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A46"RDW CERTIFICATE OF LIABILITY INSURANCE DAY) o912001Op/YYYnonola 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 endorsements). PRODUCER MARSH USA, INC. 445 SOUTH STREET MORRISTOWN, NJ 07960-6454 CONTACT NAME: PHONE FAX fA/c. Not: .Extl�_..,., E-MAIL ADDRESS, INSURERS) AFFORDING COVERAGE NAICIf INSURER A: HDI Global Insurance Company 41343 100129-SBT--18119 610 Kapust NOC60 INSURED SIEMENS INDUSTRY, INC. INSURER B: Travelers Properly Casualty Co. ofAmedea 25674 INSURER C : The Travelers Indemnity Company 25658 BUILDING TECHNOLOGIES 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-009188797-15 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. ILTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP M IDDffYYY LIMITS A X COMMERCIAL GENERAL LIABILITY r CLAIMS -MADE u OCCUR GLD11101-10 10101/2018 10/01/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TOKENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 100,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY 0 PRO- JECT 0 LOC OTHER: GENERAL AGGREGATE $ 10,000,000 PRODUCTS - COMP/OP AGG $ INCL $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDAUTOSULED AUTOS ONLY HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY TC2J-CAP-744OL34A-18 10/0112018 1010112019 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 X BODILY INJURY (Per person) $ N/A X BODILY INJURY (Pereaiden0 $ N/A X PROPERTYDAMAGIL Per accident $ WA $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACHOCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ B C B WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN AFFICER EMBERPARTNERIEXECUTIVE (Mandatory inN REXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA TC2J-UB-8049X50&18(ADS) TRK-UB-8049X51A-18 AZ,MA,OR,WI ( I TWXJ-UB-744OL338-18 OH&WA ( ) """"$500K LIMIT / $500K SIR"""" 10101/2018 10/01/2018 1010112019 10101I2019 10/0112019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,OOQ000 E.L. DISEASE - EA EMPLOYE _ $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS [VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: SII#2600070990 PO#32001015 PROJECT# 31007058 PROJECT NAME: BCA6-SES-CITY OF SANTA ANA POLICE DEPT SEE ATTACHED CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA, M-93 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 CIVIC CENTER PLAZA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SANTA ANA, CA 92702 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Mareh USA Inc. Manashi Mukherjee ©1988.2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) Th n e logo are registered marks of ACORD