAIMS -MADE DED RETENTION C V✓ORK RS C MPENSATION AND EMPLOYERS' LIABILITY C ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below D Products Liab Y/N N CA640976105 EX55200217 3CD40122W0 AOS N/A 3CR40013NO WI 36019266 Retro Date 10/1/2004 IDAMAGE TO HEN FED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY I GENERAL AGGREGATE I PRODUCTS - COMP/OP AGG 07/01/2022 07/01/2023 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) 07/01/2022 07/O1/202 IEACH OCCURRENCE IAGGREGATE 07/01/2022 07/01/2023 07/01/2022 07/01/2023 07/15/2022 07/15/2023 X I PER STATUTE I IORTH- E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE -POLICY LIMIT Prod/Comp ops/Agg Prod/Comp Ops/Occ Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Gilroy, its officers, officials and employees are included as Additional Insured provisions of the General Liability and Automobile Liability policies. Products Liability R fi (EOr.rors & omissions - claims made coverage. ILIn��L�v� CERTIFICATE HOLDER City of Gilroy 7351 Rosanna Street Gilroy CA 95020 USA CANCELLATION JUL 1 3 2022 SLIM OIT1' OLCRICC OFFIEI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE THE THE $1,000,000 $100,000 $5,000 $1,000,000 $2,000,000 Excluded $1,000,000 $25,000,000 $25,000,000 Holder Identifier : * * Certificate No : 570094143198 $1,000,000 $1,000,000 $1,000,000 — $5,000,000 — 55,000,000 $200,00021 1. NaL Rire i; l 000000 03 03 001274 004300 P ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000083508 LOC #: ADDITIONAL REMARKS SCHEDULE AGENCY Aon Risk Services Northeast, Inc. POLICY NUMBER see Certificate Number: 570094143198 CARRIER See Certificate Number: 570094143198 NAIC CODE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER INSURER INSURER INSURER NAMED INSURED ZOLL Data Systems Inc. EFFECTIVE DATE: INSURER(S) AFFORDING COVERAGE NAIC # IADDITIONAL POLICIES INSR CFR TYPE OF INSURANCE EXCESS LIABILITY Page _ of _ 11' a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. ADDL SUBR INSD WVD POLICY NUMBER POLICY POLICY EFFECTIVE EXPIRATION DATE DATE (MNUDD/1'YYY) (I11NI/DD/YYYY) LIMITS p 79882432 07/15/2022 07/15/2023 Aggregate $5,000,000 Ex Products Liab Each $5,000,000 Occurrence OTHER D E&O-PL-Primary 36019266 07/15/2022 07/15/2023 E8,0 $5,000,000 Retro Date 12/13/1996 Deductible $200,000 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MSC#17755 Aon Risk Services PO Box 1447 Lincolnshire, IL 60069 MDG2022 00001274 01 i111rlllii'lllill11l11ll1r111ll11'ln''illinrllllliillli11iil ".11 City of Gilroy 7351 Rosanna Street Gilroy CA 95020 000000 01 03 001274 004298 P Certificate No: 570094143198 City of Gilroy 7351 Rosanna Street Gilroy CA 95020 USA Thursday, June 30, 2022 To whom it may concern: Following a concentrated effort to reduce our environmental footprint and provide timely certificate delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format. Please utilize one of the following methods to ensure you will receive the electronic copy of your Certificate (Certificate No: 570094143198) for future renewals: - Visit aon.com/e-cert; or - Utilize the QR Code below to enter/validate your information. If your email address has changed or will be changing in the future, or you no longer require this certificate, please let us know using one of the methods above. Thank you for your cooperation and willingness to help us reduce our impact to the environment. MSC# 17755 I Aon P.O. Box 1447 Lincolnshire, IL 60069