DOCUMENT OF INSURANCE
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1 DOCUMENT OF INSURANCE 12/17/12 This Document is issued as a matter of information only to authorized viewers for their internal use only and confers no rights upon any viewer of this Document. This Document does not amend, extend or alter the coverage described below. This Document may only be copied, printed and distributed within an authorized viewer and may only be used and viewed by an authorized viewer for its internal use. Any other use, duplication or distribution of this Document without the consent of Frenkel is prohibited. "Authorized viewer" shall mean an entity or person which is authorized by the insured named herein to access this Document. The information contained herein is as of the date referred to above. Frenkel shall be under no obligation to update such information. PRODUCER Frenkel & Company. 350 Hudson St., New York, NY INSURED Linde North America, Inc. (see below for Named Insured details) 575 Mountain Avenue Murray Hill, New Jersey COVERAGES CO LTR A B A A B B COMPANIES AFFORDING COVERAGE Co.A Allianz Global Risks US Insurance Company Co.B Zurich American Insurance Company Co.C Co.D 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 DOCUMENT 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. TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCURRENCE AUTOMOBILE LIABILITY ANY AUTO PHYSICAL DAMAGE IS SELF-INSURED EXCESS LIABILITY UMBRELLA FORM WORKERS COMPENSATION / EMPLOYERS LIABILITY POLICY EFFECTIVE POLICY EXPIRATION CGL GENERAL AGGREGATE BAP (All Commercial Vehicles) BAP (All PPT's) ULA ULA WC WC Proprietor/ Partners/ Executive Officers Are Included LIMITS LIMITS IN USD UNLESS OTHERWISE INDICATED PRODUCTS - COMP/OP AGG PERSONAL AND ADV INJURY USD 2,000,000 EACH OCCURRENCE FIRE DAMAGE (ANY ONE FIRE) MED EXP (ANY ONE PERSON) COMBINED SINGLE LIMIT BODILY INJURY (PER PERSON) BODILY INJURY (PER ACCIDENT) PROPERTY DAMAGE USD 10,000 USD USD USD EACH OCCURRENCE USD 9,000,000 AGGREGATE USD 9,000,000 WORKERS COMP LIMITS Statutory EL EACH ACCIDENT EL DISEASE - POLICY LIMIT EL DISEASE - EACH EMPLOYEE A ALL RISK PROPERTY CLP ALL RISK PROPERTY The Document of Insurance serves solely to list insurance policies, limits and dates of coverage. Any modifications hereto are not authorized. USD REPLACEMENT COST 1
2 DOCUMENT OF INSURANCE 2 12/17/2012 This Document is issued as a matter of information only to authorized viewers for their internal use only and confers no rights upon any viewer of this Document. This Document does not amend, extend or alter the coverage described below. This Document may only be copied, printed and distributed within an authorized viewer and may only be used and viewed by an authorized viewer for its internal use. Any other use, duplication or distribution of this Document without the consent of Frenkel is prohibited. "Authorized viewer" shall mean an entity or person which is authorized by the insured named herein to access this Document. The information contained herein is as of the date referred to above. Frenkel shall be under no obligation to update such information. PRODUCER Frenkel & Company. 350 Hudson St., New York, NY INSURED Linde North America, Inc. (see below for Named Insured details) 575 Mountain Avenue Murray Hill, New Jersey ADDITIONAL INFORMATION AS RESPECTS THE COMMERCIAL GENERAL LIABILITY POLICY, INCLUDING PRODUCTS LIABILITY AND COMPLETED OPERATIONS, PREMISES / OPERATIONS LIABILITY & CONTRACTUAL LIABILITY: Policy contains a Separation of Insureds clause ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION Endorsement CG 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) designated, subject to terms of the endorsement. Name of Additional Insured Person(s) or Organization(s): Any Owner, Lessee or Contractor with whom you have agreed in writing in a contract or agreement that such Owner, Lessee or Contractor should be added as an Additional Insured on your policy. The insurance provided by this endorsement, subject to all other policy terms, conditions and limits of insurance, does not extend coverage beyond that agreed to in the contract between the additional insured designated above and the named insured. Location(s) of Covered Operations: All locations that are listed in the written contracts or agreements. However, if the person or organization has been added as an additional insured to this policy and you have agreed in a written contract or agreement that this insurance is primary and non-contributory with other insurance available to that additional insured, this insurance is primary and we will not seek contribution from such additional insured's other insurance. This provision does not apply to other insurance to which such additional insured has been added as an additional insured. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS Endorsement CG 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", subject to terms of the endorsement. Name of Additional Insured Person(s) or Organization(s): Any Owner, Lessee or Contractor with whom you have agreed in writing in a contract or agreement that such Owner, Lessee or Contractor should be added as an Additional Insured on your policy. The insurance provided by this endorsement, subject to all other policy terms, conditions and limits of insurance, does not extend coverage beyond that agreed to in the contract between the additional insured designated above and the named insured. Location and Description of Completed Operations: All locations that are listed in the written contracts or agreements.
3 However, if the person or organization has been added as an additional insured to this policy and you have agreed in a written contract or agreement that this insurance is primary and non-contributory with other insurance available to that additional insured, this insurance is primary and we will not seek contribution from such additional insured's other insurance. This provision does not apply to other insurance to which such additional insured has been added as an additional insured. ADDITIONAL INSURED - VENDORS Endorsement CG A. Section II - Who is an Insured is amended to include as an additional insured any person(s) or organization(s) shown in the Schedule, but only with respect to "bodily injury" or "property damage" arising out of "your products" shown in the Schedule which are distributed or sold in the regular course of the vendor's business, subject to policy exclusions. Name of Additional Insured Person(s) or Organziation(s) (Vendor): Any Vendor of "your products" with whom you have agreed in writing that such vendor should be added as an additional insured on your policy. The insurance provided by this endorsement, subject to all other policy terms, conditions and limits of insurance, does not extend coverage beyond that agreed to in the contract between the additional insured designated above and the named insured. Your Products: All of "your products". ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT Endorsement CG 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 your maintenance, operation or use of equipment leased to you by such person(s) or organization(s), subject to terms of the endorsement. Name of Additional Insured Person(s) or Organization(s): Any person or organization from whom you lease equipment when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. The insurance provided by this endorsement, subject to all other policy terms, conditions and limits of insurance, does not extend coverage beyond that agreed to in the contract between the additional insured designated above and the named insured. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES Endorsement CG Who is an Insured (Section II) is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the terms of the endorsement. Designation of Premises (Part Leased to You): That particular Real Property or that Part of the Premises Leased to You. Name of Person or Organization (Additional Insured): Any manager or lessor with whom you have agreed in writing that such manager or lessor should be an additional insured on your policy. The insurance provided by this endorsement, subject to all other terms, conditions and limits of insurance, does not extend coverage beyond that agreed to in the contract between the additional insured designated above and the named insured. ADDITIONAL INSURED -MORTGAGEE, ASSIGNEE, OR RECEIVER Endorsement CG Who is an Insured (Section II) is amended to include as an insured the person(s) or organization(s) shown in the Schedule but only with respect to their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of the premises by you and shown in the Schedule, subject to terms of the endorsement. 3
4 Name of Person or Organization: Any mortgagee, assignee or receiver with whom you have agreed in a written contract or agreement that such mortgagee, assignee or receiver should be added as an additional insured on your policy. The insurance provided by this endorsement, subject to all other policy terms, conditions and limits of insurance, does not extend coverage beyond that agreed to in the contract between the additional insured designated above and the named insured. Designation of Premises: That particular premises listed in the written contract or agreement. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Endorsement CG We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule. Name of Person or Organization: Any person or organization with whom you have agreed in writing in a contract or agreement to waive your right of recovery. AS RESPECTS THE BUSINESS AUTOMOBILE POLICIES: The policy provides Contractual Liability coverage and includes Separation of Insureds under Definition of "Insured". Motor Carrier Act of Limits: $1,000,000 Each Accident (MCS-90) MANUSCRIPT ENDORSEMENT (U-CA-388-A (edition 07-94)): Additional Insured Name of Organization: As required by Contract Description of Contract: Any written Contract or Agreement WHO IS AN INSURED is changed to include as an "insured" the person or organization named above for "bodily injury" or "property damage" arising out of the use of a covered "auto" is being used pursuant to a contract described in the schedule. However, the person or organization named above is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omission of: 1. You 2. Any of your employees or agents; or 3. Any person, except the employee or agent of the person or organization named, operating a covered auto with the permission of any of the above. The insurance provided by this endorsement, subject to all other policy terms, conditions and limits of insurance, does not extend coverage beyond that agreed to in the contract between the additional insured designated above and the named insured. This insurance is primary insurance as respects to coverage to an additional insured person or organization, where the written contract or written agreement requires that this insurance be primary and non-contributory. In the event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured person or organization is a named insured. ADDITIONAL INSURED - LESSOR AND LOSS PAYEE (CA 2001 (edition 03-06)): Additional Insured where required by written contract. "Leased Autos" - Any auto leased or rented to you including any substitute replacement or extra autos needed to meet seasonal or other needs under a leasing agreement which requires you to provide direct primary insurance to the lessor. 4
5 Designation or Description of "Leased Autos": Only those where required by written Contract. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (U-CA-320-BCW (edition 04-94)): We waive any right of recovery we may have against the designated person or organization shown in the schedule because of payments we make for injury or damage caused by an "accident" or "loss" resulting from the ownership, maintenance, or use of a covered "auto" for which a Waiver of Subrogation is required in conjuction with work performed by you for the designated person or organization. The waiver applies only to the designated person or organization shown in the schedule. Name or Person or Organization: Only those persons or organizations for whom you are required to waive your rights of recovery under the terms of a written contract. AS RESPECTS THE WORKERS COMPENSATION / EMPLOYERS LIABILITY POLICY: WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT (WC ) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. All Persons or Organizations AS RESPECTS THE UMBRELLA / EXCESS LIABILITY, INCLUDING PRODUCTS LIABILITY AND COMPLETED OPERATIONS, PREMISES / OPERATIONS LIABILITY & CONTRACTUAL LIABILITY: The Umbrella / Excess Program applies excess of the General Liability, Automobile Liability and Employers Liability policies, subject to terms of the policies. The existence of more than one insured, Additional Insured or other interests shall not serve to increase the limits of liability of the policy. The full limits represented above may not apply to all authorized viewers, and lesser limits may apply in accordance with ther terms and conditions of the applicable executed written agreement with the insured. EVIDENCE OF PROPERTY INSURANCE: Additional insured interests are automatically added to this policy as Additional Named Insured, Lender, Mortgagee or Loss Payee as their interests may appear, to the extent of coverage and limits required by contract, but in no event for insurance not afforded by the policy nor for limits of liability in excess of the applicable limits of the policy. Business Interruption, Boiler & Machinery, Flood and Earthquake coverage are included as part of the All-Risk Property form. The All Risk Property program includes but is not limited to: personal property of others that is in the care, custody or control of the Insured and for which the Insured is liable in the event of loss or damage. WAIVER OF SUBROGATION: In the event of any payment made under this policy, the Company will be subrogated to all the Insured's rights of recovery therefore against any person or organziation and the Insured will execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The Company will not acquire any rights of recovery that the Insured has expressly waived prior to a loss, nor will such waiver affect the Insured's rights under this policy. NAMED INSUREDS: -LifeGas a division of Linde Gas North America LLC -LAG Methanol LLC 5
6 -Linde Gas North America LLC -Linde Energy Services, Inc. -Linde Merchant Production, Inc. -LindeTransport, Inc. -TMG Co LLC -Linde RSS LLC -Linde LLC -Cryostar USA (As respects to Workers' Comp coverage only) -High Mountain Fuels LLC -Linde Electronics and Specialty Gases, a division of Linde Gas North America, LLC -LaPorte Methanol Company, L.P. -Hydrochlor LLC (As respects to General Liability and Automobile Liability only) -Advanced Lifeline Respiratory Services LLC The Document of Insurance serves solely to list insurance policies, limits and dates of coverage. Any modifications hereto are not authorized. 6
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