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DocuSign Envelope ID: AD3C76OB- 8590- 44B6- 96E4- CA9154EB7FOF <br />AC� "® CERTIFICATE OF LIABILITY INSURANCE <br />D09/1412017DIrrrr) <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) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />MARSH USA, INC. <br />445 SOUTH STREET <br />CONTACT <br />NAME: <br />FAX <br />PHONE A/C No): <br />E -MAIL <br />ADDRESS: <br />MORRISTOWN, NJ 07960 -6454 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: HDI Global Insurance Company <br />41343 <br />100129 -SBT- -17/18 228 Rentas NOC60 <br />INSURED SIEMENS INDUSTRY, INC. <br />INSURER B: The Travelers Indemnity Company <br />25658 <br />INSURER C: Travelers Property Casualty Co. of America <br />25674 <br />BUILDING TECHNOLOGIES <br />INSURER D: The Charter Oak Fire Insurance Company <br />25615 <br />1000 DEERFIELD PARKWAY <br />BUFFALO GROVE, IL 60089 <br />A AGE <br />PREM SES Ea Occurrence) t$ <br />1,000,000 <br />INSURER E: <br />MED EXP (Any one person) <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: NYC - 009196547 -10 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 TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM /DD /YY <br />POLICY EXP <br />MM /DDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />GLD1110109 <br />10/01/2017 <br />10/0112018 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE � OCCUR <br />A AGE <br />PREM SES Ea Occurrence) t$ <br />1,000,000 <br />MED EXP (Any one person) <br />$ 100,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 10,000,000 <br />X <br />POLICY PRO- JECT El LOC <br />PRODUCTS - COMP /OP AGG <br />$ INCL <br />$ <br />OTHER: <br />I <br />C <br />AUTOMOBILE <br />LIABILITY <br />TC2JCAP7440L34A17 <br />10/01/2017 <br />10/01/2018 <br />(CEO, ccidMBINED entS INGLE LIMIT <br />a <br />$ 2,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ N/A <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />X <br />BODILY INJURY (Per accident) <br />$ N/A <br />X <br />PROPERTY DAMAGE <br />Per accident <br />g NIA <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DIED RETENTION $ <br />$ <br />D <br />B <br />C <br />WORKERS COMPENSATION <br />EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? N <br />(Mandatory in NH) <br />N / A <br />TC20UB8049X50817(AOS) <br />TRKUB8049X51A17 (AZ, MA, OR & W) <br />TWXJU67440L33817 OH & WA <br />( ) <br />10101/2017 <br />10/0112017 <br />10/01/2017 <br />10/01/2018 <br />10/01/2018 <br />10/01/2018 <br />X PER ---7-7-0TH- <br />STATUTE <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />" " "'$500K LIMIT I $500K SIR " " "' <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: JOB NO. N/A <br />SEE ATTACHED <br />CERTIFICATE HOLDER CANCELLATION <br />COUNTY OF ORANGE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />ASSET MANAGEMENT SERVICES <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />600 NC HIGHWAY 86 N <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />HILLSBOROUGH, NC 27278 <br />AUTHORIZED REPRESENTATIVE <br />of Marsh USA Inc. <br />Manashi Mukherjee �+CaLUao►.�4 . �.[c�. v. r� <br />©1988 -2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />