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COI - Honeywell International Inc. - Expires 2022-04-01A E,® CERTIFICATE OF LIABILITY INSURANCE OATE(MM/DD/YYYY) 03/12/2021 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). PRODUCER Aon Risk Services Northeast, Inc. New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA CONTACT PHON' (NCNN . Ext): E (866) 283-7122 (aC No ): 800-363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Honeywell International Inc. 300 S. Tryon St. Suite 500 6th Floor Charlotte NC 28202 USA INSURER A: XL Insurance America Inc 24554 INSURER B: XL Specialty insurance Co 37885 INSURER C: Greenwich Insurance Company 22322 INSURERD: INSURER E: INSURER F: CERTIFICATE NUMBER: 570086348968 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 are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP /MWDD/YYY LIMITS C X COMMERCIAL GENERAL LIABILITY RGC943763008 04/01/2021 04/01/2022 EACH OCCURRENCE S5,000,006 CLAIMS -MADE X OCCUR DAMAGETO RENTED PREMISES (Ea occurrence) $ 5 , 000, 000 MED EXP (Any one person) $50, 000 PERSONAL & ADV INJURY S5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 1 POLICY ❑ JECT PRO- LOC PRODUCTS - COMP/OP AGG Included OTHER: C AUTOMOBILE LIABILITY RAC943764208 AOS 04/01/2021 04/01/2022 COMBINED SINGLE LIMIT (Ea accident) S1,000,000 _ X ANY AUTO BODILY INJURY ( Per person) — OWNED — SCHEDULED AUTOS BODILY INJURY (Per accident) — — AUTOS ONLY HIRED AUTOS ONLY NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) X Comp Deduct S1000 _ X Coll Deduct $1000 C UMBRELLA LIAB X OCCUR RA0943764508 04/01/2021 04/01/2022 EACH OCCURRENCE S4,000,000 X EXCESS LIAR — CLAIMS -MADE EXCESS AUtO AGGREGATE DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N RWD943540308 AOS 04/01/2021 04/01/2022 x PER STATUTE OTH- ER B ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBEREXCLUDED? N N/A RWC943540208 04/01/2021 04/01/2022 E.L. EACH ACCIDENT S5,000,000 (Mandatory in NH) H yes, describe under AK , WI E.L. DISEASE -EA EMPLOYEE S5,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S5,000,000 B Excess WC RWE943540408 AZ, OH, WA SIR applies per policy terns 04/01/2021 & condi-ions 04/01/2022 EL Each Accident EL Disease - Ea Emp EL Annual Aggregate $5,000,000 $5,000,000 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) [Prof: RE: city of Gilroy; Gilroy CA; Honeywell Contract # 40098419] [AI: City of Gilroy, its officers and employees] are 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 St Gilroy CA 95020 USA CANCELLATION 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 ts4 cAraz.e Holder Identifier : ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000054391 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Northeast, Inc. NAMED INSURED Honeywell International Inc. POLICY NUMBER See Certificate Number: 570086348968 CARRIER See Certificate Number: 570086348968 NAIC CODE 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 INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBERLIMITS POLICY EFFECTIVE DATE (MNI/DD/YYYY) POLICY EXPIRATIONA DATE (MM/DDIYYYY) OTHER B RWE943540508 Excess WC - NM SIR applies per policy terms 04/01/2021 & conditions 04/01/2022 Excess WC Limits are Statutory in AZ, OH, WA, & NM ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 POLICY NUMBER: RGC9437630-08 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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 oth- er than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. CG20100704 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: RGC9437630-08 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): City of Gilroy, its officers and employees Location And Description Of Completed Opera- tions 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". CG20370704 © ISO Properties, Inc., 2004 Page 1 of 1