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CERTIFICATE OF LIABILITY INSURANCE - BR510009-2 DATE(MWDD1YYYY) CERTIFICATE OF LIABILITY INSURANCE I 03128J2017 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 LD this certificate does not confer rights to the certificate holder in lieu of such andorsemont(s). PRODUCER CONTACT •� Aon Risk Services Northeast, Inc, PHONE FAR New York NY Office WC.No.Ext)- 666-283-7122 1210.No,): 800-363-0105 199 water street E-MAIL S: Z New York NY 10038-3551 USA RECEIVE; INSURER($)AFFORDING COVERAGE NAIC fI INSURED ��]] s INSURER A: Greenwich Insurance Company 22322 Honeywell international Inc. 'aPn 3 :`J C(J V1r 7 INSURER B: XL Insurance America Inc 24554 115 Tabor Road Morris Plains Na 07950 USA INSURER C: XL specialty Insurance Co 37885 GAS DM rho INSURER D: INSURER E: INSURER F: COVERAGES CERTtfICATE NUMBER:57cros9026i6 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 ILTR TYPE of INSURANCE INSO VSVO POIJCY NUMBER NWODryyyY Dlyyyy LIMITS A X COMMERCIAL-GENERAL LIABILITY RGC 4 4 {Y1gy EACH OCCURRENCE $5,000,000 DAMAGE TO REFJIEEr--CLAIMS-MADE F OCCUR EMI $5,DOD,000 PRREMISES Ea ocwnence ME7 EXP(Any one person) $5o,000 PERSONAL&ADV INJURY $5,000,000 ro GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000.0100 fl X POLICY ❑PRO- F1 LOC PRODUCTS-COMP1OPAGG Included JECT a OTHER: A RAC943764204 04/01/2017 04/01/26IB COMBINED SINGLE LIMIT AUTOMOBILE LIAB€LnY A05 Ea accident)$5,000'000 X ANY AUTO BODILY INJURY(Per person) O OWNED SCHEDULED BODILY INJURY(Peraccldent) Y AUTOS ONLY AUTOS HIRED AUTOS NON-OWNED PROPERi-Y acciden DAMAGE ONLY AUTOS ONLY IPer t d1 UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION R WORKERS COMPENSATION AND RWD943540304 64/01/2017 04/01/2018 x I PER OTH- EMPLOYERS'LIABILITY ANY rROPRIETOR I PARTNER t ekEOLrTIVE Y 1 N Pas E.L.EACH ACCIDENT S S,oco,000 C OFFICCR+MEMEIER EXCLUDEC> NIA Rwc443540264 04/01/2617 04/01/2018 (Mandatory In NH) AK, WI El DISEASE-EA EMPLOYEE S 5,000,000 N yes,desc under pFSCRIPTION dt:e OP OPERATIONS be:nw E-L.DISEASE-POLICY LIMIT C Excess WC RWE943540404 04/01/2017 04/01/2018 EL Each Accident $5,000,000 AZ, OH, WA EL Disease - Ea Emg 85,000,0001♦ SIR applies per policy ter s & condi tions EL Annual Aggregate 85,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AGGRO 101,AddtionaI Remarks Schedule,may be attached if more space is rezlu ire d) A Note: Elster, Elster Perfection Corp., Elster moldings Us, Inc., Elster solutions, LLC; Elster Amco water, LLC; ElSter American Meter Company, LLC; Elster Instromet, Inc.; Eclipse, Inc.; EnergylCT, Inc.; EROthPrmiCS, Inc.; CEC Combustion Safety LLC, and Hauck manufacturing Company, Inc, are wholly owned subsidiaries Of Honeywell international Inc. �r RE: The City of Clearwater Blanket order BR511109-2 to Elster American meter Co. The city of Clearwater is included as Additional Insured for the General Liability and Automobile Liability policies with respect to Elster American Meter' Co. tae operations in connection with the city of Clearwater Blanket order BR511109-2. r CERTIFICATE HOLDER CANCELLATION iu SHOULD ANY OF THE ABOVE= DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROV01ONS. _ City of Clearwater AUTHORIZED REPRESENTATIVE Attn: Alyce Benge Clearwater Avenue N. 33755 myrtle r� clearY+ater FL 33755 USA &1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2E016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000854391 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY NAMED INSURED Aon Risk services Northeast, Inc. Honeyrsell International Inc. POLICY NUMBER See Certificate [number: 570065902616 CARRIER NAIC CAGE see certificate number: 570065902616 EFFECTNE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability fnsurence INSURER(S)AFFORDING COVERAGE NA1C# INSURER TNI SURER INSLTUR INSURER Al DrrIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy an the ACORD certificate form for policy limits. POL1cY POLICY 1M5Ji AbDL 5LRR FECTIVE ERPIRA-DON LTR TYPE OF ltiSLRAtiCE PiSD ID PQT.ICY\'tI�SDER "DATE OM LIhllTS iSMIDDM'YY1 m1a1rDDArYY1i OTHER C RtIE943540504 04/01/2017 04 ❑ 2018 Excess VIC - NM ISIR applies per policy to ms & conditions Excess WC LiMitS are statutory in A2, OH, WA, & NM ACORD 107(2008101) ®2008 Ac0RD CORPORATION.All rights reserved. The ACORD Rama and logo are registered marks of ACORD DATE(0M/DD/AY) CERTIFICATE OF LIABILITY INSURANCE 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 w certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ._ PRODUCER CONTACT AOn Risk services Northeast, Inc. -NAME: PHONE FAX L New York NY Office AtC.No.Ext): 866-253-7122 A/C.No.): 800-363-0105 d 199 water Street E-MAIL 0 New York NY 10038-3551 USA ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Greenwich insurance Company 22322 Honeywell international Inc. INSURER B: XL insurance America Inc 24554 115 Tabor Road Morris Plains N] 07950 USA INSURERC: XL Specialty Insurance Co 37885 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570065173038 REVISION NUMBER: THIS IS TO CERTIFYTHAT 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested IN SR ADDL SUBIR POLICY EFF POLICY P LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY RGC 4 7 4 04/01/2017 04/01/2018 EACH OCCURRENCE $5,000,000 CLAIMS-MADE X❑OCCUR DAMAGE TO RENTED $5,000,000 PREMISES Ea occurrence VIED EXP(Any one person) $50,000 PERSONAL&ADV INJURY $5,000,000 M GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $5,000,000 X POLICY ❑JE� ❑LOC PRODUCTS-COMP/OPAGG included 0 OTHER: 0 A RAC943764204 04/01/2017 04/01/2018 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $5,000,000 AIDS (Ea accident )( ANYAUTO BODILY INJURY(Per person) 0 Z OWNED SCHEDULED BODILY INJURY(Per accident) d AUTOS ONLY AUTOS R HIREDAUTOS NON-OWNED PROPERTY DAMAGE C1 ONLY AUTOS ONLY Per accident) L d UMBRELLA LIAB HOCCUR EACH OCCURRENCE V EXCESS LIAB CLAIMS-MADE AGGREGATE DIED I RETENTION B WORKERS COMPENSATION AND RWD943540304 04/01/2017 04/01/2018 X PER STATUTE OTH- EMPLOYERS'LIABILITY YIN AIDS ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $5,000,000 C OFFICER/MEMBEREXCLUDED? [q NIA RWC943540204 04/01/2017 04/01/2018 (Mandatory in NH) AK, WI E.L.DISEASE-EA EMPLOYEE $5,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $5,000,000—_—_ C Excess WC RWE943540204 04/01/2017 04/01/2018 EL Each Accident $5,000,000-- AZ, OH, WA EL Disease - Ea Emp $5,000,000 SIR applies per policy terms & conditions EL Annual Aggregate $5,000,000 ` DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) '! -Evidence of coverage. 311 -Blanket Additional insured where required by written contract endorsement in included on the applicable policies above, except workers' compensation. �� -Blanket contractural Liability is included on the applicable policies shown above, except workers' compensation. M -A waiver of subrogation where required by written contract is included on the applicable policies shown above. f=0 -Honeywell will provide the ISO endorsement form numbers where required by written contract upon request. - -Note: Elster, Elster Perfection Corp., Elster Holdings us, Inc., Elster solutions, LLC; Elster AMCO water, LLC; Elster 9:1 CERTIFICATE HOLDER 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. r Honeywell international Inc. AUTHORIZED REPRESENTATIVE 4�- 115 Tabor Road p� Morris Plains N] 07950 USA ( � � Fir NN ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000054391 LOC#: ,d► ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. Honeywell International Inc. POLICY NUMBER see certificate Number: 570065173038 CARRIER NAIC CODE see certificate Number: 570065173038 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 ACO" certificate form for policy limits. LNSR ADDL SUDR POLICYNUAIBER POLICY POLICY LIMITS LTR TYPE OF INSURANCE INSD wVD EFFECTIVE EXPIRATION DATE DATE (MM/DD/YYYY) (DIAL/DD/YYYY) OTHER C RWE943540504 04/01/2017 04/01/2018 EXCess WC - NM SIR applies per policy to ms & conditions 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 AGENCY CUSTOMER ID: 570000054391 �"1 ® LOC#: ,4 ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services Northeast, Inc. Honeywell International Inc. POLICY NUMBER see Certificate Number: 570065173038 CARRIER T777E Pee Certificate Number: 570065173038 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Additional Description of Operations/Locations/Vehicles American Meter Company, l Elster Instromet, Inc.; Eclipse, Inc.; EnergyICT, Inc.; Exothermics, Inc.; CEC Combustion safety I_I_C, and Hauck Manufacturing Company, Inc. are wholly owned subsidiaries of Honeywell International Inc. ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD