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Certificate of Insurance 77/20/2024 E(MM/DD/YYYY) ACTOR" CERTIFICATE OF LIABILITY INSURANCE 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 NAME: A.I.Kin Insurance Agency, Inc. Aon Risk Services Central Inc. PHONE FAX 200 E Randolph St. A/C No Ext: 317-841-6004 A/C,No: 317-841-6006 Chicago, IL 60601 ADDE-MRESS: CUMmins@aikinginsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Swiss Re Corporate Solutions Elite Ins 29700 INSURED INSURER B: Old Republic Insurance Company 24147 Cummins Inc. 500 Jackson Street INSURERC: Mail Code 91676 INSURERD: Columbus IN 47201-6258 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 81048430 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A / COMMERCIAL GENERAL LIABILITY ✓ CGP0000001-02 8/1/2024 8/1/2025 EACH OCCURRENCE $5,000,000 DAMAGE TO RENTED CLAIMS-MADE 11/1 OCCUR PREMISES (E.occurrence) ccurrrence) $5,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $5,000,000 ✓ POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $5,000,000 OTHER: $ B AUTOMOBILE LIABILITY ✓ MWTB 317015 24 8/1/2024 8/1/2025 Ee aBINEDtSINGLE LIMIT $2 000 000 ✓ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident PHYSICAL DAMAGE $SELF-INSURED A / UMBRELLALIAB / OCCUR CG00000001-02 8/1/2024 8/1/2025 EACH OCCURRENCE $20,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $20,000,000 DED RETENTION$ $ B WORKERS COMPENSATION MWC 314311-24 8/1/2024 8/1/2025 / STATUTE OERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $2,000,000 OFFICE R/M EMBER EXCLUDED? F_N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $2 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000 B EXCESS AUTO MWZX 317016 24 8/1/2024 8/1/2025 Limit:3,000,000 A CRIME CGP0000001-02 8/1/2024 8/1/2025 Limit:2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Monroe County BOCC is named as Additional Insured regarding the General and Auto Liability policies as required per written contract. APr' 17 T ®Y..-__. DATE,.,...,_L2 3 Z4 ..__.—...—_. CERTIFICATE HOLDER CANCELLATION WA '` "' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West FL 33040 AUTHORIZED REPRESENTATIVE Al King ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 81048430 24/25GL AU UMB WC CRM (Merged) Shelly Pence 17/20/2024 12:42:10 PM (EDT) I Page 1 of 3 This certificate cancels and supersedes ALL previously issued certificates. Cummins Inc. CGP0000001-02 001202 o8/aio1/2o25 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s)Or Organization(s): All persons or organizations as required by contract or agreement Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to Sec- organization(s) shown in the Schedule, but only tion III—Limits Of Insurance: with respect to liability for "bodily injury", "property If coverage provided to the additional insured is damage" or "personal and advertising injury" required by a contract or agreement, the most we caused, in whole or in part, by your acts or omis- will pay on behalf of the additional insured is the sions or the acts or omissions of those acting on amount of insurance: your behalf: 1. Required by the contract or agreement; or 1. In the performance of your ongoing operations; or 2. Available under the applicable limits of insurance; whichever is less. 2. In connection with your premises owned by or rented to you. This endorsement shall not increase the applicable limits of insurance. However: 1. The insurance afforded to such additional in- sured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the in- surance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to pro- vide for such additional insured. CG 20 26 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 81048430 24/25GL AU UMB WC CRM (Merged) I Shelly Pence 17/20/2024 12:42:10 PM (EDT) I Page 2 of 3 This certificate cancels and supersedes ALL previously issued certificates. Cummins Inc. MWTB 317015 24 08/01/2024 POL°FMBER: COMMERCIAL AUTO CA20481013 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 modified 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 provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Cummins Inc. Endorsement Effective Date: Effective Date of Policy as Stated on Certificate of Insurance SCHEDULE Name Of Person(s) Or Organization(s): All Persons or Organizations as Required by Contract or Agreement 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 an "insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 81048430 24/25GL AU UMB WC CRM (Merged) I ShellN�p t 2 4 12:4 I Page This certificate cancels and supersedes ALL" i U.'S � ued :�P#q i�u ��s'. � �/ -08/01/24