Opening of Bids - Eight Cardiac Monitors Defibrillators - Physio-Control, Inc. - Part 2

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CERTIFICATE OF LIABILITY INSURANCE L1AT 0(1121122018 Y) 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 endorsementis). PRODUCER AOn Risk services central, Inc. Grand Rapids MI Office CONTACT PHONE E FAX JAIC. No. (61S) 45b-5366 IAlC No.):..(616) 456-7451 E-MAIL ADDRESS: 50 Louis street NW suite 200 INSURER(S) AFFORDING COVERAGE NAIC # Grand Rapids MI 49SO3 USA INSURED INSURERA: Old Republic insurance Company 24147 INSURERB: 5trvker Corporation & subsidiaries 2825 Airview Boulevard INSURER C: Kalamazoo MI 49002 USA INSURER D: INSURER E: INSURER F: n nWI=0AnI=Q r'FRT€FIC6TF NIIMRFR• h/i III/IIIl'l[Ia9}i KrVINIUN NL1Mtll'K: 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 INSD WVO POLICY NUMBER MMIDDIYEYYY POLICY EXP MWQDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY 311141 EACH OCCURRENCE $ 5, 000, 000 CLAIMS -MADE X❑ OCCUR UAMAG O RENTED PREMISES Ea occurrence $500, 000 MED EXP (Any one personl Excluded PERSONAL & ADV INJURY $2 , 000, 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $5 , 000, 000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS-COMPIOPAGG $5,000,000 OTHER: ''A AUTOMOBILE LIABILITY MWTB 312744 02/01/2018 02/01/2019 COMBINED SINGLE LIMIT Ea accident $2 , 000, 000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULEO AUTOS ONLY AUTOS PROPERTY DAMAGE WEREDAUTos NON -OWNED Per accident ONLY AUTOS ONLY X Phys-OmgoSeEF lost UMBRELLALIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS -MADE DED I RETENTION A WORKERS COMPENSATION AND MWC 312743 00 027672618 02 01/2019 X PERSTA7UTE RH- EMPLOYERS' LIABILITY ANY PROPRIETOR I PARTNER i EXECUTIVE YIN A05 MWXS 312745 02/01/2018 02/01/2019 E.L. EACH ACCIDENT $2 , 000 , 000 A OFFICERIMEMBEREXCLUDED? (Mandatory in NH) NIA Excess WC -- MI E.L. DISEASE -EA EMPLOYEE $2 , 000 , 000 If yes, describe under DESCRIPTION OF OPERATIONS below F.L. DISEASE -POLICY LIMIT $2 , 000 , 000 DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is requiredl Physio-Control, Inc. and its affiliated companies are named under the referenced policy(s). Evidence of Coverage 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. Physio-Control International, Inc.; AUTHORIZED REPRESENTATIVE Physio-control, Inc. 11811 willows Road NE Po Box 97006 Redmond WA 98073 USA l 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD