2018-723-E AMS - Siemens WCOB VFD replacement

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DocuSign Envelope ID:46EEBC6C-B5CA-44D3-867D-F42A6EFOC768 AC R" CERTIFICATE OF LIABILITY INSURANCE DATE(Mh1fT]DIYYYY) 09119I2018 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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. Of 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,INC. NAME: 445 SOUTH STREET PITON a FAX No): MORRISTOWN,NJ 079606454 EMAIL ADDRESS: _ INSURERS AFFORDINGCOVERAcE NAIL p 100129-SBT--18119 228 Rentas NOC60 INSURER A:HDI Global IRsurance Cmnpany 41343 INSURED ------- 51EMENS INDUSTRY,INC. INSURER B:Travelers Property Casualty Co.of ARledca 25674 BUILDING TECHNOLOGIES INSURER C The Tfavelers Indemni Com any 25658_ 1000 DEERFIELD PARKWAY INSURER R BUFFALO GROVE,IL 610089 — INSURER E: INSURER P COVERAGES CERTIFICATE NUMBER: NYGM9195547-11 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 HE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPEOFINSURANCE AUDLSUBR POLICY NUMBER MIL.- YY MMI POLICY LIMITS A X COMMERCIAL GE14ERAL LIABILITY GLD1i401.10 1010112018 1010112019 EACH OCCURRENCE g 1,000,000 CLAIMS-MADE � P OCCUR E SE Eaoccurrenm $ 1 100010 TO RENTED MED EXP An one rson $ 100,000 PERSONAL&A0V INJURY $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY a FECT RO- ❑LOC UCTS-COMWOP AGG S INCL S OTHER: $ B AUTOMOHILELtABILITY TC2J-CAP-74401-30-18 100112018 IOIDII2019 COMBINEDSINGLELIMIT $ 2,000,000 Ea accWen9 X ANY AUTO BCOILY INJURY(Per person) $ NIA X OWNED SCHEDULED BODILY INJURY(Per sccidenl) $ NIA AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE—— $ MIA AUTOS ONLY AUTOS ONLY Per aecldanl 5 UMBRELLAUAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MARE AGGREGATE $ OEO RETENTION S B WORKERSCOMPFKSATION TC2J-UB 9X50$-16(ADS) 1010112018 101012019 X SFR CTI1- C AND EMPLOYERS'LIABILITY YIN TRK-UB-B049X5fA-18 AZ,MA,OR,WI fD1D1120i8 IDI0ff2fl19 - ANYPROPRIETORIPARTNERIEXECUTIVE } B a E.L.EAGHACCIRENT 1,000,000 OFFICERIMEMBEREXCLUDED7 N/A T 1Mandatory in NH} 1N]GI-UB-7440L338.18(OH 6 WA} 10101/2018 101011120119 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ues describe under ° 1500K LIMIT $500K SIR","' 1,000,000 SCRIPT(ON OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE$IACORD 101,Additional Remarks Schedule,may be allaOod If more space Is required) RE:JOB NO.NIA SEE ATTACHED I I CERTIFICATE HOLDER CANCELLATION COUNTY OF ORANGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ASSET MANAGEMENT SERVICES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 600 NC HIGHWAY 86 N ACCORDANCE+,KITH THE POLICY PROVISIONS. HILLSBOROUGH,NC 27278 AUTHORIZED REPRESENTATIVE of March USA Ino. Manashl Mukherjee ,yOMNAO-D•: e01988-2048 ACORD CORPORATION. All rights reserved. ACORD 25(2016105) The ACORD name and logo are registered marks of ACORD