CERTIFICATE OF LIABILITY INSURANCE (2) DATE(rvlWDDNY Y)
CERTIFICATE OF LIABILITY INSURANCE 03121i2019
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(les)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 CONTACT
Aon Risk services Northeast, Inc. NPH
AME:
New York NY Office (AJC.Nm.Ext). 866-28'3-7322 FAX
Nal: 800-363-0105
One Liberty Plaza E-MAIL
165 Broadway, Suite 3201
New York NY 20006 USA
INSURER(S)AFFORDING O4VEFSAraE NAIL#
INSURED INSURERA: XL Insurance America Inc 24554
Honevwell international inc. INSURER B-. XL specialty insurance Co 37885
115 "tabor Road
Morris Plains NJ 07950 USA INSURER C. Greenwich Insurance company 22322
INSURER D,
INSURER E:
INSURER Fs:
COVERAGES CERTIFICATE NUMBER:570075475247 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
INSLTR- TYPE OF INSURANCE WVD POLICY NUMBER ISD MW9fODiYYYY POLICY EFF POLICY EXP LIMITS
C X COMMERCIAL GENERAL LIABILITY - RGCffi EACH OCCURRENCE $5,000,000
DA TO-RENTEU-
CLAIMS-MADE r'7 OCCURPREMISES Ea csccurcenca. S5,000,000
MED EXP(Any one parson) $50,000
PERSONAL&ADV INJURY $5,000,000
GERLAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE: $5„000,000
PRO-
% POLICY /ECT I.00 PRODUCT$.COMPIOPAGG Incl uded
OTHER: C)
c, AUTOMOBILE LIABILITY RAC943764206 04/01/2019 04/01/2020 COMBINED SINGLE LIMIT $1.,000,000 �
AOS
y ANYAUTO
BODILY INJURY(Per person)
OWNED SCHEDULED BODILY INJURY(Par accident) .43
AUTOS ONLY AUTOS
HIRED AUTOS MON-OWNED PROPERTY i?AMAGE
ONLY AUTOS ONLY Per accldarsl. a
C UMBRELLA LIABI X CDCCUR RA0943764506 04/01/201904/01/2020 EACH OCCURRENCE $4,000„000 f3
Excess Auto AGGREGATE
X ExcEss LIAR C1CCum MADE
DED I RETENTION
A. WORKERS COMPENSATION AND RWD 4 540 04/OA/2019 04/01/2020 �r -P
ERTU7€ EORTH-
EMPLOYERS'LIABILITY
ANY PROPRIETOR)PARTNERI EXECUTIVE Y 8 N RWC E.1-EACHACCIDENT S5,000,000
B OFFICEPJMEMBEREXCLUDED?
NIA RwC943540206 04/OI/20I9 O4/p3/2020
(Mandatory in NHI AK, WI E.L.DISEASE-EA EMPLOYEE.. $5,ow,000
ff yas,describe under
DE$CRIPTION OF OPERATION$balm E.L.DISEASE-POLICY LIMITS5,000,000
—
B Excess wC RWE943540406 04/01/2019 04/01/2020 EL Each Accident $5,000,000
A2, ON, WA EL Disease Ea Emp- S5,000 000
SIR applies per policy terns & condi ions EL Annual Aggregate $5,000,000
DESCRIPTION OF OPERATIONS i LOCATIONS i VEHICLES(ACORD 101,AddWbomai Remarks Schedule,maybe attached if more space is required)
RE: The city of Clearwater Blanket order BR511109--2 to Elster American deter Co. The city of Clearwater is included as
Additional Insured for the General Liabilit and Automobile Liability policies with respect to Elster American Deter Co.
operations in connection with the city of Clearwater Blanket Order BR511109-2.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIE. ..
`t - ,(�)I;, EXPIRATION DATE THEREOF, NOTICE IMELL BE DELIVERED IN ACCORDANCE VIIITH THE
POLICY PROVISIONS.
City of Clearwater AUTHORIZED REPRESENTATIVE m
Attn: Alyce Benge ;IIIIL_
400 Avenue N. myrtle GAS ADMIN
Clearwater FL 33755 USA P'
01988-2015 ACORD CORPORATION.All rights reserved.
ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID. 57000005.4391
LOC#:
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY NAMED INSURED
Aon Risk services Northeast, Inc. Honeywell International Inc.
POMY NUMBER
see certificate Number: 570075475247
CARREER MAIC CODE
See Certificate Number: 570075475247 I EFFECI---AT .F
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
Named insured schedule
Elster, Elster Perfection Corp., Elster Holdings us, Inc., Elster Solutions, LLC., Elster AMCO Water, LLC.,
Elster American meter Company, LLC_ Elster Instromet, Inc., Eclipse, nergyICT, Inc. , Exothermics,
Inc., CEC combustion Safety LLC and Hauck manufacturing company, Inc. are Inc.,�holly owned subsidiaries of
Honeywell international Inc.
R ECE I Nq',1)
1G,AS A DM IN
ACORD 101(2008101) 0 2008 ACORD CORPORATION.All rights reserved.
The ACORD name and logo are registered marks ofACORD