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Certificates of Insurancei' DATE WMI1'i'i3F PRODUCER 01/11/2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE Marsh USA Inc. 6276SAI 411 East Wisconsin Avenue POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. AM Irul Axe, Suite 1600 Milwaukee, Wisconsin 53202-4419 COMPANIES AFFORDING COVERAGE .__,..___...-...__ I. aawasgs) *See Below Attn: CPU, Phone (414) 290-4912 Fax (414) 290-4953 (""""""._ CPU_Milwaukee@mamhCom 1._ ( 'y `� !_, I���aK+qp+}} Illi is Union Insurance Company {Ai._ �J P. .Box 41480, PhilatlNpNa, PA 19101 q+XV INSURED Johnson Controls, Inc. Attn: Corp. Ri k Mgmtj X-92 Company l B S ntry Insurance A Mutual Co. ' IWO t rth Point Drive, Stevens Point, WI 51481 A+ XV Johnson Controls Battery Group, Inc. P.O. Box 591 n Johnson Controls Interiors, L.L.C. Milwaukee, W 53201 F C R Johnson Controls of Puerto Rico, Inc. C6Jnpap�`,7 Ind C_., an for C ACE A Company r North America for C ACE American Insurance Company A+ XV Cal Air, Inc GES America, L.L.C. („ Optima Batteries, Inc. Pro -Tel, Inc. USI ti USI Companies, Inc. R . ao%4148q Philadelphia, PA 19101 . QQITIpaRy__-•---J ington Insurance Company ,CIN Y Le mm ",IJ�f FMENT 10 Suer Street, Boston, MA 02110 ---- A+XV York International Corporation THIS IS TO CERTIFY THA"r POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LT R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MINDEVYY) POLICY EXPIRATION DATE(MMVDD/YY) LIMITS A GENERAL LIABILITY (1) (3) (11) CO. MERCIALGENERRAL1LIABILITY HDOG23719290 10-1-2006 10-1-2007 GENERAL AGGREGATE $5,000,000 X I PRODUCTSAOMP/OP AGO $5.000.000 kiCLAIMS MADE LJ OCCUR PERSONAL B ADV INJURY $5,000.000 EACH OCCURRENCE $5,000,000 OWNERS S CONTRACTOR'S PROT XFIRE Contractual DAMAGE (MY one fire $ 51000,000 X I XCU(EvpDNen. WWW LlMagmuMl MED EXP qy parson) I>e ) $ 50,000 X rmlamallreureo-omnn Lesaeee or cwxgaae see ewaw B AUTOMOBILELIABILITV(2)(3)(4) X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS 90-04606-01 -I;1b-1-2007 10-1-2006 10-1-2007 .n���}�' A„yA-r�sr COMBINED SINGLE LIMIT $4.000.000 BODILY INJURY (Per person) BODILY INJURY (Per acaden0 X X HIRED AUTOS NON -OWNED AUTOS ,�� _ PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY -EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT D EXCESS LIABILITY X UMBRELLA FORM 5577492 10-1-2006Q7 EACH OCCURRENCE $ 5,000,000 AGGREGATE $S,000,OOO OTHER THAN UMBRELLA FORM C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY (4) WLRC44441135 W LRC44441111 - CA 10-1-2006 X I WC STATLL TORY LIMITS I OTH- ER EL EACH ACCIDENT X THE PROPRIETOR' INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL The Indemnity Insurance Company of North America program applies to all JCl entities in all states except for the seg-insured wines and the rtonopolstic stales. $1,000,000 EL DISEASE -POLICY LIMIT $1,000,000 EL DISEASE -EACH EMPLOYEE $ 11000.000 OTHER (1) ADDITIONAL INSURED: If required by contract. Mludes coverage for Adtlebnal Insuede Per attachad erdomenant. (2) ADDITIONAL INSURED: If required by contract, includes coverage for AddMonal Insured and Lose Payees as required by contract. (3) PRIMARY COVERAGE: Mom required by Naas or contract, this coverage Is primary and net excess of or contributing with other IneureMe or seN4nsumxe. WAIVER OF SUBROGATION: Ixunid walvin, subrogintican to the extent rox,ftenrlD contract. DESCRIPTION OF OPERATIONSLOCATIONSPoEHICLESISPECIAL ITEMS JCI Contract No, Project Nacre: Customer PO Number: u SHOULD ANY OF THE POLICES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. Monroe County Board of County Commissioners THE ISSUING COMPANY WILL GRPGAYCFW MNL,3g_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER HEREIN. 1100 Simonton Street NAMED Key West, FL 33040 MARSH USA INC. BY: POLICY NUMBER: HDOG23719290 COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Section tl —Who is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused solely by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insuredls) at the location(s) designated above. With respect to the insurance afforded to these ad( insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage allses has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same Section II — Who Is An Insured is amended to include as an additional insured the persons) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused solely by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- MARSH USA INC. Marsh USA Inc. 411 East Wisconsin Avenue Suite 1600 Milwaukee, Wisconsin 53202-4419 Attn: CPU, Phone (414) 290-4912 Fax CPU_Milwaukee ®mamh.com SURE -- Johnson Controls, Inc. Johnson Controls Battery Group, Inc. Johnson Controls Interiors, L.LC. JCIM US LLC Cal -Air, Inc. GES America, L.L.C. Metro Mechanical Inc. Optima Batteries, Inc. USI Companies, Inc. PERTAIN. THE INSURANCE AFFOgOEO MAY HAVE BEEN REDUCED BV PAID CL TYPE OF INSURANCE GENERAL LIABILITY (1) (3) (4) X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X joccuR OWNER'S & CONTRACTOR'S PROT OMOBILE LIABILITY (2) (3) (4) ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS LIABILITY AUTO EXCESS LIABILITY X UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY (4) THE PROPRIETOR/ Name: SEP 1 5 � 1.4CNFGf C Attn: Corp. Risk X yZ P.O. Box 591 Milwaukee, WI 53201 TERM OR CONDITION OF ANY CONT1. RA THE POLICIES DESCRIBED HEREIN IS IS, POLICY NUMBER HDOG23746396 90-04606-01 L XOO G23865014 +wow00—NUJ W LRC42850573 — CA SCFC42850615 — W 1 CERTI ICATE OF INSURANCE DATli ' -- - ..THIS C RTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Op/C�6/FEOOf NoRIG19TS UPON THE CERTIFICATE S HOLDER OTHER THAN THOSE PROVIDED IN POLICY/ THIS CERTIFICATE DOES NOT AMEND, E%TEND OR ALTER THE COVERAGE 'AFFOR ED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE (M.tI AM Be omv I Y pony A *See Belo, ACE American Insurance Company P.O. Bo. 41484, Philadelphia, PA 19101 A+ XV - - B Sentry Insurance A Mutual Co. Company 1800 North Point Drive, Stevens Point, WI 54481 A+ XV Indemnity Insurance Company C of North America and for CA, WI and EX WC: ACE American Insurance Company A+ XV Company FLO. Box 41484, Philatlel ia, PA 19101 D ACE Property & Casualty Insurance Compan 436 Walnut street Philadelphia, PA 19106 y A+ XV previously issued certificate tN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY CT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, LIMITS SHOWN POLICY EFFECTIVE POLICY E%PIRATION DATE (MWI)pNY) DATE (MM/DDA 1) LIMITS GENERAL AGGREGATE $5,000,000 10-1-2008 10-1-2009 PRODUCTS-COMP/OP AGG $ 5,000,000 PERSONAL & ADV INJURY $ 5,000,000 EACH OCCURRENCE $ 5,000,000 FIRE DAMAGE (Any one lire) $ 5,000,000 10-1-2008 110-1-2009 COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE TORY $ 50,000 $ 5,000,000 s,000,000 5,000,000 IN L WCUC42850627 — EX WC EL EACH ACCIDENT $1,000,000 E.XCL EL DISEASE -POLICY LIMIT $1000000 If required by contract, Includes If recur coveage for Additional Insureds per endorsement attached. EL OISFASE{ACH EMPLOYEE $ t nnn nn0 red by contract, includes coverage for Additional Insureds and Loss Payees as required by contract. Where required by lease or contract, this coverage is primary and not excess of or contributing with other insurance or self-insurance. ION: Insured waives subS09.1lan to the extent required by contract. LOCATIONSNEHICLES/SPECIAL ITEMS JCI Contract No. c 0- v J­' CANCELLATION LD ANY OF THE PoWaIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF Monroe County Board of County Commissioners THE ISSUING . 1 100 Simonton Street ,,NAMED HEREIN, DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER Key West, FL 33040 "m— POLICY NUMBER: HDOG23746396 COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS— NAMED'INSURED'S ACTS OR OMISSIONS ONLY A. Section If — Who is An Insured is amended to include as B. an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused solely by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. with respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: t. All work, including materials, parts or equipment furnished in connection with such work, on the Project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same — vwntHS, LESSEES OR CONTRACTORS — COM NAMED INSURED'S ACTS OR OMISSIONS ONLY Schedule, but only with respect to liability for "bod "bodily injury" or propertyo include as an ldamage"insured tcaused solely work" a shown at the designated and described in the schedule of this endorsement performed for that additional insured and included in the "Products - Completed operations hazard " August 28, 2008 Monroe County Board of County Commissioners I100 Simonton Street Key West, FL 33040 Subject. Johnson Controls, Inc. Johnson Controls L.P. Societe De Controle Johnson Ltee. Certificate of Insurance Coverage Period - October 1, 2008 - October 1, 2009 Dear Monroe County Board of County Commissioners Jacklyn M Lindberg Insurance Assistant Marsh USA Inc. 411 E. Wisconsin Ave. Suite 1600 Milwaukee, WI 53202 414 290 4912 Fax 414 290 4953 jacklyn.m.lindberg@marsh.com As Johnson Controls' insurance broker, we are providing you a certificate of insurance evidencing their insurance coverages for this coverage period. The project name and your company's contract number or purchase order number are referenced on the front of the certificate in the Description section. In the Other section is important information about thinsurance e coverages, including additional insured coverage for you as required by contract. If you have any questions or require additional information, please call, email or fax your inquiries to the address and number indicated above. If your firm does not require a certificate of insurance, please DISREGARD this letter and certificate of insurance. However, in the next week or two you may receive a second certificate that does not reflect the terms included here. That second certificate is a system generated certificate and can be discarded. We also want to introduce an option to the certificate of insurance that provides you with more timely information on Johnson Controls' insurance, the "memorandum of insurance. " This memorandum should reduce the amount of time all parties spend on evidencing insurance, and you can view and prim the evidence as you need. You will find this memorandum at httpJ/www.marsh.com/moi?client=0969 Sincerely, Jacklyn M Lindberg Insurance Assistant .4►C40RO CERTIFICATE OF LIABILITY INSURANCE F°AT7/5 011 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 3Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE (S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 endorsements . PRODUCER CONTACT Ann: CPU NAME: Marsh USA Inc. PHONE: (414) 290-4912 FAX (414) 290-4953 411 East Wisconsin Avenue(A/C, A/C No Ext : A/C No Suite 1600 E-MAIL ADDRESS: _ CPUMilwaukee@marsh.com Milwaukee, WI53202-4419 CUSTOMER IDs: INSURE S AFFORDING COVERAGE NAIC s INSURED Johnson Controls, Inc. York International Corporation Attn: Corp. Risk Mgmt. X-92 P.O. Box 591 Milwaukee, WI 53201 INSURER A ACE AMERICAN INSURANCE COMPANY 22667 INSURER B: SENTRY INSURANCE A MUTUAL CO. 24988 INSURER C: INDEMNITY INSURANCE CO OF NORTH AMERI A 43575 INSURER D: ACE PROPERTY & CASUALTY INSURANCE CON PANY 20699 INSURER E: INSURER F: COVERAGES CFRTIFICATF NIIMRFR• RFVICIAN NIIIIARFR• 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 INSR SUBR WVD POLICY NUMBER POLICY EFF MWDDNYYY POLICY EXP MM/DDNYYY LIMITS A GENERAL LIABILITY N COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS MADE N OCCUR El❑ HDOG25521390 10/01/2010 10/01/2011 EACH OCCURENCE $ 5,000,000 DAMAGE ( RENTED PREMISESS Ea occunence) $ 5 000 000 MED EXP (Any one person) $ 50,000 NCONTRACTUAL PERSONAL & ADV INJURY $ 5,000,000 NX,C,U GENERAL AGGREGATE $ 5,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP A $ 5,000,000 N POLICY ❑ PROJECT ❑ LOC B AUTOMOBILE LIABILITY NANY AUTO ALL OWNED AUTOS ❑ SCHEDULED AUTOS NHIRED AUTOS ❑ ❑ 90-04606- �i' 0 1/2010 \ /wI , 2011 10/jj!%"Z;D�LY COMBINED SINGLE LIMIT (E.Accident) $5,000,000 INJRY(Per pereo) $ LV INJURY (Per acrid ni) $ PROPERTY DAMAGE (Per a ideal) $ N NON -OWNED AUTOS D N UMBRELLA LIAR N OCCUR N EXCESS LIAB ❑ CLAIMS -MADE ❑ ❑ XOO G25827855 10/01 /2010 10/01 /2011 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 ❑ DEDUCTIBLE $ ❑ RETENTION $ $ A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNERIEXECUTIVE � OFFICERIMEMBER EXCLUDED? ❑ ❑ WLRC4614014A— NY, AOS WLRC46140126 — CA SCFC46140151 — WI 10/01/2010 10/01/2011 we STAru- TORV LIMITS OTH- ER E.L. EACH ACCIDENT $ 1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below WCUC46140175 — XSWC WCUC46140163 — XSWC FL, MI E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIN R $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) JCI Contract Number: JCI Project Name: FULL MAINTENANCE PROGRAM - CHILLER SYSTEMS, JACKSON SQUARE, KEY WEST Customer PO Number: MONROE COUNTY BOARD OF COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE BEFORE THE WITH THE COMMISSIONERS POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE M%,%Jnv w tcuumua) W 18tiS- 1UUV AGUHD GUHPUHATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACG�►R®' Marsh USA Inc. THIS AGENCY CUSTOMER ID: _ LOC#: ADDITIONAL REMARKS SCHEDULE A SCHEDULE TO ACORD FORM, Johnson Controls, Inc. York International Corporation Attn: Corp. Risk Mgmt. X-92 P.O. Box 591 Milwaukee, WI53201 EFFECTIVE DATE: 10/1/2010 ADDITIONAL INSURED The General Liability policy, if required by contract, includes coverage for Additional Insureds per attached endorsements The Automobile Liability policy, if required by contract, includes coverage for Additional Insureds as required by contract. PRIMARY COVERAGE The General Liability and Automobile Liability policies are primary and not excess of or contributing with other insurance c where required by lease or contract. WAIVER OF SUBROGATION The General Liability, Automobile Liability, Workers Compensation and Employers Liability policies include a waiver of sul the certificate holder to the extent required by contract. ® 2008 ACORD The ACORD name and logo are registered marks of ACORD 2 of 2 and #A2A. self-insurance, in favor of All rights reserved. POLICY NUMBER: HDOG25521390 COMMERCIAL GENERAL LABILITY f THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Persons Or Organ izations : If required by contract, MONROE COUNTY BOARD OF COUNTY COMMISSIONERS Location(s) Of Covered Operations As required by contract, Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Endorsement #A2 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - NAMED INSURED'S ACT OR OMISSIONS ONLY A. Section II —Who Is An Insured is amended to include as B. With respect to the insurance afforded to these additiol al an additional insured the person(s) or organization(s) insureds, the following additional exclusions apply: shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and This insurance does not apply to "bodily injury' or advertising injury" caused solely by: "property damage" occurring after: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment 2. The acts or omissions of those acting on your behalf; furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional in the performance of your ongoing operations for the insured(s) at the location of the covered operatio s additional insured(s) at the location(s) designated above. has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use b any person or organization other than another contractor or subcontractor engaged in perfommen operations for a principal as a part of the same project. Endorsement #A2A ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS N - NAMED INSURED'S ACTS OR OMISSIONS ONLY Section II —Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury' or "property damage" caused solely by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "product - completed operations hazard." DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 10/6/2011 IN ITHIS CERTIFICATE IS ISSUED AS A MATTER I O RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR EGATIV D OR A ER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE OES NOT CONSTITUTE A CO*TRA BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE C TIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDI ONALyNJ�FD,1,h6ypoles) roust b endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poll es ma r (lyyi�e a�rjj ee371ldddi���illnnent. A st ement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . CONTACT Attn CPU Marsh USA Inc. 411 East Wisconsin Avenue RISK MAN Suite 1600 Milwaukee, WI 53202 — 4419 Johnson Controls, Inc. York International Corporation Attn: Corp. Risk Mgmt. X-92 P.O. Box 591 Mil kee WI53201 NAME: E: (866) 966-4664 ac,N,); (212) 948-5167 No, Ezn: IClCertRequest@marsh.com INSURERS AFFORDING COVERAGE NAIC q INSURER A: ACE AMERICAN INSURANCE COMPANY 22667 INSURER B: SENTRY INSURANCE A MUTUAL CO. 24988 INSURER C. INDEMNITY INSURANCE CO OF NORTH AMERICA 43575 INSURER D: ACE PROPERTY 8 CASUALTY INSURANCE COMPANY 20699 INSURER E: INSURER F: Iwau COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: PERIOD ITHIS IS TOND CAT DC NOTWITHSTANDING A YERTIl-Y I HAT THEI ES REQUIREMOF ENT, TERM OR CO DITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TODED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 RGEDUICEFD BY PAID Y E IPMS. LIMITS NSR ADDL SUER POLICY NUMBER LTR TYPE OF INSURANCE INSR WVD MMIDDIY MMIDD/Y EACH OCCURENCE $ 5,000,000 A GENERAL LIABILITY HDOG25531693 10/01/2011 10/01/21012 DAMAGE TO RENTED PREMISES Ea occurrence $5,000,000 ®COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 50,000 F10 CLAIMS MADE ®OCCUR PERSONALS ADV INJURY $ S,000,OOO ®CONTRACTUAL GENERAL AGGREGATE $ 5,000,000 ®X,C,U PRODUCTS - COMP/OP AGG $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - ®POLICY ❑ PROJECT EILOC COMBINED SINGLE LIMIT $ 5,000,000 B AUTOMOBILE LIABILITY ❑ 90-04606-01 10/01/2011 10/01/2012 (Ea Accident) ®ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ SCHEDULED AUTOS (Per accident) ® HIRED AUTOS ® NON -OWNED AUTOS EACH OCCURRENCE $ S,000,OOO D UMBRELLALIAB OCCUR XOOG25833284 10/01/2011 10/01/2012 AGGREGATE $ S,000,OOO ® EXCESS LIAB ❑ CLAIMS -MADE $ DED ❑ RETENTION $ WC STATU- OTH- A WORKERS COMPENSATION WLRC46483704 (CA, AZ, MA) 10/01/2011 10/01/2012 ®Toav LIMITS ❑ ER AND EMPLOYERS' LIABILITY YIN NIA E.L. EACH ACCIDENT $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE FN] SCFC46770729 (WI) OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 C (Mandatory In NH) WLRC46770742 (AOS) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -Poucv LIMIT $ 1,000,000 c b LI� 4 - DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AddltionaIl Ramarks ScheckA0 f more 4ce is required) t JCI Contract Number: JCI Project Name: Full Maintenance Chiller Systems - Jackson Square Key West Monroe County, Florida Customer PO Number: r CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MONROE COUNTY BOARD OF COMMISSIONERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. ACORD 25 (2010/05) ©1988- 2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC#: ,gcoR ADDITIONAL REMARKS SCHEDULE NAMED INSURED AGENCY Johnson Controls, Inc. Marsh USA Inc. York International Corporation Attn: Corp. Risk Mgmt. X-92 POLICY NUMBER P.O. Box 591 NAICCODE Milwaukee, WI53201 CARRIER EFFECTIVE DATE: 1 011/2010 Page 2 of 2 WORKERS COMPENSATION — NEW YORK STATE Workers Compensation coverage is extended under the New York State Workers Compensation Law for all Employees and Operations in New York State. PRIMARY COVERAGE The General Liability and Automobile Liability policies are primary and not excess of or contributing with other insurance or self-insurance, where required by lease or contract. WAIVER OF SUBROGATION Workers Compensation and Employers Liability policies include a waiver of subrogation in favor of the certificate The General Liability, Automobile Liability, holder to the extent required by contract. ADDITIONAL INSURED -• AUTOMOBILE LIABILITY The Automobile Liability policy, if required by contract, includes coverage for Additional Insureds as required by contract. ADDITIONAL INSURED •-GENERAL LIABILITY For General Liability, if required by contract, the following are included as additional insureds, as required pursuant to a contract with a named insured, per and ERTIFICATE HOLDER LISTED ON THIS CERTIFICATE OF LIABILITY INSURANCE, AND Policy Endorsements A2 aA2A, replicated below: THE C EACH OTHER PERSON nd ORGANIZATION REQUIRED TO BE INCLUDED AS AN ADDITIONAL INSURED PURSUANT TO A CONTRACT WITH THE NAMED INSURED. SCHEDULE FOR POLICY ENDORSEMENTS A2 AND A2A Name of Additional Insured Person(s) or Organization(s): If required by contract, the person or organization listed on the certificate of insurance as additional insured, and each other person or organization require to be included as an additional insured pursuant to a contract with a named insured. Location(s) of Covered Operations: As required by contract. POLICY ENDORSEMENT A2 ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — NAMED INSURED'S ACTS OR OMISSIONS ONLY A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused solely by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the locations) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: The insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. POLICY ENDORSEMENT A2A OMPLETED OPERATIONS —NAMED INSURED'S ACTS OR OMISSIONS ONLY ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — C Section II —Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage' caused solely by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". © 2008 ACORD CORPORATION. All The ACORD name and logo are registered marks of ACORD P52oUU2W,2 4 8 =(MWDDWNMTACC> CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTEOR NEGATIVELY�AMEND, EXTEND OR ALTER THE OVERAGE AFFORDED BY THE N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DPOLICIES CERTIFER. THIS ICATE DOES NOT AFFIRMATIVELY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: M the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. H SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate doss not Confer rights to the certificate holder In lieu of such endorsement(s) PRODUCER NAME: PAC Arthur J. Gallagher Risk Management Services, I4a• PHONE N E-MAIL Chi Certificate — 300 South Riverside Plaza INSUREWS)AFFORDING COVERAGE NN Suits 1900 Chicago, IL 60606 — ARCH INS CO (A XV) 11150 Direct All Inquiries to ®mail INsuRERA. ST PAUL FIRS E MARINS INS CO 24767 INSURED Gallagher Benefit Services, Inc. - Boca Raton INSURERB: WSURER C: — 2255 Glades Road, Suite 4003 INSURERD: INSURER E Boca Raton, FL 33431 INSURERF: :OVERAGES CERTIFICATE NUMBER: 23523818 RCYh71I 1OHm.+�•1• THIS IS TO ERTIFY T�T THE POLICES OF INSURANCE LISTED D TO THE INSURE A ED NDIG TED.CNOI-WITHSAAN ING ANYIREQUIREMENNY,, TERM UR CONDITION ION OFBANY CONTRACT OR OTHER DOCUMENT WI H RESPECT POLICYOVE FOR THPERIOD OWHICHTHIS 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 F PAID CLAIMS. LIMITS ZGEML TYPE OF INSURANCE "POLICY NUMBER 41OPP4938404 10/01/1 10/01/12 EACH OCCURRENCE $ 1,000,000 AL LIABILITY $100, 000 PREMISES Ea occurrence OMMERCIAL GENERAL LIABILITY $ 10, 000 o MED EXP (An one person CLAIMS -MADE X] OCCUR 11000,000 en Agg per 10C subj • (' PERSONAL 4 ADV INJURY S GENERAL AGGREGATE $ 3,000,000 o S10 MIL policy egg. i 3,000,000 PRODUCTS-COMPIOPAGG $ AGGREGATE LIMIT APPLIES PER: S A AUTOMOBILE LIABILITY 41CAS4939004 (MA) A X ANY AUTO _ OWNED _ AUTHOSULED AUTOS — NON -OWNED I` HIRED AUTOS = AUTOS U UMBRELLA LIAB X OCCUR QX01202934 fALL EXCESS LIAR CLAIMS -MADE DED X RETENTION 10,000 RKERS COMPENSATION 41WCI4938204 WI EMPLOYERS' LIABILITY YIN aOFFICER/MEMBER 41WC14938104 ADS PROPRIETORIPARrNERIEXECUTIVE N/A EXCLUDED?N andabor9 In NH) 2 OMBINdED SINGLt Use 1 2,000,000 10/Ol/1 10/01/12 BODILYINJURY(Per person) $ (" , BODILY INJURY (Per accident) $ 9 PROPERTY DAMAGE $ Per nt 10/01/i 10/01/12 EACH OCCURRENCE $ 25.000,000 .,,,,o�..,.r� s 25, 000, 000 10/01/1 10/01/12 X �.n. 10/01/1 10/01/12 E.L. EACH ACCNT S 1,000,000 E.L. DISEASE -EMPLOYE S1,000,000, n,coeec . Iry I IMIT S 1, 000, 000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaaoh ACORD 101, Additional Rw"I Wwduk' I mom ages N npulrad) •pho is an Insured' is amended to include as an Insured the person or organisation shown in the schedule as an Additional Insured• The coverage afforded to the Additional Insured is solely limited to liability specifically S resulting from the conduct of the named insured which may be imputed to the Additional Insured' This coverage shall be , contingent, excess, or by means of self -insurance -potentially availabl excess of all other insurance- e whether primary, ex shall be non-contributory with such other insurance. It is a condition to the additional insured, and this coverage precedent to this coverage that the Additional Insured seek defense and indemnity from all sash other potentially available insurance. The coverage available hereunder is subject to the self -insured retention Provision of this polic Employee Services Monroe County Kra. Maria F. Gonzalez 1100 Simonton Street, quite 2-268 Rey West, FL 33040 ACORD 25 (2010105) mrutyunjayachi 23523818 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WrrH THE POLICY PROVISIONS. AtrrHomm REPRESENTATIVE USA ® INS-2010 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD _,\ 'i-- o V'\. C Q_ ' N O N