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Certificates of InsuranceACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 16. 09/16/2010 PRODUCER THIS CERTIFICATION 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- it LAI"'lN" 100129 6 7BA SBT1-10/11 219 RSARFORDI[NG COVERAGE NAIC # INSURED SIEMENS INDUSTRY, INC. INCLUDING INSURER A: HDI-Gerling merica Insurance Company 41343 BUILDING TECHNOLOGIES DIVISION F:1 -__--- iNZRER B'..Liberfy Mutu I Fire Ins Co 23035 1000 DEERFIELD PARKWAY 1- -- - I- - - - --- - -- -- -- -, BUFFALO GROVE, IL 60089-4513 INSURER c: Liberty Insur nce Corporation 42404 IMSURER'&T CAVFROr.FR 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. NS LT R ADD' INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MMIDDIYYYY) POLICY EXPIRATION DATE(MWDDIYYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [Y] OCCUR GLD11101-02 10/01/2010 10/01/2011 EACH OCCURRENCE 1000 0 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 100,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GENERAL AGGREGATE LIMIT APPLIES PER X POLICY ECT LOC PRODUCTS- COMP/OP AG $ INCL B AUTOMOBILE X LIABILITY ANY AUTO AS2-631-004334-210 10/01/2010 10/01/2011 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 ALL OWNED AUTOS BODILY INJURY $ N/A SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ N/A X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ N/A —""- - — GARAGE LIABILITY ANY AUTO ^� l / AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ v AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR r.1 CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ ' -- _ $ C C r' WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / NE.L. OFFICER/MEMBEREXCLUDED? � (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below WA7-63D-004334-010 (AOS) WC7-631-004334-020(OR,WI) EW7-63N-004334-040(OH) '$500K LIMIT / $500K SIR'E.L. 10/01/2010 10/01/2010 10/01/2010 01/2011 10/01/2011 10/01/2011 X NC STATU- OTH- EACH ACCIDENT $ 1,000,000 DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000' OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS 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 INDUSTRY, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT. COMPLETED OPERATIONS COVERAGE IS INCLUDED IN THE GENERAL LIABILITY POLICY. CERTIFICATE HOLDER NYC-003944380-03 CC MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: MONIQUE DIAZ 1100 SIMONTON ST. KEY WEST, FL 33040 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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, ITS AGENTS OR REPRESENTATIVES. AU 1 HUKIZEU KEPRE5ENTATIVE of Marsh USA Inc. Donna Clampltt . ACORD 25 (2009101) ©1998-2009 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD A� o® CERTIFICATE OF LIABILITY INSURANCE DATE /2011 /YYYY) 09I16/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the olic ies m t be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain p men . tatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 'e �,__ -_ ,.... t MARSH USA, INC. 445 SOUTH STREET r MORRISTOWN, NJ 07960-6454 5EF 2 I°� CONTACT NAME: PHONE FAX No): L ESS: SURER S AFFORDING COVERAGE NAIC # INSI 192CR A: HDI-G ing America Insurance Company 41343 100129-6-7BA-SBT1-11I12 228 Schuma INSURED _ - SIEMENS INDUSTRY, INC. INCLUDING RfSK MAN BUILDING TECHNOLOGIES DIVISION B : Liberty utual Fire Ins Co 23035 URER C: nsurance Corporation 42404 INSURER D : 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089-4513 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-006024276-06 REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MWDD/YYYY LIMITS A GENERAL LIABILITY GLD11101-03 10/01/2011 10/01/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 100,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ INCL $ X1 POLICY PRO- LOC B AUTOMOBILE LIABILITY AS2-631-004334-211 10/01/2011 10/01/2012 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 BODILY INJURY (Per person) $ N/A X ANY AUTO L X ALL AUTOS OWNED SCHEDULED AUTOS �J �( Il BODILY INJURY (Per accident) $ N/A PROPERTY DAMAGE Peraccident $ NIA X X NON -OWNED HIRED AUTOS AUTOS ///��} (�, �t —1 $ C� UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION WAT630-004334-011 (ADS) 10/01/2011 10/01/2012 X I WC STATU- I oTH- rp C AND EMPLOYERS' LIABILITYDRYC ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N f A WC7-631-004334021(OR,WI) EW5-63N-004334-421 (OH) 1010112011 10/01/2011 10/01/2012 10/01/2012 E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below "$500K LIMIT 1$500K SIR" E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ) RE: BG )aaAb ONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS INCLUDED AS ADDITIONAL INSURED UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY INSURANCE OLICIES, BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS INDUSTRY, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT. OMPLETED OPERATIONS COVERAGE IS INCLUDED IN THE GENERAL LIABILITY POLICY. CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE COUNTY COMMISSIONERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: MONIQUE DIAZ ACCORDANCE WITH THE POLICY PROVISIONS. 1100 SIMONTON ST. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee �M a�.�vc*� .�lu tc►,se.+ 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD HDI-GERLING AMERICA INSURANCE COMPANY MANUSCRIPT ENDORSEMENT # 34 Policy Number Named Insured GLD 11101-03 SIEMENS CORPORA T1 ON Policy Period: Inception (M-D Y) Expiration (M-D-Y) Effective Date and Time of Endorsement 10-01-11 10-01-12 10-01-11 12:01 am. Standard Time at Address of the Insured. This Endorsement Changes The Policy. Please Read if Carefully. This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Form Who is an insured is amended to include as an insured any person whom you are required to add as an additional insured on this policy under a written agreement. The insurance coverage provided to such additional insured applies only to the extent required within the written agreement. The insurance coverage provided to the additional insured person shall not provide any broader coverage than you are required to provide to the additional insured person in the written agreement and shall not provide limits of insurance that exceed the lower of the Limits of Insurance provided to you in this policy, or the limits of insurance you are required to provide in the written agreement. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible other insurance, whether primary, excess, contingent, or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the written agreement specifically requires that this insurance apply on a primary basis, this insurance is primary. If the written agreement specifically requires this insurance apply on a primary and non-contributory basis this insurance is primary to other insurance available to the additional insured and we will not share with that other insurance. This endorsement shall prevail over additional insured endorsements that may apply under this policy unless required otherwise in the written agreement. All terms and conditions of the policy remain unchanged. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. Page I of 1 DATE (MM/DD/YYYY) o CERTIFICATE OF LIABILITY INSURANCE 1 09/16/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DO CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERT ICATE H14 IMPORTANT: If the certificate holder is an ADDITI NAL INS ) must b endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polic s may require an endorsement. A s me on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). c T PRODUCEROCT I N FAX MARSH USA, INC. PHONE A/C No): fA1C445 SOUTH STREET E-MAIL MORRISTOWN, NJ 079606454 MONROB t _. ��.................cewr_c NAIC If r RISK MAN America Insurance Company 41343 100129-6-7BA-SBT1-11/12 228 GLAZE NO 23035 INSURED INSURER B : Liberty Mutual Fire Ins CO SIEMENS INDUSTRY, INC. INCLUDING Liberty Insurance Corporation 42404 BUILDING TECHNOLOGIES DIVISION INSURER C 1000 DEERFIELD PARKWAY INSURER D : BUFFALO GROVE, IL 60089-4513 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-006203294-03 REVISION NUMBER: 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. ADDL SUBR POLICY EFF POLICY EXP LIMITS INSR LTR TYPE OF INSURANCE POLICY NUMBER MWDD/YYYY MWDD/YYYY 1,000,000 A GENERAL LIABILITY GLD11101-03 1010112011 10101/2012 EACH OCCURRENCE $ DAMA E T RENTED 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ MED EXP (Any one person) $ 100,000 CLAIMS -MADE M OCCUR 1,000,000 PERSONAL & ADV INJURY $ 0,000 GENERAL AGGREGATE $ 10,OO— PRODUCTS - COMP/OP AGG $ INCL GEN'L AGGREGATE LIMIT APPLIES PER: $ X POLICY PRO LOC AS2-631-004334-211 10/0112011 10/0112012 coMBINED SINGLE LIMIT 2,000,000 B AUTOMOBILE LIABILITY accident BODILY INJURY (Per person) $ NIA X ANY AUTO X ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ NIA AUTOS AUTOS PROPERTY DAMAGE $ N/A NON -OWNED f Per accident X HIRED AUTOS X AUTOS 11 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ C WORKERS COMPENSATION WA7-63D-004334011 (ADS) 10/01/2011 10/01/2012 X WC STATU- ER AND EMPLOYERS' LIABILITY WC7-631-004334-021 (OR, WI) 10101/2011 10101/2012 E.L. EACH ACCIDENT $ 1,000,000 Y ANY PROPRIETOR/PARTNE C R/EXECUTIVE N N/A 1,000,000 OFFICER/MEMBER EXCLUDED? EW5-63N-004334-421 (OH) 10/01/2011 10/01/2012 E.L. DISEASE - EA EMPLOYE $ C (Mandatory in NH) 1,000,000 If yes, describe under "$500K LIMIT / $500K SIR E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is recloiited) E: APOGEE BUILDING AUTOMATION SYSTEM (HVAC) U/ ONROE COUNTY DETENTION CENTER 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 INDUSTRY, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT. IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NON-PAYMENT OF PREMIUM, THE INSURER WILL DELIVER NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER UP 0 60 DAYS PRIOR TO THE CANCELLATION OR AS REQUIRED BY WRITTEN CONTRACT, WHICHEVER IS LESS. wl l 1 ATIf141 MONROE COUNTY BOARD OF COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE COMMISSIONERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: MONIQUE DIAZ, RISK MANAGEMENT ASSISTANT ACCORDANCE WITH THE POLICY PROVISIONS. 5501 COLLEGE ROAD STOCK ISLAND AUTHORIZED REPRESENTATIVE KEY WEST, FL 33040 of Marsh USA Inc. ManashiMukherjee-a►.�wati" `�A`'�'r'r Amon d`f%0Dn112ATInN All rights reserved- ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(09/1612011 YYYY) 2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH USA, INC. 445 SOUTH STREET CONTACT NAME' PHONE A/C No): E-MAIL ADDRESS: MORRISTOWN, NJ 07960-6454 INSURERS AFFORDING COVERAGE NAIC # INSURER A: HDI-Geriing America Insurance Company 41343 100129-6-7BA-SBT1-11/12 228 INSURED SIEMENS INDUSTRY, INC. INCLUDING BUILDING TECHNOLOGIES DIVISION INSURER B : Liberty Mutual Fire Ins Co 23035 INSURER C: Liberty Insurance Corporation 42404 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089-4513 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-006037932-22 REVISION NUMRER- 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP (MWDDNYYYJ LIMITS A GENERAL LIABILITY GLD11101-03 10/01/2011 10/01/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Ifl OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED FRCP (Any one person) $ 100,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ INCL X POLICY PRO LOC $ B AUTOMOBILE LIABILITY AS2-631-004334-211 10/01/2011 10/01/2012 COMBINED SINGLE LIMIT (Ea accident) 2,000,000 X ANY AUTO BODILY INJURY (Per person) $ N/A ALL OWNED SCHEDULED AUTOS AUTOS X BODILY INJURY Per accident ( ) $ N/A X NON -OWNED HIRED AUTOS L AUTOS PROPERTY DAMAGE Per accident $ NIA $ i UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ C WORKERS COMPENSATION WA7-63D-004334-011 (AOS) 10/01/2011 10/01/2012 X WC STATu- oTH- C C AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC7-631-004334-021(OR,WI) EW5-63N-004334-421 (OH) "$500K LIMIT / $500K SIR" 10/01/2011 10/01/2011 10/01/2012 10/01/2012 E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ 7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ERTIFICATE 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 INDUSTRY, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT. . W.- M MONROE COUNTY PUBLIC WORKS DIVISION FACILITY MAINTENANCE DEPARTMENT ATTN: JO WALTERS 3583 SOUTH ROOSEVELT BLVD. KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. ManashiMukherjee j+Rmyaoupt,: �il...tcns�eA 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 0267-01-00-0002937-0002-0011589 MARSH Memo To: To Whom It May Concern Date: September 14, 2011 From: Marsh CSS Subject: Siemens Corporation Certificates of Insurance 2011 - 2012 Policy Year Marsh USA Inc. 10900 Sionelake Blvd., 2d Floor Austin, TX 78759 512 342 4400 Fax 212 948 0622 Nsiomens.csg@marsh.com As a Siemens Corporation Certificate Holder, please find attached your company's renewal certificate for the 10/1/2011 10/1/2012 policy period. If you do not require this Certificate of Insurance, please advice by marking "delete" on the certificate and returning it via email (njsiemens.csg@marsh.com) or fax to (212) 948 0622. Best regards, Marsh CSS [�� Marsh & Mclennan Companies 0267-01-00-0002937-0003-0011590 ACORO® CERTIFICATE OF LIABILITY INSURANCE ��- D/YYYY) ATE 12/11/201212012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH USA, INC. 445 SOUTH STREET CONTACT NAME: FAX A O N Ex A/C No); E-MAIL ADDRESS: MORRISTOWN, NJ 07960-6454 INSURERS AFFORDING COVERAGE NAIC p INSURER A : HDI-Gerling America Insurance Company 41343 100129-6-7BA-SBT1-12/13 228 GLAZE NOC60 INSURED SIEMENS INDUSTRY, INC. INCLUDING BUILDING TECHNOLOGIES DIVISION INSURER B : Llberiy Mutual Fire Ins Co 23035 INSURER C: LM Insurance Corporation 33600 INSURER D : 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60080-4513 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-006203294-07 REVISION NUMBER: 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. INSR LTR OF INSURANCE ADDLTYPE INSR SUER POLICY NUMBER MM/DDPOLICY /YYYY MMIDD/YYYY LIMITS A GENERAL LIABILITY GLD1110104 10/01/2012 10101/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 CLAIMS -MADE lxl OCCUR MED EXP (Any one person) $ 100,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ INCL $ JECTX POLICY PRO LOC B AUTOMOBILE LIABILITY AS2631004334212 10101/2012 10/01/2013 COMBINED SINGLE LIMIT Ea accident 2,000,000 BODILY INJURY (Per person) $ N/A X ANY AUTO X AALL UTOS OWNED SCHEDULED UTOSX APBODILY INJURY (Per accident) $ N/A PROPERTY DAMAGE Per accident $ N/A HIRED X NON HIRED AUTOS AUTOS DA UMBRELLA LIAR HOCCUR 0 (-� . V_ EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE Ate.. v ��/�, DED RETENTION $ C WORKERS COMPENSATION WA563DO04334012 (ADS) 10/0112012 10/01/2013 X WC STATU- oTH- ER C C AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) N / A WC5631004334022 (OR, WI) EW563N004334422 OH ( ) 10/0112012 1010112012 10/01/2013 10/0112013 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below "'$500K LIMIT / $500K SIR"' E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: APOGEE BUILDING AUTOMATION SYSTEM (HVAC) MONROE COUNTY DETENTION CENTER 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 INDUSTRY, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT. IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NON-PAYMENT OF PREMIUM, THE INSURER WILL DELIVER NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER UP TO 60 DAYS PRIOR TO THE CANCELLATION OR AS REQUIRED BY WRITTEN CONTRACT, WHICHEVER IS LESS. IL" =1Z4112VfA N1all 1MI 11ifr\CLefa11OF-III Lai 2 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: MONIQUE DIAZ, RISK MANAGEMENT ASSISTANT 5501 COLLEGE ROAD STOCK ISLAND KEY WESTrFL 33040 CL__ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukheriee .l+t..11e_11, - ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 0 ACOR" CERTIFICATE OF LIABILITY INSURANCE ATE D031220/DDlYYYY) 03222013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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). PRODUCER MARSH USA, INC. 445 SOUTH STREET CONTACT NAME: A/CNNo Ext : FAX No): E-MAIL ADDRESS: MORRISTOWN, NJ 07960-6454 INSURERS AFFORDING COVERAGE NAIL • INSURER A : HDI-Geding America Insurance Company 41343 100129-6-7BA-SBT1-12/13 228 Kozhep NOC60 INSURED SIEMENS INDUSTRY, INC. INCLUDING BUILDING TECHNOLOGIES DIVISION INSURER B : Liberty Mutual Fire Ins Co 23035 INSURER C: LM Insurance Corporation 33600 1000 DEERFIELD PARKWAY BUFFALO GROVE. IL 60089-4513 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-006599928-01 REVISION NUMBER: 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. ILTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DD//YEYYY MlWDDrmY LIMITS A GENERAL LIABILITY GLD1110104 101012012 10/012013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR DAMAGE TO E Pa occurrence) REMISES E. currence $ 1,000,000 MED EXP (Any one person) $ 100,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ INCL X I POLICY F7 PRO- LOC $ B AUTOMOBILE LIABILITY AS2631004334212 10/01/2012 10/01/2013 COMBINED SINGLE LIMIT Ea accident 2,000,000 BODILY INJURY (Per person) $ NIA X X X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON-AUTOSWNED • PP RISK ANAL A BODILY INJURY (Per accident) $ NIA PRO(PerPERTYDAMAGE $ N/A $ s UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION WA563DO04334012 (AOS) 10/01/2012 10/01/2013 X we sTATu- oTH- C C AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A WC5631004334022 (OR, WI) EW563NO04334422 (OH) 10/0112012 10/012012 10/01/2013 10/01/2013 E.L. EACH ACCIDENT 1 000,000 $ E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below "'$500K LIMIT / $500K SIR"' E.L. DISEASE - POLICY LIMIT 1 1.000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA 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 INDUSTRY, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT. IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NON-PAYMENT OF PREMIUM, THE INSURER WILL DELIVER NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER UP TO 60 DAYS PRIOR TO THE CANCELLATION OR AS REQUIRED BY WRITTEN CONTRACT, WHICHEVER IS LESS. CERTIFICATE HOLDER rANCFI I ATlntd BOARD OF COUNTY COMMISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OF MONROE COUNTY. FLORIDA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 SIMONTON ST ACCORDANCE WITH THE POLICY PROVISIONS. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee i�t txuaa►*% t�.r� as ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 1 09/3012013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE IMPORTANT: If the certificate holder is an A ITIONAL I'lcy(ies) m t be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain olicies may require an endorsement. statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements PRODUCER MARSH USA, INC. 445 SOUTH STREET MORRISTOWN, NJ 07960-6454 r OCT `) 2 ACT ME: ONE FAX A/C No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # �N�� W Geding America Insurance Company 41343 100129.6.7BA-SBT1-13/14 228 Kozhep MANAGE INSURED SIEMENS INDUSTRY, INC. INCLUDING BUILDING TECHNOLOGIES DIVISION INSURER B ; Travelers Property Casualty Co. of America 25674 INSURER C : The Charter Oak Fire Insurance Company 25615 INSURER D : 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089-4513 INSURER E INSURER F : cnVPDAf'_Fs CERTIFICATE NUMBER- NYG-006599928-03 REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER EFF MM/DDPOLICYIYYYY LICY EXP M/DD/YYYYI M LIMITS A GENERAL LIABILITY GLD1110105 10/01/2013 10/0112014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 $ X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR MED EXP (Any one person) $ 100,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ INCL $ X POLICY PRO- LOC B AUTOMOBILE LIABILITY TC2JCAP7440L34A13 10/01/2013 10/01/2014 COMBINED SINGLE LIMIT Ea accident 2 Opp ANY AUTO X BODILY INJURY (Per person) $ N/A X BODILY INJURY (Per accident) $ WA ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS LX AUTOS AP IS G ME R DA L X PROPERTY DAMAGE Per accident $ WA $ UMBRELLA LIAB EXCESS UAB OCCUR - Pat , EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED RETENTION $ $ C WORKERS COMPENSATION TC20UB744OL27113 (ADS) 10/01/2013 10101/2014 WC sTAru- OTH- I ER E.L. EACH ACCIDENT 1,000,000 $ B B AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED' FN (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A TRJUB744OL28313 AZ, MA, OR & WI ( ) TWXJUB744OL33813 ( OH & WA) ' $500K LIMIT I $500K SIR"" 10/01/2013 10101/2013 10/01/2014 10/01/2014 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA 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 INDUSTRY, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT. IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NON-PAYMENT OF PREMIUM, THE INSURER WILL DELIVER NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER UP TO 60 DAYS PRIOR TO THE CANCELLATION ORAS REQUI ? BY WRITT N Q Tgf T, WHICHEVER IS LESS. ��`r � a -y BOARD OF COUNTY COMMISSIONED ��W! O 1 d o _ + �� G t r #� OF MONROE COUNTY, FLORIDA 1100 SIMONTON ST KEY WEST, FL 33040 U 0 3 33 ` A G] I J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee — ct'+�>a�a*►► ,3A^& 9_*%&A4-eA- V 7Jtiif-LUTUAI.VKLJ VVRrVRAtwrt. ran rryrrls resaarveu. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ACo CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 09/24,2015 Va.-- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: - -- - _ - --- FAX MARSH USA, INC. PHONE 445 SOUTH STREET IA/c No E rr• lac No): E-MAIL MORRISTOWN, NJ 07960-6454 ADDRESS: INSURERS AFFORDING COVERAGE !I r HDI-Gedin America Insurance Company 100129-6-76A-SBT1-15/16 228 Kozhep _ _ NOC60 _ INSURER A: 9 INSURED INSURER B: The Travelers Indemnity CompanySIEMENS INDUSTRY, INC. INSURER c : Travelers Property Casualty Co. of America BUILDING TECHNOLOGIES 1000 DEERFIELD PARKWAY INSURER D : BUFFALO GROVE, IL 60089 INSURER E : COVERAGES CERTIFICATE NUMBER: NYC-007183610-07 REVISION NUMBER: 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. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE imm Wa POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY GLD1110107 10/01/2015 10/01/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 1,000,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ 100,000 - PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GENT AGGREGATE LIMIT APPLIES PER: INCL X PRO 1-1LOC PRODUCTS -COMP/OP AGG $ POLICY DJECT $ OTHER COMBINED SINGLE LIMIT C AUTOMOBILE LIABILITY TC2JCAP7440L34A15 10/01/2015 1010112016 Ea accident $ 2,000,000 BODILY INJURY (Per person) $ N/A allMBRELLA AUTO WNED SCHEDULED BODILY INJURY (Per accident) $ N/A s Auros ApPRO ED Y ISK M GEMENT PROPERTY DAMAGE $ NIA NON -OWNED Per accident D AUTOS X AUTOS $ BY LIAB OCCUR DATE---- EACH OCCURRENCE $ ESS LIAB CLAIMS -MADE WAIVER NIA„ E AGGREGATE $ RETENTION$ 10/01/2015 10/01/2016 X PER OTH- TC2JUB7440L27115 ADS COMPENSATION ( STATUTE ERBOYERS' LIABILITY YIN TRKUB744OL28315 (AZ, MA, OR & WI) 10/01/2015 10101/2016 E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N / A C OFFICER/MEMBER EXCLUDED? TWXJUB744OL33815 (OH & WA) 10/01/2015 10/0112016 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) $ 1,000,000 If yes, describe under ""'$SOOK LIMIT / $500K SIR""' E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA IS INCLUDED AS ADDITIONAL INSURED UNDER THE REFERENCED GENERAL LIABILITY AND AUTOM7UNDER INSURANCE POLICIES, BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS INDUSTRY, INC. FOR CERTIFICATECONTRACT. IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NON-PAYMENT OF PREMIUM, THE INSURER WILL DELIVER NOTICE OF CANCELLATION TO THE CE TO 60 DAYS PRIOR TO THE CANCELLATION OR AS REQUIRED BY WRITTEN CONTRACT, WHICHEVER IS LESS. 3UdteG"r4 CERTIFICATE HOLDER I I 1 CANCELLATION BOARD OF COUNTY COMMISSIONERS ,;}• SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OF MONROE COUNTY, FLORIDA . }� 1�O S UL THE EXPIRATION DATETHE POLICY OF, NOTICE WILL BE DELIVERED IN 1100 SIMONTON ST LS .6 �r S. KEY WEST, FL 33040 �j 1111 •� � � rr• 0 -3 G 3 THORIREPRESENTATIVE of Marsh USA Manashi Mukherjee © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ,ac - CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10 C8'2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA, INC. NAME` 445 SOUTH STREET A/CNNo Ext : A/C, No): MORRISTOWN, NJ 07960-6454 E-MAIL INSURER(S) AFFORDING COVERAGE NAIC # 100129-6-7BA-SBT1-15/16 228 KOZHE NOC60 INSURER A: HDI-Gerling America Insurance Company 41343 INSURED SIEMENS INDUSTRY, INC. INSURER B : The Travelers Indemnity Company 25658 BUILDING TECHNOLOGIES INSURER c : Travelers Property Casualty Co. of America 25674 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089 INSURER D INSURER E INSURER F COVERAGES CFRTIFI('ATF NIIMRFR• NYC-007183610-08 RF\/IQlr)M All IMRFR- 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. INSR LTR TYPE OF INSURANCE ADDL SUBR VD POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP (MM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY GLD1110107 10/01/2015 10/01/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 100,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: PRO- POLICY ❑ JECT LOC GENERAL AGGREGATE $ 10,000,000 PRODUCTS - COMP/OP AGG $ INCL $ OTHER: C AUTOMOBILE LIABILITY TC2JCAP7440L34A15 1 2015 10/01/2016 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 X BODILY INJURY (Per person) $ N/A ANY AUTO ,. APP VE BY, IS AGEM NT ALL SMED AUTOSULED SCHED AUTO HIRED AUTOS X NON -OWNED AUTOS BY� I / DATE tr X BODILY INJURY (Per accident) $ N/A X PROPERTY DAMAGE Per accident $ N/A $ UMBRELLA LIAR HCLAIMS-MADE OCCUR WAW EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A TC2JUB74401_27115 (AOS) TRKUB7440L28315 (AZ, MA, OR & WI) TWXJUB7440L33815 (OH & WA) 10/01/2015 10/01/2015 1010112015 10/01/2016 10/01/2016 101O112016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below $500K LIMIT / $500K SIR""' ,E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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 INDUSTRY, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT. IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NON-PAYMENT OF PREMIUM, THE INSURER WILL DELIVER NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER UP TO 60 DAYS PRIOR TO THE CANCELLATION OR AS REQUIRED BY WRITTEN CONTRACT, WHICHEVER IS LESS. 17_;;�,/ GtK I It-II:A I t MULUtK i Hf 7 • U. ' Y u:'f GANGtLLA I IUN MONROE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BOARD OF COUNTY COMMISSIONERS SS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 IMONTO STREET, ROOM 268 " d S ( �'}(� ACCORDANCE WITH THE POLICY PROVISIONS. KEY WEST, Ud()J_3a 80J (7.33 AUTHORIZED REPRESENTATIVE of SA Inc. Manashi Mukherjee © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ACORO CERTIFICATE OF LIABILITY INSURANCE ATE (MMIDD/YYYY( r 0312112016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA, INC. NAME: 445 SOUTH STREET PHONE o Ex AIC, No): MORRISTOWN, NJ 07960-6454 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: HDI Global Insurance Company 41343 100129-6-7BA-SBTt-15/16 228 BALDRI NOC60 INSURED INSURER B : The Travelers Indemnity Company 25658 SIEMENS INDUSTRY, INC. INSURER C : Travelers Property Casualty Co. of Amedca BUILDING TECHNOLOGIES 25674 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-008440671-01 REVISION NUMBER: 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. 1�TR TYPE OF INSURANCE INSD WVD ADDLSUBR POLICY NUMBER MM DDPOLICY EFF MM/DDfYYYY LIMITS A X 1 COMMERCIAL GENERAL LIABILITY GLD1110107 10/01/2015 10/01/2016 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE —XI OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 100,000 PERSONAL & ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY ❑ JECT PRO ❑ LOC PRODUCTS - COMP/OP AGG $ INCL $ OTHER: 0 AUTOMOBILE LIABILITY TC2JCAP7440L34A15 10/01/2015 10/01/2016 COMBINED Ea acrid nt SINGLE LIMIT $ 2,000,000 BODILY INJURY (Per person) $ N/A X ANY AUTO X ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ N/A PROPERTY a c dentDAMAGE $ N/A X X NON -OWNED HIRED AUTOS AUTOS A X UMBRELLA LIAB X I OCCUR CUD1110207 10/01/2015 10/01/2016 EACH OCCURRENCE $ 3,000,000 rl AGGREGATE S 3,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION TC2JUB7440L27115 (ADS) 10/01/2015 10/01/2016 X STATUTE ERH B AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YNN TRKUB7440L28315 (AZ, MA, OR & WI) 10/01/2015 10/01/2016 E.L. EACH ACCIDENT $ 1,000,000 C O anclat ry in IN-iF'EXCLUDED? ❑ (Mandatary in N� NIA A TWXJUB7440L33815 OH & WA ( ) 10/01/2015 10/01/2016 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 If yes, describe u b'w DESC SION PERATIONS7�Wow $500K LIMIT / $500K SIR""' 4 DESCRIPTI OF OPjR TIONS I LOC4210NS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE:2600030P I lL.1.j � C-C , MONROE CbTY B5RD OF COUN&OMMISSIONERS IS INCLUDED AS ADDITIONAL INSURED UNDER THE REFERENCED GENERAL LIABILITY AND 1-1&'ce AUTOMOBIL€;t.1ABILINNSURANCE ICIES, BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS CONTRACT. INDUSTRY, I FOR%ERTIFICATE HOIpER UNDER IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NON-PAYMENT OF PREMIUM, THE INSURER WILL DELIVER NOTICE OF CANCELLATION GLK I (FICA I t HVLL1tF( MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee V I000-LV 14 /±LJVRU I.VRr-UMAI IVIV. H1I I1911LJ IUJ=Ivcu. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD