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Certificates of Insurance A��" CERTIFICATE OF LIABILITY INSURANCE °;ppg1 23°"r"` THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA.L-C. NAME: 445 SOUTH STREET PHONE A Ne MORRiSTOWN,NJ 07960-6454 E4AaL ADDRESSi INSURERS AFFORDING COVERAGE NAIC 0 CN102147003•RAM-23R4 4433 MANGO NOC60 INSURER A:HDI Global Insurance Company 41343 INSURED SIEMENS INDUSTRY,INC. INSURERS Travelers Prope5y Casua Co of America 25674 1000 DEERFIELD PARKWAY INSURER C:Travelers CaskiaiN d SurSty ComQanX 19038 BUFFALO GROVE,IL 9-4513 INSURER D s INSURER E: INSURER F; COVERAGES CERTIFICATE NUMBER: NYC-011722700.01 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. IITR ADDTYPE OF INSURANCE L S B POLICY NUMBER MMI°D_12606Y EFF- PM�EXP �EACH LIMITS LTR A X COMMERCIAL GENERAL LIABILITY IGLW110115 10101)2023 ;:1010112024 OCCURRENCE $ 1,000„00O CL4IMS-MADE ...,, OCCUR MED EXP(Any one Person) __... , x_ .�.._ L .. $ .. 1,0110 0d� .� _ XP $ 100 000 x1,,000,000 �..m.. AGGREGATE $ 10„00O,O0D POLICY AGGREGATE LIMIT APPLIES PER: 1 GENERALAGG N'L.AGGREGA���� �..,_ G $ INCL X LOD PRODUCTS-COMPIOP AG OTHER: $ AUTOMOBILE LIABILITY TC2J-CRP-7440L34A-TIL-23 %Q112023 10101I2024 COMBINED SINGLE LIMIT 0 B Au TO BODILY -a t.Y_ ANY BOD ..mm 000 00 acdolA !.. OWNED ... SCHEDULED BIY INJURY(Per psrsoawd r NI$ AUTOS ONLY ALTOS de 19 $ NIA AAUTOS ONLY X AUTOS ONLD II p CYPERTY�aMAfaE $ NIA P g,er acadenl UMBRELLALIAR11 CUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION LIB-8P839 -23.51-K(ADS) 110101,7023 10101024 X PER ITH- ANDEMPLOYERS'LIABILITY ,STATUTE . „ER w,,,,,,,,,,,,, ,,,,�_. C YIN UB-6P79233A-23-51-RQAZ,MA,WI) 10�1P2023 10r01c2024 EACH ACCIDENT $ �_ ,000000 OFFICERIMEMBE1 Mandatory in NHREXCLUDED7 N N r A E.L. „„.... ANYPROPRIETORfPARTNERIEXECUTIVE E.L ® TWXJ-UB7440L33823(OH 10r012023 10J()192024 DISEASE-EA EMPLOYE $ 1„000,000 IIyam.daaraiba under k, __._..._.m ..................................................„......................... DE RIPTION OF OPERATIONS Wrawr $500K LIMIT 1$50DK 51R °"" E.L.DISEASE-POLICY LIMIT $ 1„000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached H mote space is required) RE:006MZ000DD6M2KXAS tl BFL2 BAU ES MONROE COUNTY SA RENEWAL 144P RISK=i6,, SEE ATTACHED ..,,�i1,„ w!! i w CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 SIMONTON STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN KEY WEST,FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA LLC 1988 2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1016 AGENCY CUSTOMER ID: CN102147003 LOC#: Morristown ACCM0 ADDITIONAL REMARKS SCHEDULE Page 2 of 2 III., AGENCY NAMED INSURED MARSH USA,LLC- SIEMENS INDUSTRY,INC. 1000 DEERFIELD PARKWAY POLICY NUMBER BUFFALO GROVE,IL M9-4513 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: --25- FORM TITLE: Certificate of Liability Insurance RE W6MZ0000D6M2KKJAS ,BFL2 BAU ES MONROE COUNTY SA RENEWAL MONROE COUNTY BOARD OF COUNTY COMMISSIONERS,1100 SIMONTON STREET,KEY WEST,FL 3304015 HEREBY ADDITIONAL INSURED AS OBLIGATED UNDER CONTRACT UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE IJABILITY INSURANCE POIUC;ES SUCH INSURANCE AS IS AFFORDED BY THE ADDITIONAL INSURED ENDORSEMENT SHALL APPLY AS PRIMARY fNSURANCE&OTHER INSURANCE MAiNTAINED BY THE CERTIFICATE HOLDER SHALL BE EXCESS ONLY&NOT CONTRIBUTING WITH INSURANCE PROVIDED UNDER THIS POLICY. WAIVER OF S,RROGATION fS EFFECTUA,WHERE REQUIRED BY WRITTEN CONTRACT COMPLETED OPERATIONS COVERAGE PS INCLUDED IN THE GENERAL LIABILITY POLICY IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM,THE INSPJRER WILL DELIVER NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER UP TO 60 DAYS PRIOR TO THE CANCELLATION OR AS REQU,,,RED BY WRITTEN CONTRACT,WHICHEVER TS tESS aw ACORD 101 (2008101) 0 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1017 COMMERCIAL AUTO POLICY NUMBER: ISSUE DATE: - - TC2J-CAP-7440L34A-TIL-23 09 29 23 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi. fied by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage pro- vided in the Coverage Form. SCHEDULE Name Of Person(s)Or Organization(s): ANY PERSON OR ORGANIZATION WHOM YOU HAVE AGREED TO ADD AS ADDITIONAL INSURED, BUT ONLY TO COVERAGE AND MINIMUM LIMITS REQUIRED IN A WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is ered Autos Liability Coverage in the Business Auto an "insured"for Covered Autos Liability Coverage, but and Motor Carrier Coverage Forms and Paragraph only to the extent that person or organization qualifies D.2. of Section I - Covered Autos Coverages of the as an "insured" under the Who is An Insured provi- Auto Dealers Coverage Form. sion contained in Paragraph A.1. of Section 11 - Cov- CA 20 48 10 13 Insurance Services Office, Inc., 201 1I Page 1 of 1 1018 COMMERDAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorse- required of you by a written contract executed meni, the provisions of the Coverage Form apply prior to any "accident" or "loss", provided that the unless modified by the endorsement. "accident" or "loss" arises out of the operations Paragraph 5. Transfer of Rights Of Recovery contemplated by such contract. The waiver ap- Against Others To Us of the COND@TIONS section plies only to the person or organization desig- is replaced by the following. Hated in such contract. 5. Transfer Of Rights Of Recovery Against Oth- ers To Us We waive any right of recovery we may have against any person or organization to the extent CA T3 40 08 08 ®2008 The Travelers Companies,Inc. Page 1 of 1 1019 HDI GLOBAL INSURANCE COMPANY ENDORSEMENT#31 PolllcyNwrtber Nm ardirtsured CAD1110115 SIENENSCORPORA"I ON Pak!►lae tod: E ctln Deband 10-01-2023 10.012024 Thm ofEndor senout 10401-=12:01 am.Standard Time atAddf+sasoftho insMed. 77ds Em*vs=wtCl wWw Tb@ Pb#cy. Phase Read!!Cxdeflydfj►. This modifies Ir�arece I underthe foNawing: CenmwddGsrsarai Llisbiity/CaysnW Fw..r Who Is an Insured Is amended to Include as an adMonal insured any person whom you are required to add as an addlllonal InsunWI on this policy under a wrben agreement,but only with respect 1>D liability for INW4 Injury', property damage'or"personal and advertising lnjury caused.In whole or in part, by:1.Your ads or omissions;or 2.The ads oromissions of those acing on your behalf.The Insurance coverage provided to such addidonel insured applies only to the efxi ant required wMdn the wrlden agreenserst. The Insuranoscoverege pvAded to the addidonal Insured person shall not provide any broader cover4e thanyou are taqukedl pmvldeto the addlMonal Insured pennon in the written agreamentoW shall nut provide Ilmllss of InsuranostM exceed the lower of the IUnft of Insurerm pry dedl to you in this po6cy,orthe limits of Insurance you are reqLdred to provide in ttowritten gIreement. The Insuramw provided to the additional insured by this endorsement Is wtcess over any valid and colledlble other insurance,whether .eowess,amlinpK or an anyatherbasis,that Is avellableto the addi&md Insured for a loss we cover under this enclareernent However,If to writ m agreerserd speciftelly requires the#this Insurance apply on a primary basis,this Insurance is primary.If the rrr[t en agreement specilkaly requires ft Inaumnce apply on a primary and r4rHxwdftj1wy basis this hssuranceIs prlmaryto other insurance available b the additional Insured and we will not share with thatother Insurance. This endorsementshall prevall over additional Insured endorsernerds do may apply underthis policy unless required otherwise In thewrittennmernent. Auuxdwd I' eser>ks i ve All terms and conditlor►s of the policy remain unchmWed. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. 1020 POLICY NUMBER GLDI IIO115 COMMERCIAL.GENERALLIABRITY CG 24 04 0509 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance pro u irisd under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITYCOVERAGE PART SCHEDULE Nara Of Pera m OrOrganta®tion: ANY PERSON OR ORGANIZATION TO THE EXTENT REQUIRED BY WRITTEN CONTRACT Irdiormafion nmulred to co eta this Schedule,If not shown above will be shown In,the Declarations. The following Is added to &17 an I r Of Rlghft Of Rimmery Against To Us of Secllon IV—Condillons: We waive any right of recovery we may have against the person or organbMm shown in the Schedule above because of payment we make for Injury or damage arising out of your ongoing operations or 'your woW done under a contract with Mat person or organization and included in the Wuc ts-completed operations hazarT. This waiver applies any to the person or or+gani¢allon shown In the Schedule above. CO 24 04 00 09 0 Insurance Services Office, Ina,2= Pop 1 *(I 0 1021 NAMED INS D: SIFUMNS CORPORATION POLICY EFFECTIVE: 10/01/2023 TO 10/01/2024 TRAVELERS J� WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00)- POLICY NUMBER: Us-SP83929A-23-51-K WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy_ We will not enforce our right against the person or organization named iin the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. SCHEDULE DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE: 08-03 23 ST ASSIGN: 1022 POLICY NUMBEk GLD1110115 IL SU 41I04(1a1Dy HDI GLOBAL INSURANCE COMPANY THIS PENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION AMENDMENT SCHEDULE Name,Address and EaNall Address ofOther gan Number of Days Notice: s)t Or - - 1(s): Par schedule on file with the Company. 60 Days.or as required by contrack whiclw4w is lass (lf no entry appears above,the inforrnatlon required to complete this endorsement wll be shown In the Declarations as applicable to thiserKicmnrent:) I. If we cancel this policy by notice to you for any sWh t dy permitted reason other than nonpayment of premium,we shall endeavor to mall,email or deliver a copy of such written notice of canoella Lion to the person(s)or organization(s)shown in the Schedvieabove. IL A copy of the notice,per paragraph I.above,wig be mailed,e-malled or delivered: 1. To the appropriate addresses corresponding to the person(s)or orgsnhatlon(s)shown in the Schedulsabove; and 2. The number of days required for notice of canoeliation,as provided in paragraph AZ of the Common Policy Condbone or as amended by an applicable state cancellation endonwnent or by the data as shown in the Schedule above III. Our failure to provide such advance notiflcatlon to the pwson(s)or organizations)shown in the Schedule ofthis endorsement will not odend any policy cancellation date nor negate any cancellation of the policy. All curer berms and conditions of this policy remain unchanged. Page 1 of 1 IL SU 4004(10.10) 1023