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COI - Honeywell International Inc. - Expires 2021-04-01_,......—.1 ® A� o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/16/2020 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 offi ce One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA CONTACT NAME: (NC No. Ext): (866) 283-7122 FAX No.):800-363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Honeywell international Inc. 300 5. Tryon St. Suite 500 6th Floor Charlotte NC 28202 USA INSURER A: Greenwich Insurance Company 22322 INSURER B: XL Insurance America Inc 24554 INSURER C: XL Specialty Insurance Co 37885 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570080908779 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 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 (MMIDD/YYYYYtY� POLICY EXP MM/DD/YYYYYYY}) LIMITS A X COMMERCIAL GENERAL LIABILITY RGC943763007 04/(51/2020 04/01/2021 EACH OCCURRENCE S5,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $5,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 50 , 000 PERSONAL & ADV INJURY $5,000,000 GENERAL AGGREGATE $5,000,000 GEN'LAGGREGATE 1 LIMIT APPLIES PER: POLICY ❑ OTHER: JECT PRO- LOC PRODUCTS - COMP/OP AGG Included A AUTOMOBILE X — — — LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY — — — SCHEDULED AUTOS NON -OWNED AUTOS ONLY RAC943764207 AOS 04/01/2020 04/01/2021 COMBINED SINGLE LIMIT fEa accident) $1, 000, 000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE RA0943764507 Excess Auto 04/01/2020 04/01/2021 EACH OCCURRENCE S4,000,000 AGGREGATE DED RETENTION B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / OFFICER/MEMBEREXCLUDED?EXECUTIVE (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below YNN NIA RWD943540307 AOS RWC943540207 AK , WI 04/01/2020 04/01/2020 04/01/2021 04/01/2021 x PER STATUTE ER E.L. EACH ACCIDENT $5,000,000 E.L. DISEASE -EA EMPLOYEE $5,000,000 E.L. DISEASE -POLICY LIMIT $5,000,000 C Excess WC RWE943540407 AZ, OH, WA SIR applies per policy terns 04/01/2020 & condi-ions 04/01/2021 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) [Proj: 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 ,s6, Ma.49ft„ae,,Arara,...etffzec Holder Identifier : .a 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: 570080908779 CARRIER See Certificate Number: 570080908779 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 \VVD POLICY NUMBER POLICY EFFECTIVE DATE (MMUDD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS OTHER C RWE943540507 Excess WC - NM SIR applies per policy terms 04/01/2020 & conditions 04/01/2021 Excess WC Limits are statutory in AZ, OH, WA, & NM i 1 ACORD 101 (2008/01) CO 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: RGC9437630-07 COMMERCIAL GENERAL LIABILITY CG20100704 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): Location(s) Of Covered 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. A. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or or- ganization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property dam- age" 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 ad- ditional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or re- pairs) to be performed by or on behalf of the ad- ditional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the in- jury 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. CG20100704 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER:RGC9437630-07 COMMERCIAL GENERAL LIABILITY CG20370704 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 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. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organ- ization(s) shown in the Schedule, but only with re- spect 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 ad- ditional insured and included in the "products -com- pleted operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1