Certificates of Insurance
PRODUCER
MARSH USA INC.
44 WHIPPANY ROAD
P.O. BOX 1966
MORRISTOWN, NJ 07962-1966
10/01/99
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A ALLlANZ INSURANCE COMPANY
INSURED
SIEMENS BUILOING TECHNOLOGIES; INC.
1000PEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
COMPANY
B N/A
COMPANY
C TRAVELERS INDEMNITY CO- OF ILLINOIS
COMPANY
D
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.
CO , TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR I DATE (MM/DDIYY) DATE (MM/DDIYY)
A CGL 1028010 1 % 1/99 10/01/00 GENERAL AGGREGATE i $ 5,000,000
GENERAL LIABILITY PRODUCTS-COMP/~PA~~ INCL.
CLAIMS MADE I X l OCCUR PERSONAL & ADV INJURY i $ 1,000,000
--~--~
OINNER'S & CONTRACTOR'S PROT EACH OCCURRENCE 1$ 1,000,000
I FIRE DAMAGE (Anyone fire) i $ 1,000,000
-----i
MED EXP (Anyone person) $ 100,000
C TC2J-CAP-229T228-3- TIL-99 10/01/99 10/01/00
COMBINED SINGLE LIMIT $ 1,000,000
X ' (AOS)
, . ANY AUTO
i-Xl ALL OINNED AUTOS TC2E-CAP-229T229-5- TCT-99 10/01/99 10/01/00 BODILY INJURY $ N/A
, SCHEDULED AUTOS (TX) (Per person)
I X HIRED AUTOS T J-EAP-229T230-2- TIL-99 10/01/99 10/01/00 BODILY INJURY $ N/A
; X NON-OINNED AUTOS (MA-XS) (Per accident)
-----L--_________
.------ :r ~ PROPERTY DAMAGE $ N/A
ANY AUTO
qt-~~~
EACH ACCIDENT' $
AGGREGATE $
$
+--
$
$
GARAGE LIABILITY
L'Y
EXCESS LIABILITY
V~'~\IVt;,:
I
~.;. ~... - ) ---+--
UMBRELLA FORM
---I OTHER THAN UMBRELLA FORM
C 'WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
AGGREGATE
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
I TRJ-U B-229T226-A-99
(AZ,HI,OR,MT,NV,WI)
INCL ITC2J-UB-229T225-8-99
I ~
, EXCL. AOS
i 10/01/99 10/01/00 ' X i STATUTORY LIMITS
I $
EACH ACCIDENT 1,000,000
.~--
, 10/01/99 10/01/00 I DISEASE - POLICY LIMIT $ 1,000,000
~----
DISEASE - EACH EMPLOYEE $ 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTlBLES OR RETENTIONS.
IRE ALARM MAINTENANCE, MONROE COUNTY BOCC TO BE NAMED ADDITIONAL INSURED.
D^TB.....
I~
-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE / ,-
Robert S. Fissel ~
MONROE COUNTY RIS MANAGEMENT
5100 COLLEGE ROAD
KEY WEST, FL 33040
INITIAL
PRODUCER
MARSH USA INC.
44 WHIPPANY ROAD
PO BOX 1966
MORRISTOWN, NJ 07962-1966
12222-LANDI--
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC. '3 'VI
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
A.D..lllt. CERTIF
04/06/01
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT
AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
COMPANY
A
COMPANY
B
COMPANY
C
COMPANY
D
COMPANIES AFFORDING COVERAGE
LUMBERMENS MUTUAL CASU
N/A
TRAVELERS INDEMNITY CO. OF ILLINOIS
cOERAGES
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.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
LIMITS
A GENERAL LIABILITY 3AA034140-00
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE QOCCUR
OWNER'S & CONTRACTOR'S PROT
C AUTOMOBILE LIABILITY
X ANY AUTO
X ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
C WORKERS' COMPENSATION
AND EMPLOYERS' LIABILITY
THE PROPRIETOR! [ilINCL
PARTNERs/EXECUTIVE DEXCL
OFFICERS ARE:
OTHER
10101/00
10101/01
$
$
$
$
$
$
5,()OO.QOQ
INCL.
1,000,000
1,000,000
1,000,000
100,000
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGG.
PERSONAL & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED. EXPENSE(Anyone person)
TC2J-CAP-229T228-3- 10101/00 10101/01
TIL-OO (AOS)
TC2E-CAP-229T229-5- 10101/00 10101/01
TCT -00 (TX)
T J-EAP-229T230-2- 10101/00 10101/01
TIL-OO (MA-XS)
COMBINED SINGLE LIMIT
$
1,000,000
BODILY INJURY
(Per person)
N/A
-----.._---------- ----. ------------...--
BODILY INJURY
(Per accident)
N/A
PROPERTY DAMAGE
N/A
"
1-1"'
pq:
EACH ACCIDENT
AGGREGATE
$
$
TRJ-UB-229T226-A-00
(AZ,HI,OR,MT,NV,WI)
TC2J-!JI3-229T225-8-00
(AOS)
10101/00
10101/01 X STATUTORY LIMITS
EACH ACCIDENT $ 1,000,000
10101/01 DISEAZE-POLlCV LIMIT $ 1,000,000
DISEASE-EACH EMPLOYEE $ 1,000,000
10/01/00
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTIBLES OR RETENTIONS_
Job# 216-PC-1277
The Board of County Commissioners of Monroe County, Florida is included as an additional insured as respects to the bid titled,
"Certification, Maintenance and Testing Service Agreement for the Detention Center F/A, BAS and Smoke Control Systems, Sheriff
Administration FlA. BAS SYstems. and Courthouse Annex Fire Alarm Svstem"
CE~tlFleATE HOLDER
,SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
'EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
jBUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
MARSH USA INC. / .,- t7 n
Robert S. Fissel I"--"'\) ~..
The Board of County Commissioners
of Monroe County, Florida
5501 College Road
Key West, Florida 33040
ACORD 25-S (3/93)
@ACORD CORPORATION 1993
At~t.III."
DATE (MM/DDIYY)
10/31/01
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
PRODUCER
MARSH USA INC.
44 WHIPPANY ROAD
P.O. BOX 1966
MORRISTOWN, NJ 07962-1966
100129-BA--
216
COMPANY
A INSURANCE CORPORATION OF HANNOVER
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC.
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
COMPANY
B TRAVELERS INDEMNITY CO. OF ILLINOIS
COMPANY
C
COMPANY
D
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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MM/DDIYY)
A GENERAL LIABILITY ICH GL 132-01 11/01/01 10/01/02 GENERAL AGGREGATE $ 7,500,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ INCL.
CLAIMS MADE [8] OCCUR PERSONAL & ADV INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 1,000,000
MED EXP (Anyone person) $ 100,000
B AUTOMOBILE LIABILITY TC2J-CAP-229T228-3- TIL-01 (AOS 10/01/01 10/01/02
COMBINED SINGLE LIMIT $ 1,000,000
X ANY AUTO TC2E-CAP-229T229-5- TCT -01 (TX 10/01/01 10/01/02
X ALL OWNED AUTOS T J-EAP-229T230-2-TIL-01(MA-XS) 10/01/01 10/01/02 BODILY INJURY $ N/A
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY $
(Per accident) N/A
X NON-OWNED AUTOS
PROPERTY DAMAGE $ N/A
GARAGE LIABILITY AP o ONLY - EA ACCIDENT
ANY AUTO BY
EACH ACCIDENT $
DATE AGGREGATE $
EXCESS LIABILITY WAIVER $
UMBRELLA FORM $
OTHER THAN UMBRELLA FORM $
B WORKERS COMPENSATION AND TRJ-UB-229T226-A-01 10/01/01
EMPLOYERS' LIABILITY
(AZ,HI,OR,MT,NV,WI) EACH ACCIDENT $ 1,000,000
THE PROPRIETOR! X 10/01/02 ----.-----..------
INCL TC2J-UB-229T225-8-01 (AOS) 10/01/01 DISEASE - POLICY LIMIT $ 1,000,000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTIBLES OR RETENTIONS.
IRE ALARM MAINTENANCE, MONROE COUNTY BOCC TO BE NAMED ADDITIONAL INSURED.
MONROE COUNTY RIS MANAGEMENT
5100 COLLEGE ROAD
KEY WEST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
3~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
1lIXIIIlBIBllllflflDBSBllIIlAD.IXII
Rich O'Connor
~SH~~~
A.D.tltlt"
PRODUCER
MARSH USA INC.
44 WHIPPANY ROAD
P.O. BOX 1966
MORRISTOWN, NJ 07962-1966
DATE (MM/DDNY)
10/03/01
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
100129-BA--
COMPANY
A LUMBERMENS MUTUAL CASUALTY COMPANY
216
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC.
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
COMPANY
B TRAVELERS INDEMNITY CO. OF ILLINOIS
COMPANY
C NIA
COMPANY
D
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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDNY) DATE (MM/DDNY)
A GENERAL LIABILITY 3AA034140-00 10101/00 11/01/01 GENERAL AGGREGATE $
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $
CLAIMS MADE [8] OCCUR PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
B AUTOMOBILE LIABILITY TC2J-CAP-229T228-3-TIL-01(AOS 10101/01 10101/02
COMBINED SINGLE LIMIT $
X ANY AUTO TC2E-CAP-229T229-5- TCT -01 (TX 10101/01 10101/02
X ALL OWNED AUTOS T J-EAP-229T230-2-TIL-01(MA-XS) 10101/01 10101/02 BODILY INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODilY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT
ANY AUTO WAIVER OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM -~f AGGREGATE
OTHER THAN UMBRELLA FORM '1
B WORKERS COMPENSATION AND TRJ-UB-229T226-A-O 1 10101/02 X STATUTORY LIMITS
EMPLOYERS' LIABILITY
(AZ,HI,OR,MT,NV,WI) EACH ACCIDENT $
THE PROPRIETORl X INCl TC2J-UB-229T225-8-01 (AOS) 10101/01 10101/02 DISEASE - POLICY LIMIT $
PARTNERSlEXECUTIVE $
OFFICERS ARE: EXCl DISEASE - EACH EMPLOYEE
OTHER
5,000,000
INCL.
1,000,000
1,000,000
1,000,000
100,000
1,000,000
NIA
NIA
NIA
1,000,000
1,000,000
1,000,000
DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/SPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTIBLES OR RETENTIONS.
OB# 216-PC-1277 THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA IS INCLUDED AS AN ADDITIONAL INSURED AS
ESPECTS TO THE BID TITLED,"CEERTlFICATION,MAINTENANCE & TESTING SERVICE AGREEMENT FOR TH DETENTION CENTER F/A.BAS &
MOKE CONTROL SYSTEMS,SHERIFF ADMINISTRATION FIA, BAS SYSTEMS, & COURTHOUSE ANNES FIRE ALARM SYSTEM"
THE BOARD OF COUNTY COM f ISSIONER!=D E eEl V r:- 0
OF MONROE COUNTY,FLORDI 1\ L
5501 COLLEGE ROAD :-
KEY WEST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
3~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE
OCT
2001
At~t.III."
DATE (MM/DDIYY)
10/03/01
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
PRODUCER
MARSH USA INC.
44 WHIPPANY ROAD
P.O. BOX 1966
MORRISTOWN, NJ 07962-1966
100129-BA-
216
COMPANY
A LUMBERMENS MUTUAL CASUALTY COMPANY
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC,
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
COMPANY
B TRAVELERS INDEMNITY CO. OF ILLINOIS
COMPANY
C N/A
COMPANY
D
G:aVSRiA$:SI, .
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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MM/DDIYY)
A GENERAL LIABILITY 3AA034140-00 10/01/00 11/01/01 GENERAL AGGREGATE $
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $
CLAIMS MADE [8] OCCUR PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
B AUTOMOBILE LIABILITY TC2J-CAP-229T228-3-TIL-01 (AOS 10/01/01 10/01/02
COMBINED SINGLE LIMIT $
X ANY AUTO TC2E-CAP-229T229-5- TCT-01(TX 10/01/01 10/01/02
X ALL OWNED AUTOS TJ-EAP-229T230-2-TIL-01(MA-XS) 10/01/01 10/01/02 BODILY INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
APPA ROPERTY DAMAGE $
GARAGE LIABILITY BY AUTO ONLY. EA ACCIDENT $
ANY AUTO DATE OTHER THAN AUTO ONLY:
EACH ACCIDENT $
WAIVER AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
B WORKERS COMPENSATION AND TRJ-UB-229T226-A-01 10/01/01 10/01/02 X STATUTORY LIMITS
EMPLOYERS' LIABILITY
(AZ,HI,OR,MT,NV,W1) EACH ACCIDENT
THE PROPRIETOR! X INCL TC2J-UB-229T225-8-01 (AOS) 10/01/01 10/01/02 DISEASE - POLICY LIMIT
PARTNERs/EXECUTIVE
OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE
OTHER
5,000,000
INCL.
1,000,000
1,000,000
1,000,000
100,000
1,000,000
N/A
N/A
N/A
1,000,000
1,000,000
1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTIBLES OR RETENTIONS.
IRE ALARM MAINTENANCE, MONROE COUNTY BOCC TO BE NAMED ADDITIONAL INSURED.
MONROE COUNTY RIS MANAGEMENT
5100 COLLEGE ROAD
KEY WEST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
3-<<L- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
IUlIllllllRlDll__ BSBlIlIlllalllXll
Robert S. Fissel
",," RTIEJ.~AtE;,OF1NSU't~)\NC o:/;~i~~fYY) t~
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
PRODUCER
MARSH USA INC.
44 WHIPPANY ROAD
P.O. BOX 1966
MORRISTOWN, NJ 07962-1966
100129-BA--
216
COMPANY
A INSURANCE CORPORATION OF HANNOVER
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC.
1000 DEERFIELD PAR'tWVAY
BUFFALO GROVE, IL 60089-4513
COMPANY
B TRAVELERS INDEMNITY CO. OF ILLINOIS
COMPANY
C
COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOlWlTHSTANDING 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.
CO
LTR
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDfYY) DATE (MM/DDfYY)
TYPE OF INSURANCE
A GENERAL LIABILITY ICH GL 132-01
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ~ OCCUR
OWNER'S & CONTRACTOR'S PROT
11/01101
10101/02
B AUTOMOBILE LIABILITY
X ANY AUTO
X ALL OWNED AUTOS
SCHEDULED AUTOS
TC2J-CAP-229T228-3- TIL-01 (AOS 10101/01
TC2E-CAP-229T229-5- TCT -01 (TX 10101/01
T J-EAP-229T230-2- TIL-O 1 (MA-XS) 10101/01
10101/02
10101/02
10101/02
X HIRED AUTOS
X
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
B
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TRJ-UB-229T226-A-01
(AZ,HI,OR,MT,NV,WI)
TC2J-UB-229T225-8-01 (AOS)
THE PROPRIETORf
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
X INCL
EXCL
LIMITS
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
X STATUTORY LIMITS
EACH ACCIDENT $
DISEASE - POLICY LIMIT $
DISEASE - EACH EMPLOYEE $
7,500,000
INCL
1,000,000
1,000,000
1,000,000
100,000
1,000,000
NIA
NIA
NIA
1,000,000
1,000,000
1,000,000
DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLES/SPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTlBLES OR RETENTIONS.
E: 216-PC-1277
ONROE COUNTY SOCC IS INCLUDED AS AN ADDITIONAL INSURED UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY
NSURANCE POLICIES, BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUILDING
ECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT.
CERJIFICATEHOLOER 'NYQ-Q.01.41 0255-00
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
3~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
t~~:~~ ~~~(~:~N~
; ,:AW, \(CdRDCC>RPORATION1993
MONROE COUNTY BOCC
ATTN: ANNr: MYTNIK
3583 SOUTH ROOSEVELT BLVD.
KEY WEST, FL 33040
I.J. "..~.... (- '. -.
'I 1',
n ._ _ -,-,
APR 0 ~ ~UU[
~
PRODUCER
MARSH USA INC.
44 WHIPPANY ROAD
P.O. BOX 1966
MORRISTOWN, NJ 07962-1966
DATE (MM/DDIYY)
09/25/02
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
100129-BA--
216
COMPANY
A INSURANCE CORPORATION OF HANNOVER
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC.
1000 DEERFIELD PARKWAY
BUFFALO GROVE,IL 60089-4513
COMPANY
B LIBERTY MUTUAL FIRE INSURANCE COMPANY
COMPANY
C LIBERTY MUTUAL INSURANCE COMPANY
COMPANY
D
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MM/DDIYY)
A GENERAL LIABILITY ICH GL 132-02 10/01/02 10/01/03 GENERAL AGGREGATE $ 10,000,000
COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ INCL.
CLAIMS MADE [8] OCCUR PERSONAL&ADVINJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 1,000,000
MED EXP (Anyone person) $ 100,000
B AUTOMOBILE LIABILITY AS2-631-004334-032 (AOS) 10/01/02 10/01/03 COMBINED SINGLE LIMIT $ 2,000,000
X ANY AUTO AS2-631-004334-052 (OH) 10/01/02 10/01/03
X ALL OWNED AUTOS APP BODILY INJURY $ N/A
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BY BODILY INJURY
$ N/A
X NON-OWNED AUTOS DATE (Per accident)
WAIVER PROPERTY DAMAGE $ N/A
GARAGE LIABILITY % AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
C EACH ACCIDENT
L J
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
C WORKERS COMPENSATION AND WA7-63D-004334-012 (AOS) 10/01/02 10/01/03
EMPLOYERS' LIABILITY
WC7 -631-004334-022 10/01/02 10/01/03
THE PROPRIETOR! X INCL (AK, ID, MT. OR, & WI) DISEASE - POLICY LIMIT
PARTNERSlEXECUTIVE
OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
RE: 216-PC-1277
MONROE COUNTY BOCC IS INCLUDED AS AN ADDITIONAL INSURED UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY
INSURANCE POLICIES, BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUILDING
TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT.
MONROE COUNTY BOCC
ATTN: ANNE MYTNIK
3583 SOUTH ROOSEVELT BLVD.
KEY WEST, FL 33040
:10Z
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
AIIXIlDRIDIIDllRBIlBlllIaIl'.OL M~~~~.~~
cc.:~
DATE (MM/DD/YY)
09/22/03
PRODUCER
MARSH USA INC,
44 WHIPPANY ROAD
P,O. BOX 1966
MORRISTOWN, NJ 07962-1966
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
100129-BA-- 216
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC,
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
COMPANY
A INSURANCE CORPORATION OF HANNOVER
COMPANY
B LIBERTY MUTUAL FIRE INSURANCE COMPANY
COMPANY
C LIBERTY MUTUAL INSURANCE COMPANY
COMPANY
D
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 MAYBE 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.
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE (MM/DDIYY) DATE (MM/DDIYY)
A GENERAL LIABILITY ICH GL 132-03 10/01103 10/01/04 GENERAL AGGREGRATE S 10,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ INCL.
CLAIMS MADE 0 OCCUR PERSONAL & ADV INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fHel S 1,000,000
MED EXP (Anyone person) $ 100,000
B AUTOMOBILE LIABILITY AS 1-631-004334-033 (AOS) 10101/03 10/01/04
COMBINED SINGLE LIMIT $ 2,000,000
X ANY AUTO AS1-631-004334-053 (OH) 10/01/03 10/01/04
X ALL OWNED AUTOS BODIL Y INJURY
(per person) $ N/A
SCHEDULED AUTOS
X HIRED AUTOS BODIL Y INJURY
$ N/A
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $ N/A
GARAGE LIABILITY AUTO ONL Y- EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT
Nt-\IIJER AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
C WORKERS COMPENSATION AND WA?-63D-004334-013 (AOS) 10/01/03 10/01/04
EMPLOYERS' LIABILITY WC? -631-004334-023
10/01/03 10/01/04
THE PROPRIETORI X INCL (AK, 10, MT, OR, & WI) DISEASE-POLICY LIMIT
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLES/SPECIAL ITEMS
RE: 216-PC-1277
MONROE COUNTY BOCC IS INCLUDED AS AN ADDITIONAL INSURED UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY INSURANCE
POLICIES, BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED SIEMENS BUILDING TECHNOLOGIES INC FOR
CERTIFICATE HOLDER UNDER CONTRACT. .' .
BY:
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENOEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY
KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
MONROE COUNTY BOCC
ATTN: ANNE MYTNIK
3583 SOUTH ROOSEVELT BLVD.
KEY WEST, FL 33040
llm~1! MARSH USA INC
Lillian Campbell ~ ~
............~ ~QlJlJTM'.H~eR"TIFU~AmI20F..LIJ:\B1LII'(INSURA~CE"p..<>,.
DATE (MM/DD/YY)
09/23/03
PRODUCER
MARSH USA INC.
44 WHIPPANY ROAD
P.O. BOX 1966
MORRISTOWN, NJ 07962-1966
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANY
A INSURANCE CORPORATION OF HANNOVER
COMPANIES AFFORDING COVERAGE
100129-BA-. 216
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC.
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
COMPANY
B LIBERTY MUTUAL FIRE INSURANCE COMPANY
COMPANY
o
COMPANY
C LIBERTY MUTUAL INSURANCE COMPANY
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 MAYBE 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 MA Y HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MM/DDIYY)
A
ICH GL 132-03
10/01/03
10/01/04
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
OWNER'S & CONTRACTOR'S PROT
B
10/01/03
1 0/01/03
10/01/04
10/01/04
AUTOMOBILE LIABILITY
X ANY AUTO
X ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
AS1-631-004334.033 (AOS)
AS1-631.004334-053 (OH)
GARAGE LIABILITY
ANY AUTO
C
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WA7.63D.004334-013 (AOS)
WC7 -631-004334-023
(AK, 10, MT, OR, & WI)
THE PROPRIETORI
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
X INCL
EXCL
GENERAL AGGREGRATE S 10,000,000
PRODUCTS-COM PlOP AGG S INCL.
PERSONAL & ADV INJURY S 1,000,000
EACH OCCURRENCE S 1,000,000
FIRE DAMAGE (Anyone fire) S 1,000,000
MED EXP (Anyone person) S 100,000
COMBINED SINGLE LIMIT S 2,000,000
BODIL Y INJURY S N/A
(Per person)
BODIL Y INJURY S N/A
(per accident)
PROPERTY DAMAGE S N/A
AUTO ONL Y- EA ACCIDENT
OTHER THAN AUTO ONL Y:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
DISEASE-POLICY LIMIT
DISEASE-EACH EMPLOYEE
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
JOB# 216.PC.1277 THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA IS INCLUDED AS AN ADDITIONAL INSURED AS RESPECTS TO THE BID
TITLED,"CEERTIFICATION,MAINTENANCE & TESTING SERVICE AGREEMENT FOR TH DETENTION CENTER F/A.BAS & SMOKE CONTROL SYSTEMS,SHERIFF
ADMINISTRATION FIA, BAS SYSTEMS, & COURTHOUSE ANNES FIRE ALARM SYSTEM"
THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY,FLORDIA
5501 COLLEGE ROAD
KEY WEST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY
KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
~I!IX~K MARSH USA INC
Lillian Campbell ~ ~
CoC:
. DATE (MM/DDIYY)
ACORDTM OERTIFIOATEC>FL.IABIL.IT'(INSURANOE 09/19/05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
44 WHIPPANY ROAD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P_O. BOX 1966 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
MORRISTOWN, NJ 07962-1966 COMPANIES AFFORDING COVERAGE
COMPANY
100 129-BA-- 216 A INSURANCE CORPORATION OF HANNOVER
INSURED COMPANY
SIEMENS BUILDING TECHNOLOGIES, INC. B LIBERTY MUTUAL FIRE INSURANCE COMPANY
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513 COMPANY
i C LIBERTY MUTUAL INSURANCE COMPANY
COMPANY
D
COVERAGES Thlscertificatesup&l'$edesandreplacesanypreviouslyissuedcertfficate.
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MMIDDIYY) DATE (MMIDDIYY)
A GENERAL LIABILITY ICH GL 132-05 1 % 1/05 10/01/06 GENERAL AGGREGATE $ 10,000,000
f---
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ INCL.
I CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1,000,000
O'M'-lER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
-
FIRE DAMAGE (Anyone fire) $ 1,000,000
MED EXP (Anyone person) $ 100,000
B AUTOMOBILE LIABILITY AS2-631-004334-035 10/01/05 10/01/06 COMBINED SINGLE LIMIT $ 2,000,000
--
X ANY AUTO
- I
X ALL OWNED AUTOS BODILY INJURY 1$ N/A
- (Per person)
- SCHEDULED AUTOS
X HIRED AUTOS :\PP~ ~ Sf<. !y:GEM Elf! BODILY INJURY $ N/A
- (Per accident)
X NON-OWNED AUTOS 'A. IJ.
- (j '1'- -
- DATE C (~~O6'; PROPERTY DAMAGE $ N/A
GARAGE LIABILITY WAIVER :L ((h AUTO ONLY- EA ACCIDENT $
- ~J/A .........
ANY AUTO 1PC)~ 'It~ OTHER THAN AUTO ONLY: I...... ..... ... ......
- C
.-.J EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY U'.~ EACH OCCURRENCE $
R UMBRELLA FORM (kl AGGREGATE $
OTHER THAN UMBRELLA FORM . /.'?A $
C WORKERS COMPENSATION AND WA7-63D-004334-015 (AOS) 10/01/05 10/01/06 I WC STATU-I I OJ~ i>
EMPLOYERS' LIABILITY X TORY LIMITS ........ .........
WC7 -631-004334-025 10/01/05 10/01/06 EACH ACCIDENT $ 1,000,000
THE PROPRIETOR! ~INCL (AK, ID, MT, OR, & WI) DISEASE - POLICY LIMIT $ 1,000,000
PARTNERs/EXECUTIVE
OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE $ 1,000,000
OTHER
DESCRIPTION OF OPERATlONS/LOCATlONSIVEHICLES/SPECIAL ITEMS
RE: 216-PC-1277
MONROE COUNTY BOCC IS INCLUDED AS AN ADDITIONAL INSURED UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY
INSURANCE POLICIES, BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUILDING
TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT.
<.. ............. ....... .................... .................. / .................... ... .....
....... ........ ................ .................. .....<,',..~. ,< ........................ ........ .............< ............................<< ..............
CC- : h'n~ c e... __.""<._~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONROECOUN1YBoc~CE.i , l' , EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAlL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
ATTN: ANNE MYTNIK \
3583 SOUTH ROOSEVEL \BLVD<s t.? ~ 8 1~~5 \ BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
KEY WEST, FL 33040 \ ~. i ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
\ .__d ~ ~ _ seUlllMll'llll ~~H~'~__
~.:-................................. Rich O'Connor
ACORt'2.S.1196) ~ACOR()CORPORATlON 1988
A CORDTM
CERTIFICATE ,OF LIABILITY INSUA)\NCE
;'.LJ DATE (MM/DDNY)
09/19/05
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
PRODUCER
MARSH USA INC.
44 WHIPPANY ROAD
P.O, BOX 1966
MORRISTOWN, NJ 07962-1966
1 00129-BA--
216
COMPANY
A INSURANCE CORPORATION OF HANNOVER
SIEMENS BUILDING TECHNOLOGIES, INC,
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
COMPANY
B LIBERTY MUTUAL FIRE INSURANCE COMPANY
INSURED
COMPANY
C LIBERTY MUTUAL INSURANCE COMPANY
COMPANY
D
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDNY) DATE (MM/DDIYY)
A GENERAL LIABILITY ICH GL 132-05 10101/05 110/01/06 GENERAL AGGREGATE $ 10,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ INCL.
CLAIMS MADE [8] OCCUR PERSONAL & ADV INJURY $ 1,000,000
OVVNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 1,000,000
MED EXP (Anyone person) $ 100,000
B AUTOMOBILE LIABILITY AS2-631-004334-035 10/01/05 110101/06 COMBINED SINGLE LIMIT $ 2,000,000
X ANY AUTO
X ALL OWNED AUTOS BODILY INJURY $ NIA
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY $ NIA
""'I'1JJ\
X NON-OWNED AUTOS '" (Per accident)
I ) ~ ~ - . PROPERTY DAMAGE $ NIA
~
GARAGE LIABILITY 1:" ...---_...,._~....-_...~ . $
AUTO ONLY - EA ACCIDENT
ANY AUTO ~I!A _ OTHER THAN AUTO ONLY:
EACH ACCI DENT
AGGREGATE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
C WORKERS COMPENSATION AND WA7-63D-004334-015 (AOS) 10101/05
EMPLOYERS' LIABILITY
WC7 -631-004334-025 10101/05
I THE PROPRIETOR! X INCL (AK, 10, MT, OR, & WI) DISEASE - POLICY LIMIT
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlSPECIAL ITEMS
JOB# 216-PC-1277 THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA IS INCLUDED AS AN ADDITIONAL INSURED AS
RESPECTS TO THE BID TITLED,"CEERTIFICATION,MAINTENANCE & TESTING SERVICE AGREEMENT FOR TH DETENTION CENTER F/A.BAS &
SMOKE CONTROL SYSTEMS,SHERIFF ADMINISTRATION FIA, BAS SYSTEMS, & COURTHOUSE ANNES FIRE ALARM SYSTEM"
urJCC-
THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY,FLORDIA
5501 COLLEGE ROAD
KEY WEST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATlON OR LIABILITY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
UD~-<<:..ll36EDaImaI ~SH~'~_
Rich O'Connor
PRODUCER
MARSH USA INC.
44 WHIPPANY ROI\D
P.O. BOX 1966
MORRISTOWN, NJ 07962-196
DATE (MMIDDIYY)
09/28/06
HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
OLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
L TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
A CORD,M
CERTIFICATE OF LIABILITY INSURANCE
RECEIVED
100129-6-7BA--06/07
OCT
4 2006
CO PANY
GERLING AMERICA INSURANCE COMPANY
216
INSURED
SIEMENS BUILDING TECHNO
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4
INC.1IONllOi COOIllY
RISKM~~GE~MT
CO PANY
LIBERTY MUTUAL FIRE INSURANCE COMPANY
GIES,
COMPANY
D
PANY
C LIBERTY INSURANCE CORPORATION
COVERAGES This certificate supersedes and replaces any previously issued certificate.
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO I TYPE OF INSURANCI:: POLICY NUMBER -TpOLIC~~-~;~~-TlVE I POLICY EXPIRATION
LTR i DATE (MMIDDfYY) DATE (MM/DDNY) ,
A GENERAL LIABILITY 7200509 GLP
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X:I OCCUR
OW'jER'S & CONTRACTOR'S PROT
10/01/06
110/01107
B l_ A~UTOMOBlLE LIABILITY
! X ANY AUTO
fe-x. ALL OWNED AUTOS
. SCHEDULED AUTOS
~~_ HIRED AUTOS
, ~ NON":N~_:TOS
GARAGE LIABILITY
AS2-631-004334-216
10101/06
,10101107
ANY AUTO
A
I
EXCESS LIABILITY
! X -l UMBRELLA FORM
, n OTHER THAN UMBRELLA. FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
10101107
10101107
10101107
9000188 CUP
110/01/06
10/01107
C
C
C THE PROPRIETORJ
. PARTNERSfEXECUTlVE
OFFICERS ARE'
OTHER
WA7-63D-004334-016 (AOS)
WC7-631-004334-026 (OR, WI)
[X INeL EW7-63N-004334-046 (WA)
ExeL $500K LIMIT 1 $500K SIR
10/01106
10101106
10/01106
LIMITS
GENERAL AGGREGATE !$ 7,500,000
PRODUCTS - COMP/OP AGG ! $ INCL.
----- -------
PERSONAL & ADV INJURY $ 1,000,000
------.--- ----
~-E,~~1:I-9~-~l!~E~o:E $ 1,000,000
I F~I3~ DAMAC;!= (i\ny o~_e fire) $ 1,000,000
MED EXP (Anyone person) $ 100,000
COMBINED SINGLE LlMIT $ 2,000,000
BODILY INJURY $ N/A
(per person)
BODILY INJURY $ NIA
(Per accident)
PROPERTY DAMAGE $ NIA
(\ $
AUTO ONLY - EA ACCIDENT
_. ~~G.H ACCIDENT $
. REGATE $
I EACH OCCURRENCE ____j _~_
AGGREGATE $
$
we A U. OTH-
~9BX L!!!1I-rS ER
EACH ACCIDENT
10,000,000
15,000,000
DISEASE - POLlCY LlMIT
DISEASE - EACH EMPLOYEE
$
$
$
1,000,000
1,000.000
1,000,000
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLESlSPECIAL ITEMS
MONROE COUNTY BOARD OF CITY COMMISSIONERS IS HEREBY INCLUDED AS AN ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR
BUT ONLY TO THE EXTENT THAT THEY ARE CONTRACTUALLY OBLIGATED TO BE SO NAMED. '
C . h r7 a..-7l- C--<--..
CERTIFICATE HOLDER NYC.OOQ19185541 CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLlCIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBlIGATION OR LIABIUTYOF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~J~..IN~" ~ A... .. ~ I- ~ ....
Mary Radaszewski ,,.,..,, U'Jl - ~
I!l . ACORD CORPORATION 1988
MONROE COUNTY COM
MONROE DETENTION CENTER PUBLIC WORK
ATTN: PUBLIC WOHKS
5501 COLLEGE ROAD
KEY WEST, FL 33040
,
,
I ACORD 26 (11/06)
A CORD~
CERTIFICATE OF LIABILITY INSURANCE
"J..(
PRODUCER
MARSH USA INC
44 WHIPPANY ROAD
P.O. BOX 1966
MORRISTOWN, NJ 07962-1966
DATE IMMIDDfYY)
09/28/06
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTiFICATE DOES NOT AMEND, EXTEND OR
THE COVERAGE AFFORDED BY THE POLICIES BELOW,
COMPANIES AFFORDING COVERAGE
COVERAGES This certificate supersedes and replaces any previously issued certificate.
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSURED
OCT 3
PANY d
~ tERLlN~_AMERICA INSYRANc;E COMPANY
co PANY j
~BERTY MUTUAL FIRE INSURANCE COMPANY
SIEMENS BUILDING TECHNOLOGIE
1000 DEERFIELD I'ARKWAY
BUFFALO GROVE, IL 60089-4513
MONROE COUN
RISK MANAGEMENT'--
CO PANY
C IBERTY INSURANCE CORPORATION
LIMITS
G_ENERAL ~G~REGATE::_ $
PRODUCTS - COMP/OP AGG $
1--------------- $
PERSONAL & ADV INJURY
---
, EACH OCCURRENCE $
FIREg!>.M.o.GE (Anyone fire) $
MED EXP (Anyone person) 1$
COMBINED SINGLE LIMIT $
I BOOIL Y INJURY $
(per person)
~ODIL Y INJURY , $
(Peraccidenl)
P~~PERTY DAMAGE $
I AUTO ONLY. EA ACCIDENT $
, OTHER THAN AUTO ONLY.
EACH ACCIDENT : $
AGGREGATE
AGGREGATE $
$
$
$
100129-6-7BA--06/07
216
, INC.
D
co'
LTR
POLICY NUMBER
: POLICY EFFECTIVE POLICY EXPIRATION
! DATE (MMIOD/VY) DATE (MMIOD/VYI
TYPE OF INSURANCE
A
GENERAL LIABILITY 17200509 GLP
--Xi COMMERCIAL GENERAL. LIABILITY I
-J-l CL.AIMS MADE X OCCUR
'-_ ~ OVlrNER'S & CONTRA~TOR'S PROT i
f ,. ---
--
,
10/01/07
10/01/06
B~AU~OMOBlLE LIABILITY
X ANY AUTO
X ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
! X NON-QWNED AUTOS
AS2-631-oo4334-216
10/01/06
,10/01/07
GARAGE LIABILITY
__I ANY AUTO
m.
EXCESS LIABILITY
I UMBRELLA FORM
-- OTHER THAN UMBRELLA FORM
C WORKERS COMPENSATION AND
EMPLOYERS. LIABILITY
~ I THE PROPRIETOR!
1 PARTNERSJEXECUTIVE
1 OFFICERS ARE.
HER
WA7 -63D-004334-016 (AOS)
'WC7-631-004334-026 (OR, WI)
-X INeL I EW7-63N-004334-046 (WA)
ExeL 1$500K LIMIT / $5ooK SIR
10/01/06
, 10/01/06
110/01/06
10/01/07
10/01/07
10/01/07
I
EACH OCCURRENCE
~ we A U OTH
X TORY LIMITS I ~
EACH ACCIDENT $
DISEASE - POLlCY LIMIT ~ $
I DISEASE - EACH EMPLOYEE $
7,500,000
INCL.
1,000,000
1,000,000
-.-
1,000,000
100,000
2,000,000
N/A
N/A
N/A
1,000,000
1,000,000
1,000,000
DESCRIPTION OF OPERATIONS/lOCATIONSNEHICLES/SPECIAL ITEMS
RE: 216-PC-1277
MONROE COUNTY BOCC IS INCLUDED AS AN ADDITIONAL INSURED UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY
INSURANCE POLICIES, BUT ONLY IMTH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUILDING
TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT.
CERTlFICATEHOLDER NYC-OOI41 0255"11 CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAil
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTiCE SHALL IMPOSE NO OBlIGATION OR LIABILITY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORlZEDREPRESENTATIVE ~.JJJ~~IN<;.-'J~"A'" i....J..
Mary Radaszewski '~ Vf4 ~
I!l ACORD CORPORATiON 1988
MONROE COUNTY BOCC
ATTN: ANNE MYTNIK
3583 SOUTH ROOSEVELT BLVD.
KEY WEST, FL 33040
ACORD 25111/05)
ACORD
-..-.. .---.-- ---.TM
CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
MARSH USA INC.
44 WHIPPANY ROAD
P.D. BOX 1966
MORRISTOWN, NJ 07962-1966
DATE lMMfDDfYV)
09128/06
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
..--J:IQLD R, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AL TE THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
ERLING AMERICA INSURANCE COMPANY
INSURED
REf:EIVE
-. luCl rLjj.-~ MPANY
,INC. I B
PANY
MONROE COUNT
RiSK MhNAGEMEN
I CO~ANY
100 129-6-7BA--06/0 7
216
SIEMENS BUILDING TECHNOLOGIE
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
C
IBERTY MUTUAL FIRE INSURANCE COMPANY
IBERTY INSURANCE CORPORATION
COVERAGES This certificate supersedes and replaces anypreviousty issued certificate.
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
~T TYPEOFINSURANC,r--' POLlCYNUMBE--:-- I P~.'~~~~~;~~~IE :~~i;(;::,~~~r---- L1MIT~- - ---
A GENERAL LIABILITY 7200509 GLP 10/01/06 i 10/01/07 GENERAL AGGREGATE ,I $ 7,500,000
~X~~MERCIAL GENE~_~IABILlTY I I CeR~;;;;C;S-: ~O-MP/OP AGG' rs::-_ ___ _INCL
, . t------J CLAIMS MADE ~~. OCCUR I ~_E:RS~NJ),L&AD~_INJU~~I ~___~_,OOO,O?O
t-: O_ER'S&CONTRACTC~'SPROT I II I ::~HD~~~:~::C:",f".)T_' }---_ -=i~~:~~~
~ -~- --
MED EXP (Anyone person) 1$ 100,000
. $ 2,000,000
B h~~_~OMOBlLE LIABILITY
X I ANY AUTO
IX'I ALL OWNED AUTOS
~ . SCHEDULED AUTOS
~ ~ J HIRED AUTOS
1 X-I NON-oWNED AUTOS
~...;-- - -- --
AS2-631-004334-216
10/01/06
10/01/07
I
I I
VOl~f
I 10--
'\{
GARAGE LIABILITY
[n~ ANY AUTO
H------
I EXCeSS LIABILITY
p UMBRELLA FORM
I laTHER THAN UMBRELLA F'ORM
C 'I WORKERS COMPENSATION AND WA7-63D-004334-016 (ADS)
EMPLOYERS' LIABILITY I
C IWC7-631-oo4334-026 (OR, WI)
C : THE PROPRIETOR! i'x] INCL EW7-63N-004334-046 (WA)
I PARTNERS/EXECUTIVE
OFf'ICERSARE ' EXC,- $SOOK LIMIT I $500K SIR
ER
110/01/06
10/01106
110/01/06
I
'10/01/07
110/01/07
110101107
I_COMBIN_ED--':~GLE LIMIT
I BODILY INJURY
(Per person)
I-B'ODI~Y-~~JUR;- ---- -1-;- --, - N/A
L~~racCid~nl) __ ___ _~_ _ __ ____
! PROPERTY DAMAGE ! $ N/A
I AUTO?NLY:_~~S;~~EN~JJ; __ ____
1_9T~_~ THA~:~~C~~~~-j$ ~_~____.~_
I----~GGRE~ATE : $-- ,- ----- ----
~~C_H O~CUR~ENCE __ __jL_ ___ _____
1-~.9.Q~EGATE__.._t}____ __ ___
1~_l_J~~~~IIMI~~_ ,_l_E~-1 .__~_ . .
~~~~HA~~_I9~~.T__ _,_ I $____~oo,ql:)Q
.QIS~~~-POU~~~~_I!___ ~__~OO,OO_O
! DISEASE. EACH EMPLOYEE 1$ 1,000,000
$
NIA
I
I
I
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESlSPECIAL ITEMS
JOB# 216-PC-1277 THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA IS INCLUDED AS AN ADDITIONAL INSURED AS
RESPECTS TO THE BID TITLED,"CEERTIFICATION,MAINTENANCE & TESTING SERVICE AGREEMENT FOR TH DETENTION CENTER F/A.BAS &
SMOKE CONTROL SYSTEMS,SHERIFF ADMINISTRATION FIA, BAS SYSTEMS, & COURTHOUSE ANNES FIRE ALARM SYSTEM"
CERTIFICATE HOLDER NYC"00112312?11
C rl/, 0r7C0;-? { <-
THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY,FLORDIA
5501 COLLEGE ROAD
KEY WEST, FL 33040
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT,
BUT FAILURE TO MAlL SUCH NOTICE SHALL IMPOSE NO OBliGATION OR LIABIUTY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZEDREPRESENTATlVE ~INc;..-JA ~ I .
U'J""p.A~S" 4"..
Mary Radaszewski
ACORD 25 (111ll5)
i!l ACORD CORPORATION 1988
MARSH
Marsh USA Inc.
10900 Stonelake Btvd., :ru Floor
Austin, TX 78759
5123424400 Fax 212 948 0622
Njsiemens.csg@marsh.com
Memo
To
Date:
From:
Subject'
To Whom It May Concern
September 20, 2006
Marsh CSS
Siemens Corporation
Certificates of Insurance
2006 - 2007 Policy Year
As a Siemens Corporation Certificate Holder, please find attached your company's renewal
certificate for the 10/1/06 - 10/1/07 policy period. If you do not require this Certificate of
Insurance, please advise by marking "delete" on the certificate and returning it via email
C!!1,iemens.csg(li)marsh.com) or fax to (212) 9480622.
Best regards,
Marsh CSS
C I~
-~ I Y7 C..L-'Vl_ ~
_C- ,
MAle MGlr<;r, 8, M(lenniln CamfJamle,
.. ............".................................. ................................... .;................. .......
ACQBCJ",cCERTIF I CAfE OFl...fASt.LlffINSU'RJ..E DATE (MMIDDIYY)
iii. '. 05/07/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
44 WHIPPANY ROAD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. BOX 1966 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
MORRISTOWN, N.I 07962-1966 COMPANIES AFFORDING COVERAGE
-. ---
COMPANY
100129-6-7BA--06/07 228 A GERLING AMERICA INSURANCE COMPANY
I---.~ --.... - . .-
INSURED COMPANY
SIEMENS BUILDING TECHNOLOGIES, INC. B LIBERTY MUTUAL FIRE INSURANCE COMPANY
1000 DEERFIELD PARKWAY -
BUFFALO GROVE, IL 60089-4513 COMPANY
C LIBERTY INSURANCE CORPORATION
_.,,- . .. ..-
COMPANY
i D
~.i'i'5ii55
THIS IS TO CERTIFY THAT;;E POLICIES OF INSURANCE LISTED BELOW ~~;~ 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.
CO TYPE OF INSURANCE POL.ICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION L.IMITS
LTR DATE (MM/DDIYY) DATE (MM/DD/YY)
A GENERAL. L.IABILlTY 7200509 GLP 10101/06 10101/07 GENERAL AGGREGATE $ 10,000,000
-
~ COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ INCL.
""--- =:=J CLAIMS MADE [Z] OCCUR PERSONAL. & ADV INJURY $ 1,000,000
- OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
-- FIRE DAMAGE (Anyone fire) $ 1,000,000
MED EXP (Anv one pelSon) $ 100,000
B AUTOMOBILE LlABIL.ITY AS2-631-004334-216 10101/06 10101/07 COMBINED SINGLE LIMIT $ 2,000,000
X ANY AUTO
X ALL OWNED AUTOS BODIL. Y INJURY $ NIA
-
SCHEDULED AUTOS ((). ~ (Per person)
X HIRED AUTOS f{\. BODIL. Y INJURY $ NIA
X (Per accident)
.:.:. NON-OWNED AUTOS S'd-.C -.
f--- -OJ PROPERTY DAMAGE $ NIA
GARAGE LIABIL.ITY y... cf1&,., AUTO ONL. Y - EA ACCIDENT $
I-
f--. ANY AUTO ~" OTHER THAN AUTO ONLY: .:5
f--. ~ 0.0 f-~- EACH A~CIDENT $
L . AGGREGATE $
EXCESS LIABIL.ITY I~~~~ EACH OCCURRENCE $
R UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
C WORKERS COMPENSATION AND WA7-63D-004334-016 (AOS) 10101/06 10101/07 X I T~~ySmTI~S I I OJ~ ,-: :
EMPL.OYERS' LlABIL.ITY
C WC7-631-004334-026 (OR, WI) 10101/06 10101107 ~CCIDENT -- ~- 1,000,000
THE PROPRIETOR! ~9 :NCL --.
C EW7-63N-D04334-046 (WA) 10/01/06 10/01/07 ~ISEASE - POLICY LIMIT -eL- 1,000,000
PARTNERs/EXECUTIVE $500K LIMIT I $500K SIR
OFFICERS ARE EXCL DISEASE - EACH EMPLOYEE $ 1,000,000
OTHER
I
I ,
I I ,
DESCRIPTION OF OPERA TIONSIL.OCA TlONSIVEHICL.ES/SPECIAL ITEMS
CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY
INSURANCE POLICIES, BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUILDING
TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT.
CERTIFICATE. KOLDER .IOYi' ,...,...: .' 'CANCEt.~""Jatl..
SHOUL.D ANY OF THE ABOVE DESCRIBED POL.ICIES BE CANCEL.L.ED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WIL.L. ENDEAVOR TO MAIL.
MONROE COUNTY PUBLIC WORKS DIVISION ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOL.DER NAMED TO THE L.EFT,
FACILITY MAINTENANCE DEPARTMENT
ATTN. JOWALTERS BUT FAIL.URE TO MAIL. SUCH NOTICE SHAL.L.IMPOSE NO OBL.IGATlON OR L1ABIL.ITY OF
3583 SOUTH ROOSEVELT BLVD. ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE ~ ~b~"4J
Mary Radaszewski
.~...""""" -... .....iL<<. : '.' ...:i ...@ Acg.I!I1'Olil'RPO~Hl>Iii988
'-<- :~-<-(..
ACORD
--------fM
CERTIFICATE OF liABILITY INSURANCE
PRODUCER
MARSH USA, INC.
44 WHIPPANY ROAD
PO BOX 1966
MORRISTOWN, N.I 07962-1966
DATE (MMfDDfYV)
09/24/07
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
COMPANIES AFFORDING COVERAGE
I--
I COMPANY
1 A GERLING AMERICA INSURAi>lCE COMPANY __
- --. -- -----._--- ..-------- -- ..----
-- --- -- .
COMPANY
,
. B LIBERTY MUTUAL FIRE INSURANCE COMPANY
loo129-6-7BA--07/08
228
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC.
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
COMPANY
C LIBERTY INSURANCE CORPORATION
COMPANY
o
COVERAGES Thiscertificate.5l1persedesandte~aces any previously issued certificate .
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
-;;l TYPE OF INSURANCI: -1--- -------:~L1CY :~~R -- I;;~~~~~FFECT~~~- PO~~~'~PIRATI~Nr-
LTR DATEIMM/DDIYY) DATE (MMfDD/YV) j
A I GENERAL LIABILITY 7200509 GLP 10/01/07 10/01/08
~~MMERCIAL GENERAL LIABILITY
l__+-J CLAIMS MADE :'_~J OCCUR
r -l_ O\^JNER'S & CONTRACTOR'S PROT
r--l --.------
B AUTOMOBILE LIABILITY [AS2-631-004334-217 10/01/07 10/01/08
,x--I ANY AUTO I
~_' ALL OWNED AUTOS
i SCHEDULED AUTOS
'-~ _I HIRED AUTOS
I X J NON-QWNED AUTOS
I-
e- --------
I
~ARAGE LIABILITY
j ANY AUTO
---._---- -I
EXCESS LIABILITY \
UMBRELLA FORM cD
1 OTHER THAN UMBRELLA FORM ( . ~- V)(~
C ' WORKERS COMPENSATION AND WA7-63D-004334-017 (AOS) 110/01/07
C I: EMPLOYERS'lIABIlITY WC7-631-004334-027 (OR, WI) 10/01/07
C THE PR:OPRIETORl )( INCL I EW7-63N-00433-4-047 (OH) 10/01/07
I PARTNERS/EXECUTIVE
, OFFICERS ARE. EXCL $5ooK LIMIT / $500K SIR
THER
LIMITS
f~~;_ERALAGGREGATE _ i $___~~,Ooo
~~~::~ ~ ~:~~::;:1E :-- l,O~~~O~
, EACH OCCURRENCE ! $ 1,000,000
'-~IRE D~~;E (Any o.!le fire) ~______1 ,000,~60
MED EXP(Any one person) $ 100,000
COMBINED SINGLE LIMIT $ 2,000,000
~BODILYINJ~- =ll $-- -- N/A
(Per person)
- ~----
BODILY INJURY $ N/A
(per accident) i
PROPERTY DAMAGE
$
N/A
,'AUTOONLY-=-~~!':J~:$_ __ ___ _ __ ___
~. T..HER THAN AUTOONLy-=r~_~
~_ ___EACH AeeID~-=-t-~__ "__
, AGGREGATE" $
EACH OCCURRENCE $
--- --
AGGREGATE $
----"~.----------,,----
. $
I we A U-, OTH-I
0_ TORY LIMITS: __ ER f~-
eACHACCID~-- -~~--~000,000
J DISEA;~:~OllGYLlMJT .. $ 1000~aO
DISEASE. EACH EMPLOYEE '$ 1,000,000
DESCRIPTION OF OPERATIONSfLOCATIONSIVEHICLESlSPECIAL ITEMS
CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY
INSURANCE POLICIES, BUT ONLY V\IITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUILDING
TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT.
CERTIFICATE HOLDER
NYC-002649572-14
CANCELlATION
c::c:, ;= ~ \\..Q ^-c ~
MONROE COUNTY PUBLIC WORKS DIVISION
FACILITY MAINTENANCE DEPARTMENT
ATTN: JO WALTERS
3583 SOUTH ROOSEVELT BLVD.
KEY WEST, FL 33040
SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION OATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAlL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR lIABfUTY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~'N't;?<'A ~ J .
....,""..............L".
Mary Radaszewski ~
EJ ACORD CORPORATION 1988
ACORD 25 (11105)
MARSH
Marsh USA Inc.
10900 Stanelake Blvd., 3" Floor
Austin, TX 78759
5123424400 Fax 212 948 0622
Njsiemens.csg@marsh.com
Memo
To:
Date:
From:
Subject:
To Whom It May Concern
September 20, 2007
Marsh CSS
Siemens Corporation
Certificates of Insurance
2007 - 2008 Policy Year
As a Siemens Corporation Certificate Holder, please find attached your company's renewal
certificate for the 10/1/07 - 1011/08 policy period. If you do not require this Certificate of
Insurance, please advise by marking "delete" on the certificate and returning it via email
(nisiemens.csgralmarsh.com) or fax to (212) 948 0622,
Best regards,
Marsh CSS
P;\dtmpfokl8nslllfll8l1S\lllllertobe8llachedwllhrenewalCllltlficates01..oo.doc
~ Marsh & Mclennan Companies
I ACORDm
I PRODUCER
MARSH USA, INC.
44 WHIPPANY ROAD
P.O. BOX 1966
MORRISTOWN, NJ 07962-1966
CERTlFICATEOFUABILITYINSURANCE
1
,
--f-
I
1_- - ----
COMPANY
I-
I COMPANY
D
. 100129-6-7BA--07/08
216
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC.
1000 DEERFIELD PARKWAY
BUFFALO GROVE, Il 60089-4513
DATE (MMfDD1YY)
09/24/07
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
COMPANIES AFFORDING COVERAGE
-- - -- ----------------------
COMPANY
A GERLING AMERICA INSURANCE COMPANY
-- --- -- -- --------.-
- . ...- -
COMPANY
B LIBERTY MUTUAL FIRE INSURANCE COMPANY
- ------- - -- -----
C
LIBERTY INSURANCE CORPORATION
- ..-- --.._- --- - -..--- --- ---
COVERAGES This certificate supersedes and replaces anypreviouslyi5sued.certiflCate~
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWI!HSTANDING ANY REQUIREMENT, TERMOR 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.
~O: - -- - --- -- --1--- ----- ----T')LI.;~FECTIV;r ";;~CYEXPIRATf~N--'- --- ---- - - n_ --
LTR I TYPE OF INSURANCE POLICY NUMBER I DATE(MM/DD/YV) , DATE (MMIDDfYY) LIMITS
A ~GENERAlllABlUTY i 7200509 GLP 10101/07 I' 10101/08 I GEN_~RAL AGG!3:~~~i._ I_~ _ __1~,-~00 ,000
qx 'COMMERCIAL GENE~Al~'A~LllY I ,I PR()DlJCTS ,-"OMP/OP AG;;JI:_ _-------'-NCL
-tJ CLAIMS MADE I_X.J OCCUR i i ~RSONAL & ADV INJURY~_ ___l,oOO,lJO_O
~ 01JllNER'S 8. CONTRACTOR'S PROT I I EACH OCCURRENC~ I ~_ _ ~OO,OOO
r-J--------- I II IFlR;~AMAGE(AnYOO:f;re~$ --1,000,000
I I ,MED~~P(AnYOnepe~~~ 1$----100,000.
B ~";OMOBlLE LIABILITY IAS2-631-004334-217 10/01/07 10/01/08 I COMBINEOSINGLE LIMIT $ 2,000,000
I-fj ::Y:~::DAUTOSI I II I BODILY;'URY-- - -~I ;-- -- - N/A
,. i I {PerpeffiOn)
LSCHEDULEDAUTOS , I--------T----------
i xl HIRED AUTOS 1 I I BODIL YINJURY $ N/A
[x] NON-OWNEO AUTOS i (pe, ""deo1l I
I-I -------- -- I ! I PRO~RTYDAMAGE --T;---- - N/A
: GARAGE LIABILITY
f-,
1-1' ANY AUTO
---------
EXCESS LIABILITY
C
IC
)__.1 UMBRELLA FORM
i OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS'lIABllITY
I
I
110/01/07
110/01/07
110;01/07
,WA7-63D-004334-017 (AOS)
IWC7-631-004334-027 (OR, WI)
l-iJ INCL !:W7-63N-004334-047 {OH)
1- i EXCL 1$500K LIMIT / $500K SIR
1
/ I
II IJ a. 1'1 L <1-
I C I THE PROPRIETORi
I PARTNERs/EXECUTIVE
i OFFICERS ARE'
10 HER
I
I cD
I
_AUTO ONL Y_~A ACCIDEN~.1.,_. ~~'--:--'_~'
OTHEB..,THAN AUTO O.NL Y::----t _~ ._~___.~_
---~CA::CR~::~J: ---------
L~~..Q~CURRENCE._ 1. _ _ _ __
I AGGREGA~____lL _________
$
~I---.!:ORY L~I~S____L_J OJ~~'-~.----"--
~EACHACCIDENT 1$ 1,000,000
~1Sr:A~~OLl~Y u~~--t"$ ---1- ,000,000
1.----- -- -------
,DISEASE - EACH EMPLOYEE $ 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESlSPECIAlITEMS
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, Irs EMPLOYEES AND OFFICIAlES ARE INCLUDED AS ADDITIONAL INSURED
UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBilE LIABILITY INSURANCE POLICIES, BUT ONLY WITH RESPECT TO All WORK
PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUILDING TECHNOLOGIES, INC_ FOR CERTIFICATE HOLDER UNDER
CONTRACT
CERTIFICATE HOLDER NYC-001799222,12 CANCEI.i.ATION
MONROE COUNTY DETENTION CENTER
5501 COllEGE ROAD
KEY WEST, Fl 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAlL SUCH NOTICE SHAlL IMPOSE NO OBLIGATION OR LIABILITY OF
ACORD 25 (11105)
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Mary Radaszewski
" ACORD CORPORATION 1988
AC1)RD~
, ".
~ . ..... . .
CERTIFIOATEOFlJABiUTY'JNSIJRANCE
"",. (-.x!/'tY)
09124107
THIS CERllFlCATE 18 ISSUED AS A MAn1!R OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERllFICATE DOES NOT AAEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BElOW.
-- ___ _COMPANIES AFFORDING COVERAG!.._ ____
I COM-PANY
l00..1.29-6-7~A.~7108 _ ___~1~_ _ _ __ _ _ _ _ ___ _~__ ~ _~e..RL'.I'I.G ~MERICA INSU~NC~COIo.lPAN~ ______
INSURED .. COWANY
SIEMENS BUILDING TECHNOLOGIES, INC_ I B LIBERTY MUTUAl FIRE INSURANCE COMPANY
~~~F~g~~~l.Jl~~O:~-4S13 I' ~OM-;;';"" - ---- --- -- --------
1_ _c:._lIBERTY~SURANC~ C~RPO~TION__ _ _ _ ___
I COMPANY
D
COVERAGI!SThIa c:erillica".up~....ncI"'PIo.. .nYi>revfo"sIy~ed<i!trtlllcll..,
THIS IS TO CERTIFY THAT THe POLICIES OF INSURANCE LISTED BeLOW HAve BeEN ISSUED TO THE INSURED NAMED ABOVE FOR me POLICY PERIOD
INDICATED, NOTWITHSTAP<<JING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Wlni RESPECT TO WHICH THIS
CERTIFICATE MAY -BE IssueD OR MAY PERTAIN, THE INSURANCE AFFORDED BY THe POLICies DeSCRISEO HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAve BEEN REDUCEO 8Y PAID CLAIMS.
-T---------.-l-- I' I.---~-.,_---------_-n ____
~ i TYPE OF INlURANCE POUCY NUIlER 1 ~~:..,.~ . ~u;:(:o~ UMIT3
WA7-83lJ-.OlM334-017 (ADS)
IWC7-831-<104334--027 (OR. WI)
rx'lNCL !EW7-83N-<104334.Q47 (OH)
11 exeL ISSOOK LIMIT I S500K SIR
I
Ice: hn,ru1c I
DUCRIPTION OF OPEltATIONSIlOCAnONllVEHtc~PECJAl.ITE"
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, IT'S EMPLOYEES AND OFFIClAlES ARE INCLUDED AS ADDITIONAL INSURED
UNDER THE REFERENCED GENERAl LIABiliTY AND AUTOMOBILE lIABILITY INSURANCE POLICIES. BUT ONLY WITH RESPECT TO ALL WORK
PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUilDING TECHNOlOGIES, INC_ FOR CERTIFICATE HOLDER UNDER
CONTRACT_
c:&RTll'ICATIl ~LDEfl . ""'Ciooli8lliiZl~12 . C~11Orl."
PRODUCER
MARSH USA, INC.
44 WHIPPANY ROAD
P_O. BOX 1966
MORRISTOWN, NJ 07962.1966
A GENERAL 1JABIILr.'Y 17200509 GLP
q-~ COMMERCIAL GENERAL UABlLlTY I
---r- J CUI". MADE LiD OCCUR I
~ OWllffi'S & CONTRACTOR'S PROT I
J--_______ 1
I
B ~TOMO"LEUAaITY IAS2~l-<104334.217
~;~ ANY AUTO 1
~x -l AU OWNED AUTOS I
L ~ SCHEOULED AUTOS I'
I x I HIRED AUTOS
[~ NONoOWNEO AUTOS i
~-I----------- i
i GMAClI! LWlfUTY
rl
11 ~-=-AlJTO
EXCE" UABaUTY
J~ UMBRELLA. FORM
OTHER THAN UMS..ELlA FORM
C
Ic
I r. I THE PROPRIETOR!
.. PARTNERSlEXECUTlVE
i OFFICERS ARE:
EIIPI.OYERr UA8IUTY
MONROE COUNTY DETENTION CENTER
5501 COLLEGE ROAD
KEY WEST, Fl 33040
ACORD~(l1"")
10101107
I
110101/08
!
I
1
,.GEN~~GATE $ 10,000,000
l!'..ROl>JCT. - COMPIOP AGG S INCL.
~'SONALLADIIINJ"RY....g..____~OOD,OOO
1_~OCC"'REN"'.__*_-.!c..OOO,ooo
F1REDAMAGE(~onefir8 $ 1,000.000
I MED~XPIAn-;J18 IMn '--100,000
COMBINEDSlNOlE LIMIT $ 2,000.000
1------+--- __
~aoDLyINJURy IS NVA
(Perpel1lCl'l)
----.----1'--------
I BOOIL Y INJURY I S NIA
lPeraccldent)
1- ------------t-----
PROPeRTY DAMAGE I $ NIA
AUTOONLV..:.E.A~
-L-___
10101107
I
I
I
1
I
110101108
O.!!:!.ERT~Nt.y: _~_~____
~CHACClOE/Iff S _____
AGGREGATE $
EA.C>>IOCCURRENCE !..._____
~,;GATE--~S
S
~, TORVUMITS ER . '. '::" .
f~H~CCIDENT___~ __....: ,000,000
j_'1'8EASE."OUCYLIMIT _ S __..J.000,000
,00SEASE;.eACHEMPlOYEE $ 1,000,000
SHOULl) ANY Of THE ABOVE D!SCruBED POUCIII . CAHCIIJ.eD 1EP0RE THE
I!!XN<<ATloN DATE THE"IOI", THf: INSURANCE COMPANY WILL !NDeAVOR TO MAlL
~ DAft WlQTrIN NOTICE TO THI! CIIRTlFICATI! HOUJER NAMeD TO THE' LIFT.
BUT f1A1WRE TO"'L 8UCH NeTlCE 8tW.L lll~ NO OBLIGATION OR UMlUTY OF
NIY IGND UPON THE CO"ANY, 11'11 MIIITI DR IU!PRaI!NTAnvl!l.
AUTItORlZED R.l!PRI!II!NTATIVE ~
Mary Radaszewskl ,,....,.., Ul"4
$ACORO CORPORATiON 1'"
110101/07
110101/07
110101107
~~
ACORD
-.. -- --._- -- --.. T"M
CERTIFICATE OF LIABILITY INSURANCE
i PRODUCER
I MARSH USA, INC.
' 44 WHIPPANY ROAD
P.O. BOX 1966
MORRISTOWN, NJ 07962-1966
DATE (MMJDDfYYI
09/24/08
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
COMPANIES AFFORDING COVERAGE
100129-6-7BA-SBT1_08/09
216
COMPANY
A Gerling America Insurance Company
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC.
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
COMPANY
B Uberty Mutual Fire Ins Co
-- -- ---._---- - ------- -- ----- -._---- --._- -- --
COMPANY
o
COMPANY
C Uberty Insurance Corporation
--------------------
COVERAGES This certificate supersedes and replaces any previousiy issued certificate.
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
,--- - --------- ---- '- ----------------- -c -- -_ ___,___ _ ___ __,_ __ _ ____ _ ___ _ _ __ ______ __
co i I poucv EFFECTIVE I POLlCV EXPIRATION! UMITS
LTR I TYPEOFlNSURANCE POLICY NUMBER I DATEIMMfDDIYY) OATE(MM/DDIYY) I
A L~~_NERALlIABJUTY I GLD11101.00
I X II COMMERCIAL GENERAL LIABILITY I
1- _)___1 ;____1 I
~_..J_ _I CLAIMS MADE ,!~_I OCCUR II
I ,I OWNER'S & CONTRACTOR'S PROT i
r-
L__ 1---___ ---_________ II
, 1 I
B L AUTOMOBILE LIABILITY AS2.631-004334_218
1,-' I
f-~J ANY AUTO II
I X J ALL OWNED AUTOS I
~=.I SCHEDULED AUTOS II
I X ,I HIRED AUTOS I
r-' I
I~-II NON-oWNED AUTOS I
I I
1-1------------_i
110/01108
,
I
I
I
I
I
I
I
'10/01/08
I
I
,
I
I
~,
110/01109
I
I
I
I
I
I
I
I
,10/01/09
I
I
! GARAGE UAB/UTY
1--1
I l ANY AUTO
L+___________
I I
A f EXCESS UABlLlTY
xl UMBRELLA FORM
-l OTHER THAN UMBRELLA FORM
: C I WORKERS COMPENSATION AND
EMPLOYERS' UAB!UTY
C
C
J5
CUD11102-00
110/01/08 110/01}J9A
I c<ro VtJD:P4'J
I
110/01/08 110/01/09
110/01/08 110/01/09
10/01/08 10/01/09
THE PROPRIETOR}
PARTNERS~XECUTIVE
OFFICERS ARE'
10 HER
I
I
I
IWA7-63D-004334-G18 (AOS)
WC7-631-004334_028 (OR, WI)
!xl'NCL EW7-63N-G04334-048 (OH)
II EXCL $SOOK liMIT / $500K SiR
GENERAL AGGREGATE .' $ 10,000,000
,"'-.- .-.--- - ---.-.__._ n__ _--j__._ _ __._ ___._ _._._.___
1 PRODUCTS - COMP/OP AGG I $ rNeL.
I ;~~~;~~~~ :o~-,~~~; -r$- ---1 ,OO-O/JOO
1-------------+---- ________
I EACH OCCURRENCE I $ 1,000,000
Cc~~~::;~U~~~;i~;~l$_-_- _~-iiJ~o~gp
I MED EXP (Anyone person) ,I $ 100,000
I COMBINED SINGLE LIMIT I $ 2,000,000
I I
1----------+---------- ___
I BODILY INJURY I $ N/A
I Werperson) I
1----__-----1-- __ ______
II BODILY INJURY II $ N/A
(Per accident) I
L______,________
I PROPERTY DAMAGE I $ N/A
I
i
I AUTO qNL Y - EA ACCIDENT $
I OTH.s..fU~ANAUTO__2~Y: .~~~
L-- EACH ACCIDENT I $
I AGGREGATE $
L EAC~ OCCURRENCE -f-!-~~~QQO
I AGGREGATE 1$ 15,000,000
----1$---
I W U- 10TH
X 1 TORY LIMITS I L- ER
[~CH~C~I~~____ 1$
I DISEASE - POLICY LIMIT $
. I DISEASE - EACH EMPLOYEE $
1,000,000
~-----
1,000,000
1,000,000
DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLESlSPECIAL ITEMS
MONROE COUNTY BOARD OF CiTY COMMISSIONERS IS HEREBY INCLUDED AS AN ADDITIONAL INSURED AS THEIR iNTERESTS MAY APPEAR,
BUT ONLY TO THE EXTENT THAT THEY ARE CONTRACTUALLY OBliGATED TO BE SO NAMED.
~~: l'I'la.01 r~
CERTIFlCATEHOLOER NYC-0lI01'918S5.111
CANCELlAllON
MONROE COUNTY COM
MONROE DETENTION CENTER PUBliC WORK
A TTN: PUBliC WORKS
5501 COLLEGE ROAD
KEY WEST, FL 33040
SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BeFORE .THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WIll ENOEAVOR TO MAIL
~ DAYS WRrrrEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHAll IMPOSE NO OBlIGATION OR UABlUTY OF
ACORD 25-5 (1/95)
ANY ~ND UPON THE
:lt~~.:r~SENTATIVE
BY: Mary Radaszewski
~---<--_..._--"'~. ---.--..- -,
COMPANY, ITS AGENTS OR REPRESENTATrvES.
~ ~.~t1'~S-I- J ~.'
I!JACORD CORPORATION 1988
ACORD~
CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
MARSH USA. INC
44 WHIPPANY ROAD
PO BOX 1966
MORRISTOWN, NJ 07962-1966
DATE (MMIDD!YY)
09/24/08
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
COMPANIES AFFORDING COVERAGE
- -- -- -- -- --
100129-6-7BA-SBT1_08/09 228
SIEMENS BUILDING TECHNOLOGIES, INC.
1000 DEERFIELD PARKWAY
BUFFALO GROVE.IL 60089-4513
COMPANY
I A Gerling America Insurance Company
-I-
I COMPANY
I B Liberty Mutual Fire Ins Co
1-
COMPANY
C Liberty Insurance Corporation
COVERAGES This certificate supersedes and replaces any previously issued certificate.
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
--- - ----, ---- -- --- - --- -- --._- - -- -- --- - ---.1----.--- ------- -- ------]" --- -- - --._-- ___ -r--
I POUCY EFFECTIVE I POLICY EXPIRATION I
I DATE (MMfDDIYY) I DATE (MM/DDIVY) I
INSURED
COMPANY
D
co
lTR I
TYPE OF INSURANCE
POLICY NUMBER
A ! GENERAlllABrUTY
IX,! COMMERCIAL GENERAL LIABILITY
r '- ,-
L_-t- _;1 CLAIMS MADE ~?<__:' OCCUR ,I
I I OWNER'S & CONTRACTOR'S PROT i
,- --I I
l____-1-----________ I
1 I I
B i AU~OMOBlLE UABllITY iAS2-631-004334_218
~~>i-,I ANY AUTO II
I X j ALL OWNED AUTOS I
C-=11 SCHEDULED AUTOS II
LX:~ HIRED AUTOs 1
~~J NON-QWNED AUTOS
I 1
If---I----------
iGLD11101-00
110/01/OB
,10/01/09
I
1
I
'10/01/08
,
,
I
I
,
110/01/09
1
I
1
1
1
---I
t ~
c
C
C
I GARAGE UABllITY
r--I
i__~ ANY AUTO
1 1
r--j ---~-..---_~____ ____
, I
EXCESS LIABILITY
f-~
I I UMBRELLA FORM
-laTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND WA7-63D-004334_018 (AOS)
EMP:"OYERS'UJl.81LlTY
,--, iWC7-631-004334-028 (OR, WI)
0J INel /EW7-63N-004334_048 (OH)
I I EXCl $500K LIMIT / $500K SIR
110/01/09
110/01/09
110/01/09
)10/01/08
10/01108
10/01/08
THE PROPRIETOR!
PARTNERSIEXECUTlVE
OFFICERS ARE"
i OTHER
I
I
1
-------------
LIMITS
I GENERAL AGGREGATE I $ 10,000,000
I - - - -- - _ ,
l ~RQ~g~ ~O~PjO~_ AG~ -L $ _ ___ __ __ __ n_ .!...N~L_
1 PERSONAL & ADV INJURY i $ 1,000,000
1--- -----_____-j-__________
1 EACH OCCURRENCE I $ 1,000,000
'~f-~~~Q;~~~~~;_:~-!~:CT~~_=_=_~~ ii?~_~~~
I MED EXPlAny onepersonj I' $ 100,000
I COMBINED SINGLE LIMIT I $ 2,000,000
, 1
1---------- --,---______
1 BODILY INJURY I $ N/A
I (Per person) I
)---------,-------
I BODILY INJURY 1 $ N/A
I (PeraCCklenl) 1
r-----------------r--______
I PROPERTY DAMAGE I $ N/A
1 ,
I AUTO ONLY. EA ACCIDENT $
I OTH~R THAN AUTO ONLY: _
~-~CHACC1DENT +~____
AGGREGATE I $
I EACH OCCURRENCE I $
~~-;;GAT~-~---l$------
I -------T$-----
, CSAU_ OH
~ I TORY ~.IMrTS I I ER
~;~;~:E~;~y UMIT---~TI; }~~~~~::ci
! DISEASE. EACH EMPLOYEE $ 1,000,000
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLESlSPECIAL ITEMS
CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY
INSURANCE POLICIES. BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUILDING
TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT.
CERTlFlCA~ fK)LDER NYQ,Q0264l!572'1!>
(2 C'. " :r; Y\ Ci/n c.Y---
MONROE COUNTY PUBLIC WORKS DIVISI
FACILITY MAINTENANCE DEPARTMENT
A TTN: JO WALTERS
3583 SOUTH ROOSEVELT BLVD.
KEY WEST, FL 33040
CANCELLATION
ACORD 25-8 (1/95)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEIJ.ED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
E C h~ i,~ -r~-I DAYS WRlrrEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
AlLURE TO MAIL SUCH NOTICE SHAU IMPOSE NO OBliGATION OR UABlUTY OF
S E P 2 9 20 ," ANY NO UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
,"0 ........NTATIVE ~ /7. ~ L .
Marsh Alnc. _ U'J:d"~"',..r- .I. ~a
BY; Radaszewski
-._-'--'"-"---"~---.---~ "--~--.
\!) ACoROCQRPORAllON 1988
ACORD", CERTIFICATE OF LIABILITY INSURANCE
P~ODUCER
MARSH USA, INC.
44 WHIPPANY ROAD
P.O. BOX 1966
MORRISTOWN. NJ 07962-1966
DATE (MM/DDIYY)
09/24/08
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
COMPANIES AFFORDING COVERAGE
100 129-6-7BA-SBT1-08/09
216
COMPANY
A Gerling America Insurance Company
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC.
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
COMPAN'(
B Liberty Mutual Fire Ins Co
COMPANY
D
COMPANY
C Liberty Insurance Corporation
COVERAGES This certificate supersedes and replaces any previously issued certificate.
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 REQUIREt,,1ENT, 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.
i AUTO ONLY - EA ACCIDENT
, OTHER THAN AUTOONL Y:
EACH ACCIDENT $
AGGREGATE ! $
i.. 10/01/08 . 110/01}l9/L ~ :::~:::ERRENCE :
! c-'10 tJU~ r $
CO !
LTR I
POLICY NUMBER
POUCY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DDIYY)
TYPE OF INSURANCE
A
10/01/09
GLD11101-00
1 % 1/08
X OCCUR
B I AUTOMOBILE UABlLlTY
~-1
k~ ANY AUTO
~ ALL OWNED AUTOS
~--i SCHEDULED AUTOS
~ HIRED AUTOS
L~_J NON-OWNED AUTOS
I I
r--~ --------
i GARAGE UABlLlTY
R ANY AUTO
r--~ ---~-
A l__~CESS UABllITY
f X I UMBRELLA FORM
1--' OTHER THAN UMBRELLA FORM
: C I WORKERS COMPENSATION AND
I EMPLOYERS. UAB:L1TY
AS2-631-004334-218
: 10/01/08
I
I
10/01/09
I
I
~,
ICUD11102-00
I
I
!
UMITS
r-~~~~BA~-A_~Q_~~_q~I~_____ $ 10,000,000
l_~f39DU~!_?_-=-_~Q~f~Q~.~gQ__;_~___ ____ _ _______ ___I~_~_~:__
PERSONAL & ADV INJURY ; $ 1,000,000
:.;~~~-;-~~~~~E~~~-----;$------1.~OOo,oo6-
1--.-....-..-.--.---.-. ----- ---- ---------t .-.--- ----.__._____. _.___ ____..._
I FIRE DAMAGE (Anyone fire) ! $ 1,000,000
r ---------.-------------.----.------r-----....--.------- .----
! MED EXP (Anyone person) : $ 100,000
I, COMBINED SINGLE LIMIT I $ 2,000,000
!
I BODILY INJURY i $
I (Per person) L
i BODILY INJURY I
I Wer accident) . $
I PROPERTY DAMAGE i $
I
N/A
N/A
N/A
$
10,000,000
15,000,000
c
c
IWA7-63D-004334-018 (ADS)
iWC7-631-004334-028 (OR, WI)
ix~ INCL I EW7-63N-004334-048 (OH)
I ! EXCL !$500K LIMIT / $500K SIR
1,000, ()()O
1,000,000
1,000,000
10/01/08
10/01/08
10/01/08
THE PROPRIETOR!
PARTNERSIEXECUTIVE
OFFICERS ARE:
; OTHER
!
I
i
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlSPECIAL ITEMS
MONROE COUNTY BOARD OF CITY COMMISSIONERS IS HEREBY INCLUDED AS AN ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR,
BUT ONLY TO THE EXTENT THAT THEY ARE CONTRACTUALLY OBLIGATED TO BE SO NAMED.
CERTIFICATE HOLDER
NYC-OOO 191855-16
CANCELLATION
MONROE COUNTY COM
MONROE DETENTION CENTER PUBLIC WORK
A TIN: PUBLIC WORKS
5501 COLLEGE ROAD
KEY WEST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE .THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR UABlUTY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
~~RI2fi%rr.:eSl'NTATNE ~ ~U"~~~~"'''<I;'
BY: Mary Radaszewski
ACORD 25-8 (1/95)
(!) ACORD CORPORATION 1988
~_..-
ACORD'
~---
CERTIFICATE OF LIABILITY INSURANCE
100 129-6-7BA-SBT1-09/1 0
219
DATE (MMlDoNYYY)
01/15/2010
THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
L TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
RE ,EIVED
I NAIC #
41343
23035
142404
PRODUCER
MARSH USA, INC.
44 WHIPPANY ROAD
P.O. BOX 1966
MORRISTOWN, NJ 07962-1966
INSURED
SIEMENS INDUSTRY, INC. INCLUDING
BUILDING TECHNOLOGIES DIVISION
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
INSURER A: HDI-G rling A erica Insurance Company
JA N INS~E"-erty Mutual Fire Ins CO
INSURER C: Liberty Insura ce Corporation
C9'{E~(;E:~n__ __ . __ _ ___ _ _ ____ ___ _ _ _ __ _ _ __ ___ _ __ _ ___ __ ___ ____ _ _ ___ ___
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INS ADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
L TR INSR DATE (MMJDD1YYYY) DATE (MMJDDIYYYY)
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
LIMITS
I
I
i
1 000 000 !
1,000,000 I
I
100,00011
1,000,000
10,000.000 i
INCLj
I
I
2,000,000.
N/Ai
N/A,
I
N/A1
I
!
I
I
!
WA7 -63D-004334-019 (AOS)
WC7-631-004334-029 (OR, WI)
EW7 -63N-004334-049 (OH)
$500K LIMIT I $500K SIR
10101/2009 10/01/2010
PERSONAL &ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AG
10101/2009 10101/2010 COMBINED SINGLE LIMIT $
(Ea accident)
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
(Per accident)
GLD11101-01
B
AS2-631-004334-219
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
10101/2010
10/01/2010
10/01/2010
AUTO ONLY - EAACCIDENT $
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EACH OCCURRENCE $
AGGREGATE $
$ i
$ i
.._~.-_.__n____1
I
ANY AUTO
EXCESS / UMBRELLA LIABILITY
II
L.____J CLAIMS MADE
OCCUR
DEDUCTIBLE
RETENTION $
C WORKER COMPENSATION AND
C EMPLOYERS' LIABILITY
I ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N
C I OFFICER/MEMBER EXCLUDED? [~
(Mandatory in NH) If yes, describe under
SPECIAL PROVISIONS below
OTHER
!
1,000,000 I
1,000,000 I
1,000,000 I
I
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: BG
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS INCLUDED AS ADDITIONAL INSURED UNDER THE REFERENCED GENERAL LIABILITY
AND AUTOMOBILE LIABILITY INSURANCE POLICIES, BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED
INSURED, SIEMENS BUILDING TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT. COMPLETED OPERATIONS COVERAGE IS
INCLUDED IN THE GENERAL LIABILITY POLICY.
CERTIFICATE HOLDER NYC-003944380-02 CANCELLATION
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
ATTN: MONIQUE DIAZ
1100 SIMONTON ST.
KEY WE~, FL. 33040
Cc..1 ~
ACORD 25 (2009/01)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
UPON THE INSURER,
~lt\~~'i,EBBl~~~~ENTATIVE
Mary Radaszewski
ITS AGENTS
OR
REPRESENTATIVES.
~~
@ 1998-2009 ACORD CORPORATION. All Rights Reserved
The ACORD name and logo are registered marks of ACORD
f-IDI..GERLlNG AMERICA INSURANCE COMPANY
MANUSCRIPT ENDORSEMENT ##34
Policy Number
GLD11101-01
Named.. Insured
SIEMENS CORPORATION
Policy Period:
Inceptlon(M-D- Y)
10.;.01-09
Explratlon..(M-D..Y)
10-01-10
Effective Date and
Time of Endorsement
to-01-09 12:01 a.m. Standard Time
at AddrdsS of the. Insured.
This Endorsement Changes The Po/Icy. Please Read It Carefully.
BLANKeT ADDITIONAL INSURED
Thfsendorsement modifiesinsuranceprovid~ under the following:
Commercial General. liability Coverage Form
Who Is an il'lSured Isamended.toJoqtueje as.an InsVred any person wf]orn youarefl:lqUi~toad(fas an additional
insured on .thi~ policy l.Jnd~ a v.'ritt~n agrf!lement. Thta il'lSuranC$ coveraoo. provided to sucIJ.. additional insured applies
only to the extent required within thewrittenagrEJement.
The irn>ur~fl('.eCOV~raQe proviq~ to~ add itIonpJ IrSIJre<i~~Qn $hallnof prc>yi<!t!t.any broader coverage than yQij
are. required topn:widet~thfl;it:fdlti<?nallnsured~f~qn intl)e'.Yrittel'la~e$ll1~and .shatl notprovidelimitsof
in$urancethateJ(ceedt~lC>Wef afi~UrnitsW 'J'I$!Jranc~ provided to yoy .inthis poUcy, Of the Iimlt&of insurance you
are required to provide in the written~reement.
The I n$UranC8 " provided to. t~ ~itipl'ijJli~UrOO.byth~endOrtiefn.~l1tis ex~ oVEtrany vpJid~nd ~Il~ble other
in~urance. wh$ther primary, ex~, contirl9tmt,or on at1Y other basis, (hElt is. avallElble tQ. the ad<iltic;>nal ~ured for a
loss we cover under this. endorSement HQWeVeI', if the Writtenagreem~nt specificallY require$ thi;lt this insurance
applY ona primary basis, this. ihsurance is.prlrriary./fthe written ~reem~nt$pe<;if~")'reQLJiresthis · insuf.4n~apply
ona primary and non-contributory basis this insurance is primary to other insurance available to the addiUonal insured
and we win not share with that otherlnsurance.
This endorsement shall pravailover additional insured endorsementS that may applY under this policy unless required
otherwise in the wrltten...agreement.
All terms andcondjtionsof the policy remain unchanged.
THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS
WRIITEN.
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