2016-755-E AMS - Siemens Industry annual service

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DocuSign Envelope ID:561AE95D-AC72-4264-B6FD-D416224A6CC5 ACQ CERTIFICATE OF LIABILITY INSURANCE DATG}(MMM�DnYYY) 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(les)must 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,iNC- _NA64E:_ NE FAX 445 SOUTH STREET _WC N*_Eft — MORRISTOWN,NJ 07964.6454 _ADoRF§a;_ INSURER(S)AFFORDINGCOVERAGE_ _NAILN 100129-SBT-•16117 228 Renlas NOC60 INSURER A:HDI CAOM Inswance COn)wy 41341 INSURED - _— -- —--- The #Rctealmi C SIEMENS INDUSTRY.INC -INSURER a; ty wVwy 2 BUILDING TECHNOLOGIES INSURER C:Travelers RWerty Casdaity Co.of America 25674 1000 DEERFIELD PARKWAY INSURER D; — e BUFFALO GROVE,IL 6D089 ------ —T— --- —-- INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-007142659-06 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. NOTVVITHSTANDING ANY RECOUiREMENT, 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 C[AIMS. ILTR OD BR POLICY EFF - POLICY Y -- _ TYPE OF INSURANCE POLICY HUMBER MM/0OIYYYY MMIDOfYYYY - LTMITS A x COMMERCIAL GENERAL LIABILITY GLOi110108 1010112016 1010112017 EACHOCCURRENCE 5 1,000,000 CLA}MSAiADE u OCCUR I P iSES fEa occuirOenca},� 5 -.100.000 MEO ExP(Rny enrr persanl 5 100.00D ; PERSONAL&AUVINJURY $_ 1,00,m GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ ---10,000,000 _ POLICY�JECTPRO- I. �L4C PRODUCTS COMPIOP AGC_ S OTHER $ C AUTOMOBILE LIABILITY TC2JCAP74400016 14};0t12fl16 10101l2017 COMBINED SINGLE LlMIT $ 2,DD0,000 ANY AUTO I buss) S .... .......... NIA. }( BODILY INJURY P�Ir AUTOSMED _M ACJEDULEO BODILY INJURY 4Perascidm) 3- NIA OS HIRED AUTOS X- AUTOS WNED �{)PE n�i3AiuAGE g — NIA -... - -- fl UMBRELLA I" HOCCUR EACH OCCURRENCE_ 3 EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION$ 5 —� C WdNKCRS COMPENSATION TC2JUB74401,27116(AOS) 1010IM16 1010102017 _-PER OTFr- AND EMPLOYERS'LIABILITY TATUT F,R B IN ANY PROPRIETORrPARTNER?EXEC.UTIVE YI"u' N 1 A TRK874 U4DL2 OR 10101120161 8316(Al.AU1, VA) 1D�ID112f117 P-L EACH ACCIDENT ..8 C OFFICE"EMDEREXCLUDED7 �f TW?t.1U8744DL33816(OH i0VD112{118 101OiY10f7 ..- (Mandatary In NH] I ) E L DISEASE-EA EMPLOYEE 5 I. . If yes desa,be unefer ,. _—. - DESGbRiPTION OF OPERATIONS below �.'MK LIMIT I S30DK SIR- E L-DISEASE-POLICY LIMIT 5 DESCRIPTTO1r OF OPERATIONS r LOCATIONS r VEHICLES(ACORD 101,AddRianal Ramarke SeNedule,may be P"Ached It mar®apace Is required) RE:JOB NO NIA SEE ATTACHED 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 NG HIGHWAY86 N ACCORDANCE WITH THE POLICY PROVISIONS. HILLSBOROUGH,PIC 27278 AUTHORIZED REPRESENTATIVE of Nlareh USA Inc.. ManashiMukherjee @ 1988-2014 ACORD CORPORATION, All rights reser►red. ACORD 25(2014)01) The ACORD name and logo are registered marks of ACORD