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Certificates of Insurance` MARSH USA INC. CERTIFICATE OF INSURANCE CERTIFICATE NUMBER CLE- 000693524 -00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH USA INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE TWO LOGAN SQUARE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE PHILADELPHIA, PA 19103 -2797 AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE COMPANY 0296 - YORK - GAWU -00 -01 A AMERICAN HOME ASSURANCE CO INSURED COMPANY YORK INTERNATIONAL CORPORATION B INSURANCE CO. OF THE STATE OF PA. 631 SOUTH RICHLAND AVENUE YORK, PA 17403 COMPANY C ILLINOIS NATIONAL INS. CO COMPANY D NATIONAL UNION FIRE INS. CO COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 3 THIS IS TO CFRTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. r CO TYPE OF INSURANCE POLICY NUMBER LTR POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MMIDD /YY) DATE (MMIDDIYY) GENERAL LIABILITY !I GE AG GR EGA TE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY I 04/09/02 04/09/03 $ 6 16125282 PRO DUCTS CO / OP AGG CLAIMS MADE X ! OCCUR PERSONAL & ADV INJURY $ 1,000,000 OWNER'S & CONTRACTOR'S PROT . - E OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire $ 1,000,000 VIED EXP (Any one person) $ 10,000 AUTOMOBILE LIABILITY �X COMBINED SINGLE LIMIT $ 1,000,000 A ANY AUTO 5349162 (AOS) 04/09/02 04/09/03 A ALL OWNED AUTOS 15349163 (TX) — 04/09/02 04/09/03 BODILY INJURY $ A 5349164 HI,VA I, SCHEDULED AUTOS ( ) �. 04/09!02 04/09/03 (Per person) HIRED AUTOS BODILY INJURY $ NON OWNED AUTOS APPS D K MAN EMENT (Per accident) BY PROPERTY DAMAGE $ GARAGE LIABILITY DATE AUTO ONLY -EA ACCIDENT $ / - -_I ANY AUTO WAI Y ER �+ N/A YES OTHER THAN AUTO ONLY —, - — - -- E ACH ACCIDEN $ - - - - AGGREGATE I $ EXCESS LIABILITY E ACH OCCUR RENCE $ 5,000,000 D X UMBRELLA FORM BE1394092 04/09/02 04/09/03 AGGREGATE $ 5,000,000 OTHER THAN UMBRELLA FORM'' $ B WORKERS COMPENSATION AND 5278942 (AQS) 04/09/02 04/09/03 X W TA U TORY LIMITS ER EMPLOYERS' LIABILITY E 5278947 (MA,NY) 04/09/02 _ 04/09/03 EL EACH ACCIDENT $ 1.000.000 THE PROPRIETOR/ ! 5278945 CA B X INCL () 04/09/02 04/09/03 ' EL DISEASE POLICY LIMIT $ 1,000,000 PARTNERS /EXECUTIVE F OFFICERS ARE EXCL 5278946 (KY 1 04109/02 — — 04/09/03 EL DISEASE -EACH EMPLOYEE', $ 1,000,000 C OTHER. 5278944 (IL,IN,LA,WI) 104/09/02 04/09/03 E WORK COMP &EMPLOYERS 5278943 (Ar,Co,Ct,Ga, 04/09/02 04/09/03 LIABILITY CONTINUED I Mn,Mo,Sc,Tx,Ut) DESCRIPTION OF OPERATIONS ILOCATIONSNEHICLESISPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS) Certificate Holder is named as additional insured on the above policies except we with respect to claims arising out of the operations of the named insured, unless liability arises directly or indirectly out of the additional insured's negligent conduct, but only to the extent that such status is required by written contract or purchase order CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL _311 DAYS WRITTEN NOTICE TO THE T MONROE COUNTY BOCC �rj ��� ( ATTN: ANN MYTNIK CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 3583 S. ROOSEVELT BLVD LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES KEY WEST, FL 33040 MAY 4 3 2002 B1% MARSH USA INC. BY: Martin J Samchalk *AAA- .;,�,�,yr��,`.,,� MM1(9199) VALID AS OF 04/30/02 DATE (MM /DD /YY) IONAL IN FORMATIO N CLE- 000693524 -00 04/30/02 PRODUCER COM PANIES AFFORDI COVERAGE MARSH USA INC. COMPANY TWO LOGAN SQUARE PHILADELPHIA, PA 19103 -2797 E NEW HAMPSHIRE INSURANCE COMPANY COMPANY F A I SOUTH INSURANCE CO. 00296 - YORK - GAWU -00 -01 INSURED COMPANY YORK INTERNATIONAL CORPORATION G 631 SOUTH RICHLAND AVENUE YORK, PA 17403 COMPANY H TEXT CERTIFICATE HOLDER MONROE COUNTY BOCC ATTN: ANN MYTNIK 3583 S. ROOSEVELT BLVD KEY WEST, FL 33040 Page 2 INCLUDES COPYRIGHTED MATERIAL OF ACORD CORPORATION WITH ITS PERMISSION. - .cam- ..-c.. ,:., _.. »,,. r:r:.r:- r:. ..:.::::::::::.::: . : .a :a - -- - .::......... x : .:: CLE- 000693524-01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED N THE TWO LOGAN SQUARE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE PHILADELPHIA, PA 19103 -2797 AFFORDED BY THE POLICES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE COMPANY 296 -03- 04- GAWUP -03 -04 FL GAWU 1618 DAVIE A AMERICAN HOME ASSURANCE CO INSURED COMPANY YORK INTERNATIONAL CORPORATION B INSURANCE CO. OF THE STATE OF PA. 631 SOUTH RICHLAND AVENUE YORK, PA 17403 COMPANY C NEW HAMPSHIRE INS COMPANY COMPANY D A I SOUTH INSURANCE COMPANY THIS IS TO CERTIFY THAT PCLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTVVTHS'TANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MATH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS CF SUCH POLICIES AGGREGATE LIMITSSHOWN MAY HAVE BEEN REDUCED BYPAD CLAIMS. CO TYPE OF INSURANCE LTR poll r E E T POLICY EXPIRATION LIMITS ®� ) DATE(MMIDD/YY) GENERAL LIABILITY 0 1 01M 3 0 3 GENERAL AGGREGATE $ 3,000 A X COMMERCIAL GENERAL LIABILITY 6128557 t IAY "0 9104 PRODUCTS- CONP/OPAGG $ 6,000,000 QAIMSMADE FXI OCCUR PERSONAL & ADV INJURY $ 2,000,000 OJNNER'S &CONTRACTOR'SPROT 'Q V; EACH OCCURRENCE $ 2,000,000 X FIRE DAMAGE (My onefre) $ 1,000,000 MED EXP (Any one person) $ 10,000 AUTOMOBLE LIABILITY A X COMBINED SINGLE LIMIT $ 2,000,000 ANY AUTO 6611998 (AOS) 04/09/03 04109/04 A ALL LIM AUTOS 6611999 (TX) 04/09/03 04109/04 BODILY INJURY $ A SCHEDULED AUTOS 6612000 (HI, VA) 04/09/03 04109/04 (Per person) A HIRED AUTOS 6612001 (MA) 04/09103 04109/04 BODILYINJURY NON -OWNED AUTOS (Per accident) $ F] APPROVED BY ISK A.NAGFMENT PROPERTY DAMAGE $ GARAGE LIABILITY MVV AUTO 3o d � AUTO ONLY -EAACaDENT $ DATE � OTHER THAN AUTO ONLY- EACH ACCIDENT $ AGGREGATE $ WAIVER! EXCESS LIABILITY __._.. .. j • ., . ... - EACH OCCURRENCE $ 5,000,000 F X UMBRELLAFO M BE2860181 04/09/03 04/09/04 AGGREGATE $ 5,000,000 OTHER THAN UMBRELLA FORM $ B WORKERS COMPENSATION AND EMPLOYERS'LWBILrrY 5211147 (CA) 04/09/03 04109/04 �( STU- OTH TO2V WC LI AT MITS ER C 5211148 (MA, NY) 04109/03 04/ 09/04 EL EACH ACCIDENT $ 1,000,000 D THE PROPRIETOR/ X INCL PARTNERSExECUTIVE 5211149 (KY, PA) 04/09/03 04109/04 EL DISEASE -POLICY LIMIT $ 1,000,000 E CFFICER EcCL 5211150 (IL, IN, LA, WI) 04/09/03 04/09/04 EL DISEA.SE•I_ACH EMPLOYEE $ 1,000,000 OTHER WORKERS' C COMPENSATION 5211151(Ar, Co, Ct, Ga, Mn, Mo, S 4/09/03 04109104 (Tx, UT) B 15211152 (AOS) 04/09/03 04/09/04 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES /SPECIAL ITEMS Certificate Holder is named as additional insured on the above policies except wcwith respect to claims arising out of the operations of the named insured, unless liability arises directly or indirectly out of the additional insureds negligent conduct, but only to the extent that such status is required by written contract or purchase order. ZX �,.a�`cM,..'�'<jq u` %4`va uu"'; �Z „x,3< ..,4., �-- ..,,.,a.��. ";'�- >�%�i;.'v �C�du'•�c:r�. �.��A�����"��"3. .„, .. .� ..... :., .raw.c ..... .. ... ,<e.. .. 94OLILD ANY OF THE POLICES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MkIL _10 DAYS WRITTEN NOTICE TO THE MONROE COUNTY BOCC l' 1 ATTN: ANN MYTNI K CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IWOSE NO OBLIGATION OR 3583 S. ROOSEVELT BLVD LIABILITY OF ANYKIND UPON THE IMSURER AFFORDING COVERAGE, ITSAGENTS OR REPRESENTATRIES OR THE KEY WEST FL 33040 I SSUER OF TH S CERT FICATE. MARSH USA NQ BY: Mary Radaszewski — �YI`� �itdcz c- -.r: _ LI ,rr , ...:. .. r : :.:,;. na.._ x - -�, :r: , ''• ::::... , D AS OF' 04124/03 »» . 4 r .......... ............-- >rr.a:i:...^.Y ..:..3:. .<...,: ..« <y _ PRODUCER MARSH TWO LOGAN SQUARE PHILADELPHIA, PA 19103-2797 00296 -03-04-GAWUP-03�04 FL GAWU 1618 DAME INSURED YORK INTERNATIONAL CORPORATION 631 SOUTH RICHLAND AVENUE YORK PA 17403 MONROE COUNTY BOCC ATTN: ANN MYTNIK 3583 S. ROOSEVELT BLVD KEY WEST, FL 33040 DATE (MMIDDArY) 04/24/03 COMPANIES AFFORDING COVERAGE COMPANY E ILLINOIS NATIONAL INS CO COMPANY III NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA COMPANY 0 COMPANY H AUTHORIZED REPRESENTATIVE MARSH USA INC. BY Mary Radaszewsid INCLUDES COPYRIGHTED MATERIAL OF ACORD CORPORATICH WITH ITS PERMISSION. .. 'fl C+ETIFCiATE Of V3UItriNCE CLE'00069352401 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS PRODUCER NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE MARSH POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE TWO LOGAN SQUARE PHILADELPHIA, PA 19103 2797 AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE COMPANY D0296 - 03 -04- GAWUP -03 -04 FL GAWU 1618 DAVIE A AMERICAN HOME ASSURANCE CO INSURED COMPANY B INSURANCE CO. OF THE STATE OF PA. YORK INTERNATIONAL CORPORATION 631 SOUTH RICHLAND AVENUE -- -- - COMPANY YORK, PA 17403 C NEW HAMPSHIRE INS COMPANY COMPANY D A I SOUTH INSURANCE COMPANY COVtRAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 4 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, AGGREGATE PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS CO TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) DATE (MM /DDlYY) LTR G ENERAL AGGR $ 3000,000 GENERAL LIABILITY - - O4 /O9 /O3 O4 /O9 /O 4 R OD UC TS /OP AGG $ 6,000,000 A X COMMERCIAL GENERAL LIABILITY 6128557 - _COMP -_ - + 'PERSONAL & ADV INJURY $ 2,000,000 OCCUR! CLAIMS MADE ', - X - EACH OCCURRENCE $ 2,0002000 OWNER'S & CONTRACTOR'S PROT O $ 1,000,000 �X iP- REf1�l $.�PF�gTiQNS — FIREDAMAGE(Anyonefire) - _ $ 10,000 MED EXP An one person) AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 A X 1 l I ANY AUTO 6611998 (AOS) 04!09/03 04/09/04 r - - - -- A 6611999 TX ALL OWNED AUTOS ( ) 04/09/03 04/09/04 BODILY INJURY $ 6612000 (HI, VA) 04/09/03 .04/09/04 (Per person) -- - - __ - - SCHEDULED AUTOS 16612001 (MA) i 04/09/03 04/09/04 BODILY INJURY $ A HIRED AUTOS (Per accident) NON -OWNED AUTOS ! PROPERTY DAMAGE $ 'i ticn GARAGE LIABILITY _ AUT O NLY - EA ACCIDENT !' $ OTHER THAN AU ONLY ANY AUTO -- EACH ACCIDE $ _ � $ AGGREGATE CESS LIABILITY EACH OC $ 5, 000,000 - - -- - - F X ;UMBRELLA BE2860181 04 /09/03 '.04/09/04 AGGREGATE $ 5 000,000 - -- . - FORM $ j OTHER THAN UMBRELLA FORM B WORKERS COMPENSATION AND 5211147 (CA) 04!09/03 04!09!04 X TCRY LIMITS ,_- CR EMPLOYERS' LIABILITY 5211148 (MA, NY) 04/09/03 04109/04 EL EACH ACCIDENT $ 1,0 0 0 ,000 -- ---- D OR / INCL X 5211149 (KY, PA) IMIT $ 1 - - - - --- 04/09/03 .04/09/04 EL DISEASE POLIC L _ - - -- ! PARTNERS /E T TINE (IL, IN, LA, WI) 04/09/03 04/09/04 EL DISEASE -EACH EMPLOYEE', $ 1,000,000 E OFFICERS EXCL!5211150 ARE: E WORKERS' C (COMPENSATION 5211151(Ar, Co, Ct, Ga, Mn, MO, S�,4 109 /03 04/09/04 (Tx, UT) !04/09/04 g 5211152(AOS) 04/09/03 DESCRIPTION OF OPERATIONS ILOCATIONSNEHICLESISPECIAL ITEMS we with respect to claims arising out of the operations of the named insured, Certificate Holder is named as additional insured on the above policies except unless liability arises directly or indirectly out of the additional insured's negligent conduct, but only to the extent that such status is required by written contract or purchase order. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 'in DAYS WRITTEN NOTICE TO THE MONROE COUNTY BOCC CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ATTN: ANN MYTNIK 3583 S. ROOSEVELT BLVD LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE KEY WEST, FL 33040 ISSUER OF THIS CERTIFICATE. MARSH USA INC. By Mary Radaszewski MM1(3102) VALID AS OF: 04/24/03 k DATE (MMIDDIYY) ADDITIONAL INFORM/-.. ION C LE -000693524 -01 04/24/03 COMPANIES AFFORDING COVERAGE PRODUCER MARSH COMPANY TWO LOGAN SQUARE E ILLINOIS NATIONAL INS CO PHILADELPHIA, PA 19103 -2797 COMPANY F NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA 00296 - 03 -04- GAWUP -03 -04 FL GAWU 1618 DAVIE INSURED COMPANY YORK INTERNATIONAL CORPORATION G 631 SOUTH RICHLAND AVENUE YORK, PA 17403 COMPANY H MONROE COUNTY BOCC ATTN: ANN MYTNIK 3583 S. ROOSEVELT BLVD KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE MARSH USA INC. BY Mary Radaszewski�'�" Pa e INCLUDES COPYRIGHTED MATERIAL OF ACORD CORPORATION WITH ITS PERMISSION. �� k 1 �+5� "11�� CLE- 00069352403 NUMBE ::. PRODUCER MARSH USA INC TWO LOGAN SQUARE PHILADELPHIA PA19103 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. Attn: JUANITA BRADLEY 212 - 948 -0360 COMPANIES AFFORDING COVERAGE COMPANY 00296 - 04- 05 -GAWUP -0405 FL YORK 1618 DAVIE A AMERICAN HOME ASSURANCE CO INSURED YORK INTERNATIONAL CORPORATION 631 SOUTH RICHLAND AVENUE COMPANY g INSURANCE CO. OF THE STATE OF PA. YORK, PA 17403 COMPANY C NEW HAMPSHIRE INS COMPANY COMPANY D American International South Insurance Company I� " TES Si1�8l rl EO pCrrti5 Fsstred t (IIiE: ( EI rs Vic! . . _.... ... .... : ... : THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY 4806285 04/09/04 04/09105 GENERAL AGGREGRATE $ 4,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR PRODUCTS- COMP /OPAGG $ 6,000,000 PERSONAL &ADV INJURY $ 2,000,000 EACH OCCURRENCE $ 3,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 1,000,000 X P REMISES & OPERATION MED EXP (Any one person) $ 10,000 A AUTOMOBILE LIABILITY 518 8984 (AOS) 04/09/04 04/09/05 A X ANY AUTO 518 8985 (VA) 04/09/04 04/09/05 COMBINED SINGLE LIMIT $ 2,000,000 A A ALL OWNED AUTOS SCHEDULED AUTOS 518 8983 (TX) 518 8982 (MA) 04/09/04 04/09/04 04/09/05 04/09/05 BODILY INJURY (Per person) $ HIREDAUTOS NON -OWNED AUTOS I F E I f, E NT BODILY INJURY (per accident) $ PROPERTY DAMAGE $ u� GARAGE LIABILITY QATE AUTO ONLY - EA ACCIDENT $ ANY AUTO WAIVER N� OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ F EXCESS LIABILITY BE2978061 04/09/04 04/09 /05 EACH OCCURRENCE $ 5,000,000 X UMBRELLA FORM AGGREGATE $ 5,000,000 $ OTHER THAN UMBRELLA FORM C B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 5212520 5212518 04/09/04 04/09/04 04/09/05 04104/05 X WC STATU- TORY LIMITS 0TH - ER ::.:: :::::::::::::::::::::::::::.::: s EL EACH ACCIDENT $ 7000,000 C THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE 5212519 04/09/04 04/09/05 EL DISEASE- POLICY LIMIT $ 1,000,000 D OFFICERS ARE: EXCL 5212517 04/09/04 04/09/05 EL DISEASE -EACH EMPLOYEE $ 1 OTHER DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES/SPECIAL ITEMS Certificate Holder is named as additional insured on the above policies except we with respect to claims arising out of the operations of the named insured, unless liability arises directly or indirectly out of the additional insured's negligent conduct, but only to the extent that such status is required by written contract or purchase order. SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION MONROE COUNTY BOARD OF DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS COUNTY COMMISSIONERS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH 1100 SIMONTON STREET NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER GATO BUILDING / ROOM 2 -213 AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, ORTHE ISSUER OF THIS KEY WEST, FL 33040 CERTIFICATE. / MARSH USA INC BY Mary Radaszewskl -') {'. .;; VALID AS OF. 04/09/04:;; "r �! V ER'C�TE ' fI� CERTIFICATE NUMBER CLE- 000693524 -04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS PRODUCER Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE TWO LOGAN SQUARE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE PHILADELPHIA, PA 19103 -2797 AFFORDED BY THE POLICIES DESCRIBED HEREIN. Attn: PHILADELPHIA.CERTS @MARSH.COM COMPANIES AFFORDING COVERAGE COMPANY 0296 - 05 -06- GAWUP -05 -06 FL YORK 1618 DAVIE A AMERICAN HOME ASSURANCE CO INSURED COMPANY YORK INTERNATIONAL CORPORATION B NEW HAMPSHIRE INSURANCE CO 631 SOUTH RICHLAND AVENUE YORK, PA 17403 COMPANY C NATIONAL UNION FIRE INS CO OF PITTSBURGH PA COMPANY D INSURANCE CO OF THE STATE OF PA '� . ., ft ..A PSI me y .,.. yky'vittevelidaf#rrte'pY' - THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM /DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS • GENERALLIABILITY 6422458 04109/05 04/09/06 GENERAL AGGREGATE $ 4,000,000 X PRODUCTS - COMP /OP AGG $ 6,000,000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ 2,000,000 EACH OCCURRENCE $ 3,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 1,000,000 MED EXP (Any one person) $ 10,000 • AUTOMOBILE LIABILITY 242 3229 (AOS) 04/09/05 04/09/06 COMBINED SINGLE LIMIT $ 2,000,000 X • ANY AUTO 242 3230 (TX) 04/09/05 04/09/06 BODILY INJURY (Per person) $ A A ALL OWNED AUTOS SCHEDULED AUTOS 242 3228 (VA) 242 3227 MA ( ) 04/09/05 04/09/05 04/09/06 04/09/06 BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS AP T V SK M AGEMEN PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO DATE --- WAIVER - -- ----- Sp /< ,.. -_ ._ - OTHER THAN AUTO ONLY. EACH ACCIDENT $ AGGREGATE $ C EXCESS LIABILITY X UMBRELLA FORM BE2979881 CQQ U(. ` /09/05 04/09/06 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ OTHER THAN UMBRELLA FORM B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 6609347 6609346 04/09/05 04/09/05 04/09/06 04/09/06 X c TORY LIb9T,. ER. - EL EACH ACCIDENT $ $1,000,000 D E THE PROPRIETOR/ X INCL P ERSIEXECUTIVE OFFICERS ARE: EXCL 6609350 660 9349 04/09/05 04/09/05 04/09/06 04109/06 EL DISEASE - POLICY LIMIT $ $1,000,000 EL DISEASE -EACH EMPLOYEE $ $1,000,000 OTHER D Workers' Compensation 6609348 04/09/05 04/09/06 LIMITS B 6609345 04/09/05 04/09/06 SEE ABOVE DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLES /SPECIAL ITEMS Certificate Holder is named as additional insured on the above policies except we with respect to claims arising out of the operations of the named insured, unless liability arises directly or indirectly out of the additional or purchase order. insured's negligent conduct, but only to the extent that such status is required by written contract CER"1"IGAE liQt . .F x, " C+l1.LATIpN " SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL A DAYS WRITTEN NOTICE TO THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 1100 SI MONTON STREET LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE GATO BUILDING / ROOM 2 -213 KEY WEST, FL 33040 ISSUER OF THIS CERTIFICATE. MARSH USA INC. BY: Mary Radaszewski NtM VALID AS OF: 04/07/05 C e � 1 CERTIFICATE OF INSURANCE CERTIFCATE NUMBER MARSH CLE-001481227 -02 PRODUCER Marsh USA Inc. 411 East Wisconsin Avenue p Suite 1600 CERTIFICa IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS r -, t, RIGHTS UPON, THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE R `C E ( E ICY THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE BY TH POLICIES DESCRIBED HEREIN. Milwaukee, WI 53202-0419 Attn: PHILADELPHIA.CERTS @MARSH.COM /F COMPANIES AFFORDING COVERAGE 00296 -CAS GAWUP -06-07 JUN 2 0 2086"A Y AMERICAN HOME ASSURANCE CO INSURED COMP YORK INTERNATIONAL CORPORATION (A SUBSIDIARY OF JOHNSON CONTRO INC.) ATTN: CORP. RISK MGMT. X -92 P.O. BOX 591 Mnpi ROE CG NTl B NE HAMPSHIRE INSURANCE CO R ?SK 'J,"IAG C INSURANCE CO OF THE STATE OF PA MILWAUKEE, WI 53201 COMPANY D AMERICAN INTL SOUTH INS. CO. COVERAOE6 This Cettitii atE St 78r$eLIeS end repl2Oe$BtYt 1N2VIOUSI}r 1$ NE d 060cate tdrthe *4 period noted tiNDW, +2 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE(MMIDDIYY) POLICY EXPIRATION DATE(MMIDD/YY) OMITS ERAL LIABILITY HDOG21723551 01/09/06 10101/06 GENERAL AGGREGATE $ 5,000,000 PRODUCTS- COMP /OP AGG $ 5.00(),000 COMMERCIAL GENERAL LABILITY PERSONAL &ADV INJURY $ 5,000,000 NAMTONIOBILE CLAIMS MADE OCCUR OWNER'S& CONTRACTOR'S PROT EACH OCCURRENCE $ 5,000,000 FIRE DAMAGE(A rry.m fire) $ 5,000,000 C U MED EXP An ma r $ 50,000 LIABILITY 3620021' (AOS) 04/09/06 10/01/06 COMBINED SINGLE LIMIT $ 2,000,000 • X ANV AUTO 3818309 (TX) 04/09106 10/01/06 BODILY INJURY (Per pamm) $ • • ALL OWNED AUTOS SCHEDULED AUTOS 3818308 (VA) 3818307 (MA) 04 /09/06 04/09/06 10/01/06 10/01/06 BODILY INJURY (PeramitlerR) $ X HIRED AUTOS X NON -OWNED AUTOS -..�, A 1 I A. OPERTY DAMAGE $ ( j U { I V ` GARAGE LABIUTY AUTO ONLY - EA ACCIDENT $ ANV AUTO OTHER THA AUT ONLY A EACH ALH ACCIDENT $ AGGREGATE $ F EXCESS LIABILITY 5577313 01/09/06 10/01/06 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 X UMBRELLA FORM {Q� $ OTHER THAN UMBRELLA FORM `�/— B C WOR 5 COMPENSATION AND EMPLOYERS' LIABILITY 6611396, 6611396, 6611399 6611395,6611397 04109/06 04/09/06 10/01/06 10/01/06 X ToRV uMITS ER EL EACH ACCIDENT $ 1,000,000 EL DISEASE - POLICY UMIT $ 1,000,000 D THE PROPRIETOW X INCL PARTNERSIEXECUTIVE OFFICERS ARE: EXCL 6611400 04/09/06 10/01/06 EL DISEASE -EACH EMPLOYEE $ 1,000,000 OTHM DESCRIPTION OF OPERATONWLOCATONSIVEHICLES /SPECIAL ITEMS (See Reverse and/or Attached) CERTIFICA'M OLDER CANCELEA'nO* SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCEUED BEFORE THE EXRRATON DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL END61VOR TO MAIL 3Q DAYS WRITTEN NOTICE TO THE COUNTY OF MONROE MONROE COUNTY RISK MANAGEMENT 1100 SIMONTON STREET CERTIFICATE HOLDER NAMED HEREIN , BUT FAI WRE TO MNIL SUCH NOTICE SHALL MPOSE NO OBLIGATION OR LABILITY OFANY KIND UPON THE INMRER AFFORDING COVEMGE, RS AGENTS OR REPRESENTATNES, OR THE KEY WEST, FL 33040 ISSUER OF THIS CERTIFICATE. MARSH USA INC. BY: Mary Radaszewski —,IwJ-t-j MM1(ytOZ} VALID AS OF: 06/15/06 DATE (MMIDWYY) )6/15/06 PRODUCER Marsh USA Inc. 411 East Wisconsin Avenue Suite 1600 Milwaukee, WI 5320211419 Attn: PHILADELPHIA.CERTS @MARSH.COM /FAX: 212 - 948-0360 100296- CAS -GA W U P -06-07 INSURED YORK INTERNATIONAL CORPORATION (A SUBSIDIARY OF JOHNSON CONTROLS, INC.) ATTN: CORP. RISK MGMT. X -92 P.O. BOX 591 MILWAUKEE, WI 53201 COMPANY COMPANIES ILLINOIS UNION INSURANCE COMPANY COMPANY F LEXINGTON INSURANCE COMPANY COMPANY G N/A COMPANY American Home Assurance, 70 Pine Street, New York, NY 10270 SAM. Best Rating as of 4106: A +XV) New Hampshire Insurance Co., 70 Pine Street, New York, NY 10270 (A.M. Best Rating as of 4/06: A +XV) Insurance Co of the State of PA, 70 Pine Street, New York, NY 10270 (A.M. Best Rating as of 4/06: A +XV) American Inrl South Ins. Co., 70 Pines Street, New York, NY 10270 (A.M. Best Rating as of 4/06: A +XV) Illinois Union Insurance Company, PO Box 41484, Philadelphia, PA 19101 (A.M. Best Rating as of 4/06: A +XV) Lexington Insurance Company, 100 Summer Street, Boston, MA 02110 (A.M. Best Rating as of 4106: A +XV) - A.M. Best rating of Insurers are provided for information purposes only and are based upon information with respect to such ratings available to Marsh USA Inc. on the date set forth herein with respect to such ratings. Marsh USA Inc. will not, and will have no responsibility or obligation to, Inform the certificate holder or any person relying upon this certificate of any changes in such A.M. Best ratings occurring after such date. Marsh USA Inc. will have no liability with respect to the solvency of future ability to pay claims of any of the insurance companies which have issued the insurance policies referenced herein. Primary Coverage for General Liability and Auto Liability: Where required by lease or contract, this coverage is Primary and not Excess of or Contributing with other insurance or self - insurance. Waiver of Subrogation for General Liability, Auto Liability and Workers Compensation: Insured waives subrogation to the extent required by contract. Additional Insured/Loss Payee for General Liability and Auto Liability: Includes coverage for Additional Insureds & Loss Payees as required by lease or contract. if specific naming is required: MONROE COUNTY RISK MANAGEMENT 1100 SIMONTON STREET KEY WEST, FL 33040 Mary Radaszewski ` MARSH USA INC. By Ac")?Lx DATE (MM /DDNYYY) CERTIFICATE OF LIABILITY INSURANCE 9,3i2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION /IIJI V AAII"1 !`AAICCCC I.In olr urc� ��n�.� RIGHTS UPON T HE CERTIFICA TE Marsh USA Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 411 East Wisconsin Avenue t Suite 1600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Milwaukee, WI 53202 — 4419 *SEE REVERSE FOR AM BEST RATING Attn. CPU, Phone (414) 290 -4912 Fax (414) 290 -4953 NAIC # CPU Milwaukee@marsh.com INSURERS AFFORDING COVERAGE SEE REVERSE INSURED Johnson Controls, Inc. Att - C R; k M INSURER A: SEE REVERSE SIDE FOR INFORMATION Johnson Controls Battery Group, Inc. Johnson Controls Interiors, L.L.C. JCIM US LLC Cal -Air, Inc. GES America, L.L.C. Metro Mechanical Inc. Optima Batteries, Inc. USI Real Estate Brokerage Services Inc. York International Corporation COVERAGES n. orp Is gmt. X - 92 P.O. Box INSURER B: SEE REVERSE SIDE FOR INFORMATION Milwaukee, , WI 53201 INSURER C: SEE REVERSE SIDE FOR INFORMATION INSURER D: SEE REVERSE SIDE FOR INFORMATION I I INSURER E: I tyt 1`ULIUIt5 ut- IlvSUt-�ANUE L161 EL) 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR ADD'L POLICY POLICY LTR INSIRD TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS DATE DATE (MM /DD/YY) (MM /DD/YY) A GENERAL LIABILITY (1) (3) (4) H DOG24934056 10/1/2009 10/1/2010 EACH OCCURENCE $ 5,000,000 ® COMMERICAL GENERAL LIABILITY DAMAGE TO RENTED ❑ E]CLAIMS MADE E OCCUR PREMISES Ea occurrence $ 5,000,000 MED EXP An one person ( Any p $ 50 000 ® Contractual PERSONAL & ADV INJURY $ 5 ,000,000 ® X,C,U GENERAL AGGREGATE $ 5 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 5,000,000 Iq POLICY PROJECT LOC B AUTOMOBILE LIABILITY (2) (3) (4) ** 90 04606 -01 10/1/2009 10/1/2010 COMBINED SINGLE LIMIT $ ® ANY AUTO (Ea Accident) ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ' �„ ODILY INJURY Per person) $ BODILY INJURY $ ® HIRED AUTOS ' i _ `� ® _ (Per accident) PROPERTY DAMAGE (Per accident) NON -OWNED AUTOS GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ❑ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ D EXCESS /UMBRELLA LIABILITY XOO 624901154 10/1/2009 1011 /2010 EACH OCCURRENCE $ 5,000,000 ® OCCUR CLAIMS MADE AGGREGATE $ 5,000,000 $ ❑ DEDUCTIBLE�V ✓/ ❑ RETENTION $� $ �. C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY (4) WLR C45702017 — AOS 10/1/2009 1011 /2010 ® WC STATU- ❑ OTH- TORY LIMITS ER ANY PROPRIETOR/PARTNER /EXECUTIVE WLRC45702029 — CA E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCL UDED? N Y/N (Mandatory in NH) SCFC45702030 — WI — WCUC45702042 EX WC �� ( ,�� '/� E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under .qPF('.IAI PROVISIONS below WCUC45702625 — EX WC FL E.L. DISEASE - POLICY LIMIT $ OTHER (1) ADDITIONAL INSURED: If required by contract, includes coverage for Additional Insureds per attached endorsement. (2) ADDITIONAL INSURED: If required by contract, includes coverage for Additional Insureds and Loss Payees as required by contract (3) PRIMARY COVERAGE: Where required by lease or contract, this coverage is primary and not excess of or contributing with other insurance or self- insurance (4) WAIVER OF SUBROGATION: Insured waives subrogation to the extent required by contract. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS JCI Contract No. JCI Project Name: Customer PO Number: CERTIFICATE HOLDER [ wil tn [6l A a W. Ad dtilT Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040- Af%^MM O%C 1�1nnnlnw SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL AGR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WJT REPRESENTATIVES 114.9-U-PTE-01 ITS AG NT-8 OR AUTHORIZED REPRESENTATIVE Of MARSH USA INC. ' r1VV1 \V 4. %J 1LVV�71V 1 I © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01) *A. M. Best ratings of insurers are provided for information purposes only and are based upon information with respect to such ratings available to Marsh USA Inc. on the date set forth herein with respect to such ratings. Marsh USA Inc. will have no responsibility or obligation to, inform the certificate holder or any person relying upon this certificate of any changes in such A.M. Best ratings occurring after such date. Marsh USA Inc. will have no liability with respect to the solvency or future ability to pay claims of any of the insurance companies which have issued the insurance policies referenced herein. ** The Auto Liability placement was made by Risk Management Resources, Inc., 121 W. Wacker Dr., Suite 2325, Chicago, IL. Marsh USA Inc. acts in the role of consultant to the Insured with respect to this placement, which is indicated for your convenience. AM Best Rating COMPANIES AFFORDING COVERAGE (as of 9/1/09) NAIC # *SEE BELOW INSURER A: ACE AMERICAN INSURANCE COMPANY A+ XV 22667 PO Box 41484, Philadelphia, PA 19101 INSURER B: SENTRY INSURANCE A MUTUAL CO. A+ XV 24988 1800 North Point Dr., Stevens Point, WI 54481 INSURER C: ACE AMERICAN INSURANCE COMPANY FOR A+ XV 43575 CA, FL, WI AND EX WC; INDEMNITY INS. CO OF NORTH AMERICA FOR ALL OTHERS PO Box 41484, Philadelphia, PA 19101 INSURER D: ACE PROPERTY & CASUALTY INSURANCE A+ XV 20699 COMPANY 436 Walnut Street, Philadelphia, PA 19106 *A. M. Best ratings of insurers are provided for information purposes only and are based upon information with respect to such ratings available to Marsh USA Inc. on the date set forth herein with respect to such ratings. Marsh USA Inc. will have no responsibility or obligation to, inform the certificate holder or any person relying upon this certificate of any changes in such A.M. Best ratings occurring after such date. Marsh USA Inc. will have no liability with respect to the solvency or future ability to pay claims of any of the insurance companies which have issued the insurance policies referenced herein. ** The Auto Liability placement was made by Risk Management Resources, Inc., 121 W. Wacker Dr., Suite 2325, Chicago, IL. Marsh USA Inc. acts in the role of consultant to the Insured with respect to this placement, which is indicated for your convenience. POLICY NUMBER: HDOG24934056 COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Or Organization(s): If required by contract, Monroe County Board of County Commissioners Location(s) Of Covered Operations As required by contract, Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Endorsement #A2 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - NAMED INSURED'S ACTS OR OMISSIONS ONLY A. Section II — Who is An Insured is amended to B. With respect to the insurance afforded to these additional include as an additional insured the person(s) or insureds, the following additional exclusions apply: organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or This insurance does not apply to "bodily injury" or "personal and advertising injury" caused solely by: "property damage" occurring after: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment 2. The acts or omissions of those acting on your behalf; furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional in the performance of your ongoing operations for the insured(s) at the location of the covered operations additional insured(s) at the location(s) designated above. has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Endorsement #A2A ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS — NAMED INSURED'S ACTS OR OMISSIONS ONLY Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused solely by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard."