Battery Systems Inc Amend - Laserfiche WebLink

Home Browse Search

® I DATE (MM/DDIYYYY) ABRD CERTIFICATE OF LIABILITY INSURANCE 03/22 /2 016 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 ALT ER 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 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 r i ghts to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA INC . NAME: J1JgNJo Extl: I FAX ATTN : RAFFLES 248-945-5600 (A1C No): ONE TOWNE SQUARE , SUITE 1100 E-MAIL ADDRESS: SOUTHFIELD, MI 48076 INSURER(S) AFFORDING COVERAGE NAIC# R00325-00325-RAF-15 /16 INSURER A : Zurich American Insurance Ccmpany 16535 INSURED INSURER B : Travelers Property Casualty Ccmpany of America 25674 BATTERY SYSTEMS INC . 12322 MONARCH ST. INSURER C : Illinois Union Insurance Cc 27960 GARDEN GROVE , CA 92841 -2909 INSURER 0 : American Zurich Insurance Ccmpany 40142 INSURERE : INSURER F : COVERAGES CERTIFICATE NUMBER· CHI -006561417-01 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 SHOWIN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR I (~~hlg~l I (~~~~%~l LTR TYPE OF INSURANCE I INSD IWVD POLICY NUMBER LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000 ,000 A r----=:J CLAIMS-M A DE 0 OCCUR GL03487040-09 04 /01 /2015 D~~!,GE yu_ RENTED 04 /01 /2016 $ 500,000 r---PREMISES (Ea occurrence) MED EXP (Anyone person) $ 10 ,000 r--- PERSON AL & A DV INJUR Y $ 1,000 ,000 r--- GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 R POLICY D m?,: [8] LOC PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY fE~~~~~~t~INGLE LIMIT $ 1,000,000 A 7 ANY AUTO BAP3487041-09 04 /01 /2015 04 /01 /2016 BODILY INJURY (Per person) $ r--ALL OWNED - SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ 7 X NON-OWNED rp~?~~C~d~~t~AMAGE $ HIRED AUTOS AUTOS f--- $ X UMBRELLA L1AB M OCCUR EACH OCCURRENCE $ 5,000 ,000 B -04/01 /2015 04/01 /2016 EXCESS L1AB CLAIMS-MADE ZUP-10N70284-15-NF AGGREGATE $ 5,000 ,000 DED I X J RETENTION $ 0 $ WORKERS COMPENSATION X I ~ffTUTE I I OTH- AND EMPLOYERS· LIABILITY ER 0 YIN WC3487039-09 04 /01 /2015 04 /01 /2016 1,000,000 ANY PROPRIETOR /PARTNER/EXECUTIVE ~ E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $ 1,000 ,000 If yes. describe under E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS below $ 1,000,000 C POLLUTION LEGAL LIABILITY PPIG24544370 002 09 /06/2014 09 /06 /2017 POLLUTION (RETENTION $25 ,000) 3,000 ,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) WORKERS' COMPENSATION DOES NOT APPLY TO MONOPOLISTIC STATES (NO , OH , WA AND WY), PUERTO RICO OR THE VIRGIN ISLANDS. CERTIFICATE HOLDER CANCELLA TION Kittitas County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 925 S. Industrial Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ellenburg , WA 98926 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. I John C Hurley ~~~ © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD