2019-019-E AMS - Siemens Industry Justice humidity

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DocuSign Envelope ID: 12C2C73B-E5A5-42D3-861 F-608EF32071 CO RO® CERTIFICATE OF LIABILITY INSURANCE G6991201+SOY 1 11 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 have ADDITIONAL INSURED provisions or he endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement oil this certificate does not confer rights to the certificate holder in lieu of such endorsemenl(s). PRODUCER CONTACT MARSH USA,iNC. NAME; PHONE I FAX 445 SOUTH STREET o A1C Nu; MORMSTOWN,NJ 01960.6454 EMAIL ADDRESS: INSURER{S AFFORDING COVERAGE NAIL n 100129 SBT 18n9 228 Renlas NOCBO INSURER A:HDI Global Insurance Com 41343 - — - INSURED SIEMENS INDUSTRY,INC. INSURER e:Travelers Prop.Rop.edy Casually Co.of America 25674 BUILDING TECHNOLOGIES INSURER C;The Travelers Indewily Company 25658 TON DEERFIELD PARKWAY INSURER D BUFFALO GROVE,IL 60009 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-009196547-11 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 0-1-HER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE: ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ l TR TYPEDF INSURANCE RDDL SORB POLICY NUMBER MMIUDY EYY MMIDE)rfEYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GLD11101-10 10/0112018 10101/2019 EACH OCCURRENCE $DAMAGETORENTED 1,DOD,ODD CLAIMS-MADE u OCCUR E SES Eaaccurrenw $ I,OOD,OW MED EXP One _n $ 100,000 PERSONAL S ADV INJURY $ 1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 101000,000 X POLICY❑JEC LOC PRODUCTS-COMPIOPAGG $ INCL OTHER: $ S AUTOMOB$LELIAWLITY TC2J-GAP-7440L34A-18 10101f2018 10I0'112019 CEa accldOMBIN an!EOSlHGLE IMIT $ 2,00010DO 1xx ANYAUTO DODILY INJURY(Per person) $ NIA OWNED SCHEDULED BODILY INJURY(Par a"Ideal) $ WA AUTOS ONLY AUTOS HIRED X NON-OWNED PROPERTY DAMAGE $ NIA AUTOS ONLY AUTOS ONLY Per den $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION TC2J-U9,90 9X508.18(AOS) I !ff19 x PER E OTH- AND EMPLOYERS'LIABILITY 1,�O,D00 YIN TRK-US-SU497(51A 18(Az,MA,OR,Wi) famuzDls 1010112019 °REP7EClJT1VE N NIA EL EACH ACCIDENT $ $ OFFICiIMEItifBFRE}(CLUb tMandalory in NHy TW7fJ-UB 7440L338.18{OH&WA} 10101I2018 1010112019 F.L.DISEASE-EA EMPLOYEE $ 1.000,D00 II yas,deacriha under "'$500K OMIT f$500K SIR"' 11,00D,00d OESCRIPTION OF OPERATIONS below E.L-DISEASE-POLICY LIMIT 4% DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddilioyaI Remarks 5choduta,may ho attachud If more space Is requ}red) RE:JOB NO.NIA SEE ATTACHED CERTIFICATE HOLDER CANCELLATION COUNTY OF ORANGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ASSET MANAGEMENT SERVi CES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 600 NC HIGHWAY 86 N ACCORDANCE WITH THE POLICY PROVISIONS. HILLSBOROUGH,NC 27278 AUTHORIZED REPRESENTATIVE of Marsh USA Ino. I Manashi Mukherjeao�uwas �]xt��e�►,u¢s> ©4988.2046 ACORD CORPORATION. All righla reserved. ACORD 26(2016103) The ACORO(Tame and Ingo are registered marks of ACORD