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DocuSign Envelope ID:4545A94D-3ECE-4FAB-B1 B8-DD1DB71FE51`3
<br /> DATE(MMIDDIYYYYI
<br /> , C '► ERTIF'I ATE OF LIArB►ILITY INSURANCE
<br /> 04F26F2014
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
<br /> IMPORTANT; If the certificate holder is an ADDITIONAL INSURED,the policy(ies) mint be endorsed. If SUBROGATION IS WAIVED, subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> MARSH USA,INC. WAME ,...._
<br /> PHONE FAX
<br /> 445 SOUTH STREET tA7O.tt�..EX1J=____ CAtc rruL_...................
<br /> MORRISTOWN,NJ 079%6454 E-MAIL
<br /> ADDRESS:
<br /> INSURERISI AFFORDING CDYERAGE NAIIC
<br /> 1001219-6-7BA-SBTi-14115 228 Rotas NOC:60 INSURER A, HDI.Gerling America Insurance COm11arly 41343
<br /> INSURED INSURER B The Travelers Wermnity Company 25658
<br /> SIEMENS INDUSTRY`,INC.INCLUDING _..._ .. ._ . ..., __. _- .......... .............. _ _.
<br /> BUILDING TECHNOLOGIES DIVISION INSURER C, The Charter Oak Fire Insulaance Company 25615
<br /> _--- -----_._ -- -- ....... .............._............
<br /> 1000 DEERPELD PARKWAY INSURER D;Travelers Plroperty Casualty Co of America 25674
<br /> BUFFALO G'R'OVE,A. 60089-4513 _...... ._,. ....,. .,. ...... ......... .. . . .........
<br /> INSURER E:
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER, 006752385.02 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED, HEREIN IS SUBJECT TO ALL THE TERM'S,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br /> POLICY EFFm POLICY EXIs._ LIMITS
<br /> LTR TYPE Or INSURANCE POLICY NUMBER MMFDDIYYYY M.MIDDPYYYY
<br /> A GENERAL LIABILITY GLD1110106 1010112414 1014112015 EACH OCCU RRENCE s 1,000,000
<br /> _
<br /> X COMMERCIALGENERAL,.LIABILITY PREMISE$.. Ea=UrTnce $ 11,000,000
<br /> CLAIMS-MADE ��OCCUR ML D L XP(Arty card person! $ Id0 000
<br /> PI'RSC7NAL r,ADVINJUUaw $ 1,000,0610
<br /> ........._. —_.._... __ ------�...... .... ........ __.... ....... .... ..... 14000,000
<br /> GENERAL AGGREGATE
<br /> ...... ....... .... _.. _w. _ - ....-,.__
<br /> GENT AGGREGATE LIMIT APPLIES PER PRODUCTS COMP)OP AGG $, INCL
<br /> OT
<br /> D AUTOMOBILE LIABILITY TC2JCAP7440L34A14 1010112014 1010142015 COMBINED SINGLE LIMIT 2,000,0
<br /> X, ANY AUTO BODILY INJURY(Per pe¢son)----$ N/A
<br /> x AL I.OYMED ...., SCHEDULED BODILY INJURY(Per acciidertA) $ NIIA
<br /> AUTOS AUTOS _._ .. .... -w __ ...
<br /> 1C x...., NON-OWNED PR(JPERTY DAMAGE $ NIA
<br /> HIRED AUTOS AUTO)$ Per aocrdent
<br /> $
<br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE. $
<br /> EXCESS LIAR CLAIMS-MADE. AGGREGATE $
<br /> DE'0 RE1LN'TI0N$ $
<br /> C WORKERS COMPENSATION TC20UB74 L27114(ADS) 1010 1 1 270 14 1010112015 X vrc�s cATU- C)iFa..
<br /> AND(EMPLOYERS LIABILITY
<br /> B YIN TRKUB 744OL28314(AL,MA,OR&WI) 1010142014 10101122015 1000,000
<br /> AN'dP6C'FPRIF.TORJPAFd"INr"RfEXk:T4.TfIVF E L E,AC9-&AI CIDEI�?T $
<br /> OFFIIERWEMBLREXT:LUEFET)'7 � NIA -._... .._ .,....._. .. ........._... ..I
<br /> D fy s escrbe car C OPERATIONS below
<br /> $500K LIMtlIT I$500K SIR WA) 1010142014 1010142015 E L. DISEASE POt CY LmMITF 4 _.... 1,000,000
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required)
<br /> RE:JOB NC.N/A
<br /> SEE AT"TACII:E1
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> COUNTY OF ORANGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> ASSET MANAGEMENT SERVICES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN'
<br /> 600 NC HIGHWAY 86 N ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> HILLSBOROUGH,NC 27278
<br /> AUTHORIZED REPRESENTATIVE
<br /> of Marsh USA Inc.
<br /> M,anashl Mukherlee saLV�r.:, "3w »a vLC..wLr ert
<br /> @ 1988-2010 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2010705) The ACORD name and logo are registered marls of ACORD
<br />
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