Loading...
HomeMy WebLinkAboutCOI - L.D. Foster Company - Expires 2026-01-01SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY POLICY AGGREGATE 01/01/2025 X 01/01/2026 CXT X C 15792 4,000,000 9014714002 (MA, OR, WI) 10717 B0621PLBFO000424 5,000,000 A B 2,000,000 01/01/2026 X Sentry Casualty Company Professional Liability - E&O 01/01/2025 CN102144875-STqw-GUW-24-26 1,000,000 10172 Marsh | U.S. Operations & Technology 05/31/2025 CLE-007189713-09 01/01/2025 4,000,000 01/16/2025 'for OH, ND, WA, WY & Canadian Prov.' 11 2,000,000 01/01/2026 Gilroy, CA 95020 Deductible: $1,000,000 2,000,000 X Aggregate Limit 1,000,000 1,000,000 Pittsburgh.CertRequest@marsh.com 01/01/2026 05/31/2024 10,000,000 X 28460 Per Claim Limit 10,000 9014714001 (AOS) 'Incl. Stop Gap Employers Liability' G4860318A001 (Claims Made) 1,000,000 City of Gilroy, its officers, officials and employees is/are included as Additional Insured under the General Liability where required by written contract. Underwriters at Lloyds of London CXT Incorporated; L. B. Foster Rail Technologies, Inc.; L. B. Foster Company Carr Concrete, a division of CXT Incorporated L.B. Foster Protective Coatings, Inc.; Salient Systems, Inc.; Pittsburgh, PA 15220 415 Holiday Drive 2,000,000 Aspen Specialty Insurance Company X Six PPG Place, Suite 400 MARSH USA LLC Pittsburgh, PA 15222 RG0051Y25 Westchester Surplus Lines Insurance Co N Attn: Sheila Castillo 7351 Rosanna Street City of Gilroy, its officers, officials, and employees 01/01/2025 C (866) 966-4664 X D 5,000,000 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: MARSH USA LLC� 2nd Excess Professional Liability� � Lloyd's of London - $2M xs $4M - B0621PLBFO000724 Policy Effective/Expiration Date: 05/31/2024 - 05/31/2025� 1st Excess Professional Liability� �� Policy Effective/Expiration Date: 05/31/2024 - 05/31/2025� 2 Pittsburgh Certificate of Liability Insurance 415 Holiday Drive� 25 Lloyd's of London - $2M xs $2M - B0621PLBFO000624� CXT Incorporated; L. B. Foster Rail Technologies, Inc.;� L. B. Foster Company� L.B. Foster Protective Coatings, Inc.; Salient Systems, Inc.;� Pittsburgh, PA 15220 2 CN102144875 Carr Concrete, a division of CXT Incorporated�