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DocuSign Envelope ID:7E694176-9E31-49DB-A1E4-AFB129905EB1
<br /> DATE(MM/DD/YYYY)
<br /> ,a�oRo® CERTIFICATE OF LIABILITY INSURANCE
<br /> 03111/2024
<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 w/ p y, 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 CONTACT '6
<br /> NAME:
<br /> AOn Risk Services Northeast, Inc. PHONE FAX
<br /> New York NY office (A C.No.E.t): (866) 283-7122 (A/C.No.): 800-363-0105 'a
<br /> one Liberty Plaza E-MAIL 2
<br /> 165 Broadway, Suite 3201 ADDRESS:
<br /> New York NY 10006 USA
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURERA: Greenwich insurance Company 22322
<br /> Honeywell International Inc. INSURERB: XL Insurance America Inc 24554
<br /> 855 S. Mint
<br /> Charlotte NC 28202 USA INSURER C: XL Insurance Company SE AA1121547
<br /> INSURER D: XL Specialty Insurance Co 37885
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 570104288053 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> Limits shown are as requested
<br /> INSR ADDL SUBR EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (POLICYMM/DD/YYYY) (MM/DD/YYYY) LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y RGC943763010 04/01/2023 04/01/2024 EACH OCCURRENCE $5,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $5,000,000
<br /> VIED EXP(Any one person) $50,000
<br /> PERSONAL&ADV INJURY $5,000,000 m
<br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $5,000,000
<br /> X POLICY CI PRO ❑LOG PRODUCTS-COMP/OPAGG Included
<br /> C,
<br /> OTHER: o
<br /> r
<br /> A AUTOMOBILE LIABILITY RAC943764210 04/01/2023 04/01/2024 COMBINED SINGLE LIMIT
<br /> AOS (Ea accident) $1,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) •'
<br /> O
<br /> OWNED
<br /> S AUTOS 2CHEDULED BODILY INJURY(Per accident) Z
<br /> AUTOS ONLY PROPERTY DAMAGE M
<br /> HIRED AUTOS NON-OWNED (Per accident) U
<br /> ONLY AUTOS ONLY
<br /> 1=
<br /> O1
<br /> A UMBRELLA LIAB OCCUR
<br /> RA0943764510 04/01/2023 04/01/2024 EACH OCCURRENCE $4,000,000
<br /> X
<br /> X EXCESS LIAB CLAIMS-MADE Excess Auto AGGREGATE
<br /> DED I RETENTION
<br /> B WORKERS COMPENSATION AND RWD943540310 04/01/2023 04/01/2024 X I PERSTATUTE ORTH-
<br /> EMPLOYERS'LIABILITY
<br /> ANY PROPRIETOR/PARTNER/ Y/N AOS E.L.EACH ACCIDENT $5,000,000
<br /> C EXECUTIVE OFFICER/MEMBER N N/A Rwc943540210 04/01/2023 04/01/2024
<br /> (Mandatory in NH) AK, WI E.L.DISEASE-EA EMPLOYEE $5,000,000
<br /> Dyes,describe under $5,000,000
<br /> DESCRIPTION OPERATIONS below E.L.DISEASE-POLICY LIMIT
<br /> D Excess Workers Compensation RWE943540410 04/01/2023 04/01/2024 EL Each Accident $5,050,000
<br /> AZ, OH, WA EL Disease - Ea Emp $5,000,000=_
<br /> SIR applies per policy terms & condi ions EL Annual Aggregate $5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) `
<br /> Orange County is included as Additional Insured for the General Liability policy with respect to Honeywell operations in
<br /> connection with Honeywell International, Inc. —
<br /> nip,
<br /> i—i
<br /> �x
<br /> �J
<br /> CERTIFICATE HOLDER CANCELLATION ;
<br /> J
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION All
<br /> DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. �+
<br /> ti
<br /> �J
<br /> Orange County AUTHORIZED REPRESENTATIVE F.l
<br /> Hillsborrough NC 27278 USA �r
<br /> c.Y�a i%L�rOfc�st.�irraadc//sttfe/na ��
<br /> INN
<br /> ©1988-2015 ACORD CORPORATION.All rights reserved
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACID
<br />
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