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HomeMy WebLinkAboutCOI - ZOLL Data Systems, Inc. - Expires 2024-07-15ACORO® CERTIFICATE OF LIABILITY INSURANCE ��. D07114/2o023 Dn ' 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, L-C. 1166 Avenue of the Amedras CONTACT NAME: PHONE IF,"No); E-MAIL ADDRESS: New York, NY 10036 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Chubb 10052 CN101609650,Zdl-PRO-22-23. PU INSURED ZOLL DATA SYSTEMS INC. INSURER B : INSURER C : 11802 RIDGE PARKWAY, N400 BROOMFIELD, CO 80021 INSURER D : _ INSURE: INSURERER F: COVERAGES CERTIFICATE NUMBER: NYC-011574916-05 REVISION NUMBER: 2 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 TYPEOFINSURANCE ADDLSUBR POLICY NUMBER PODCYEFF MMIDDIYYYY PODCYEXP MMIDDIYYYY UNITS COMMERCIAL GENERAL LIABILITY AMR $ CLAIMS -MADE OCCUR DAMAGE A ET RENTED TO PREMISES Ea occurrenoa _ $ MED EXP (My oneperson) $ PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY JECPROLOC ECT $ PRODUCTS-COMP/OP AGG OTHER: $ AUTOMOBILELUIBILITY COMBINED SINGLE LIMIT Ea acc dent $ BODILY INJURY (Per person) ANY AUTO $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE (Par. an $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ i I AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOWARTNERIEXECUTIVE OFFICERIMEMBI E%CWDED? F_N� NIA PER OTH- STATUTE ER E. L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Products Uability 36066155 07115/2023 07/15/2024 Pro111Comp Ops/Occ 10,000,000 Retro Date 1011/2004 "'Deductible - $200,000" Prod/Comp OPs/Agg 10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) 0 Products Liability- Claims made coverage. Ermis&[R� D JUL 2 5 2023 GILROY CITY CLERICS OFFICE CERTIFICATE HOLDER CANCELLATION City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7351 Rosanna Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Gilroy, CA 95020 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE vsnaE ZfSfd 1e-e!! ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD i7CC7 O c ac (A='< om oco c� m AGENCY CUSTOMER ID: CN101609659 LOC #: New York AC40 ® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA, LLC. ZOLL DATA SYSTEMS INC. 11802 RIDGE PARKWAY, #400 POLICY NUMBER BROOMFIELD, CO 80021 CARRIER I NAIC CODE EFFECTIVE DATE: ADDITIONAL REMAKK5 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Primary Errors & Omissions Carrier: Chubb Policy Number: 36066155 Eff: 07/1512023 Exp: 07/15/2024 Limit: $10,000,000 Deductible: $200,000 Retro Date:12/1311996 ACORD 101 (2008/01) 0246-01-00-0001201-0002-0002646 © 2008 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD ** Marsh Dear Certificate Holder: To streamline certificate delivery for our clients and in an effort to support our firm's commitment to sustainability, going forward, we will only be providing renewal certificates of insurance electronically. If you need to continue receiving a copy of the attached certificate, please send an email to USOperations.email@marsh.com and include the following: -- Certificate # (Shown below Insured Name — e.g., ABC-123456789-01) -- E-Mail for future delivery For your convenience, If we do not receive your response, we will conclude that you no longer require proof of insurance from the named insured and will remove you from our records. Thank you, US Operations, Marsh USA, LLC % bu5i( ets of Man: h McL<nnl itl