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ACORD CERTIFICATE OF LIABILITY INSURANCE / 14 / /DD/YY) 10!14/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARSH USA, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 44 WHIPPANY ROAD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. BOX 1966 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MORRISTOWN, NJ 07962 - 1966 COMPANIES AFFORDING COVERAGE COMPANY 100129 6 7BA - SBT1 - 08/09 218 A Gerling America Insurance Company INSURED COMPANY SIEMENS BUILDING TECHNOLOGIES, INC. B Liberty Mutual Fire Ins Co 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089 -4513 COMPANY C Liberty Insurance Corporation COMPANY - -- - -- D COVERAGES This certificate supersedes and replaces any previously issued certificate. 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 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION LTR DATE (MM /DD/YY) DATE (MM /DD /YY) UMITS A GENERAL UABIUTY GLD11101 - 00 10/01/08 10/01/09 GENERAL AGGREGATE $ 10,1)00,01)0 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ INCL. CLAIMS MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 OWNERS & CONTRACTORS PROT EACH OCCURRENCE $ 1,000,000 , FIRE DAMAGE (Any one fire) $ 1,000,000 1 MED EXP (Any one person) $ 100,000 B AUTOMOBILE UABIUTY AS2 631 004334 - 218 10 /01 /08 10/01/09 COMBINED SINGLE LIMIT $ 2,000,000 X ANY AUTO — X ALL OWNED AUTOS BODILY INJURY $ N/A SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X ;NON -0WNED AUTOS (Per accident) N/A -- -- - - -- (PROPERTY DAMAGE $ N/A GARAGE UABIUTY AUTO ONLY - EA ACCIDENT _ $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS UABIUTY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ C WORKERS COMPENSATION AND WA7 - 004334 - 018 (AOS) 10/01/08 10/01/09 X ! We STATU- OTH- EMPLOYERS' UABIUTY TORY LIMITS L ER C WC7 631 - 004334 - 028 (OR, WI) 10/01/08 10/01/09 EACH ACCIDENT $ 1,000,000 • C THE PROPRIETOR/ X INCL EW7 - 004334 048(OH) 10/01/08 10/01 /09 DISEASE - POLICY LIMIT $ 1,000,000 PARTNERS/EXECUTIVE OFFICERS ARE. EXCL $500K LIMIT / $500K SIR DISEASE - EACH EMPLOYEE $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS RE: CONTRACTOR LICENSE REGISTRATION FOR THE BRANCH WILLIAM VALE AND JEREMY LEMBO ARE INCLUDED AS ADDITIONAL INSURED UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY INSURANCE POLICIES, BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUILDING TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT. CERTIFICATE HOLDER NYC 002739289 - 11 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL THE CITY OF ZEPHYRHILLS 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ATTN: CONTRACTOR LICENSING 5335 8TH STREET BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR UABIUTY OF ZEPHYRHILLS, FL 33542 ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE of Marsh Inc. L- _ of USA r/X - Aµ o BY: Mary Radaszewski ACORD 254 (1195) e ACORD CORPORATION 1988