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COI - Honeywell International Inc. - Expires 2023-04-01PRODUCER Aon Risk Services Northeast, Inc. New York NY office one Liberty Plaza 165 Broadway, suite 3201 New York NY 10006 USA INSURED Honeywell International Inc. 855 S. Mint Charlotte NC 28202 USA �C QATE(MM/DQ/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/14/2022 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(ies) must have ADDITIONAL INSURED provisions or 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). CONTACT PHONE (NC, No. Ext): EMAIL ADDRESS: INSURER Al INSURER B: INSURER 0: INSURER D: INSURER E: INSURER F: (866) 283-7122 PAXX.No,h 800-363-0105 INSURER(S) AFFORDING COVERAGE NAIC # XL Insurance America Inc XL Specialty Insurance co Greenwich Insurance Company COVERAGES CEF1TIFICATE NUMBER: 5700919998?.4 REVISION NUMBER: 24554 37885 22322 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown aro as requested INSH AUUl. SuHH NU :U4 ✓ i' NUwUY ex LTR INSD WVD POLICY NUMBER (MM//0D/YYYY1S M/DD/YYYY), LIMITS G RGC943/63009 U4/0iGe /LU(J4/U1/4U45 EACH OCCURRENCE c C TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [ X 1 OCCUR GENT. AGGREGATE LIMIT APPLIES PER: X POLICY I I PRO•JEC7 LOC OTHER: AUTOMOBILE LIABILITY X ANYAUTO OWNED — AUTOS ONLY HIRED AUTOS .._.... ONLY UMBRELLA LIAR X I EXCESS LIAB IDED 1 [RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If Yes, describe under DESCRIPTION OF OPERATIONS below B Excess WC B SCHEDULED AUTOS NON —OWNED AUTOS ONLY X OCCUR CLAIMS -MADE Y/N RAc943764209 AOS RA0943764509 Excess AutO RW0943540309 AOS N/A RWC943540209 AK, WI RWE943540409 AZ, OH, WA SIR applies per UAMAUE IO HENIEU PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS• COMP/OP AGG 04/01/2022 04/01/2023 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY ( Per person) I BODILY INJURY (Per accident) IPROPERTY DAMAGE (Per acoldont) 04/01/2022 04/01/20231 EAOH OCCURRENCE IAGGREGATE 04/01/2022 04/01/202 I xi PCRSTATUTE OTH 04/01/2022 04/01/20231 E.L. EACH ACCIDENT I E.L. DISEASE -EA EMPLOYEE E.L. DISEASE -POLICY LIMIT 04/01/2022 04/01/2023 EL Each Accident EL Disease - Ea Emp' policy terns & conditions EL Annual Aggregate DES.RIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AUORD 101, Additional Remarks Schedule, may be attached If more space Is required) $5,000,000 $5,000,000 $50,000 $5,000,000 $5,000,000 Included $1,000,000 $4,000,000 rs $5,000,000 $5,000,000 $5,000,000 $5,000,000 •-•- 55,000,000 $5,000,000 (Proj: RE: City of Gilroy; Gilroy CA; Honeywell Contract # 40098419] [AI: City of Gilroy, its Officers and employees] included as additional insured for General Liability and Automobile Liability with respect to Honeywell operations in connection with Honeywell Contract # 40098419. CERTIFICATE HOLDER City of Gilroy 7351 Rosanna 5t Gilroy CA 95020 USA CANCELLATION are SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE -DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE lsZe. a %I G e /ESPis c.,/ Ct , om a. asa METM o 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000054391 LOC #: ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. Honeywell International Inc. POLICY NUMBER See certificate Number: 570091999824 CARRIER NAIC CODE See Certificate Number: 570091999824 I EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER Page of INSURER 1 ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORO certificate form for policy liinits, TYPE OF INSURANCE INSR LTR OTHER B ExcesS WC Litnits are Statutory in AZ, OH, WA, & NM ADDL SUM INSD WVD POLICY NUMBER POLICY POLICY EFFECTIVE EXPIRATION DATE DATE (MM/DD/YYYY) (MM/DO/YYYY) RWE943540509 04/01/2022 04/01/2023 Excess WC - NM strt applies per policy terms & conditions LIMITS ACORD 101 (2008/01) 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: RGC9437630-09 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): City of Gilroy, its officers and employees Location(s) Of Covered Operations RE: City of Gilroy; Gilroy CA; Honeywell Contract # 40098419 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: RGC9437630-09 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART, SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations City of Gilroy, its officers and employees RE: City of Gilroy; Gilroy CA; Honeywell Contract # 40098419 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1