HomeMy WebLinkAboutCOI - ASSA ABLOY Entrance Systems US Inc. - Expires 2022-10-01CERTIFICATE 4F LIABILITY INSURANCE
DATE{MM/2021 YY}
,0/12/2021
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 South, Inc.
Charlotte NC Office
CONTACT
NAME:
PHONEFAX
(A/C. No. Ext): (866) 283-7122 (A/C. No.): (800) 363-0105
E-MAIL
ADDRESS:
1111 Metropolitan Avenue, Suite 400
Charlotte NC 28204 USA
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Liberty Mutual Fire Ins Co
23035
ASSA ABLOY Entrance Systems US Inc.
1900 Airport Road
Monroe NC 28110 USA
INSURERB:
INSURERC:
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570089865401 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
LTR
TYPE OF INSURANCE
INSDI
WVD
POLICY NUMBER
MMlDD/YYYY
MM/DD1YY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
TBZ611260486031
EACH OCCURRENCE
$2 , 000, 000
CLAIMS MADE X❑ OCCUR
DAMAGE TO RMTrE17- PREMISES Ea occurrence)$100,
000
MED EXP (Any one person)
S5,000
PERSONAL & ADV INJURY
S2,000,000
GEN'LAGGREGATE LIMITAPPLIES PER:
GENERAL AGGREGATE
$2, 000,000
POLICY PRO F_X] LOC
JECT
PRODUCTS - COMP/OP AGG
$ 2 , 000 , 000
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
AEa accident)
BODILY INJURY ( Per person)
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED AUTOS NON -OWNED
ONLY AUTOS ONLY
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per accident)
A
X
UMBRELLA LIAB
OCCUR
TL2611260486041
10 01 202110
01 2022
EACH OCCURRENCE
$5,000,000
EXCESS LIAB
H
CLAIMS -MADE
AGGREGATE
$ 5 , 000 , 000
DED RETENTION
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/ PARTNER/ EXECUTIVE
OFFICER/MEMBER EXCLUDED? H
N / A
PER STATUTE
I OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE -EA EMPLOYEE
(Mandatory in Nit)
If Yes. describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
Re: Service Agreement Police Department ADA doors. City of Gilroy, its officers, officials and employees are included as
Additional Insured in accordance with the policy provisions of the General Liability policy.
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
POLICY PROVISIONS.
City Of Gilroy AUTHORIZED REPRESENTATIVE
7351 Rosanna St.
Gilroy CA 95020 USA C�
L
w
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
MSC#17755
Aon Risk Services
PO Box 1447
Lincolnshire, IL 60069
MDG2021 00001180 01
City Of Gilroy
7351 Rosanna St.
Gilroy CA 95020
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