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AGENCY CUSTOMER ID: 100129 <br />LOC#: Morristown <br />ADDITIONAL REMARKS SCHEDULE <br />Page _ 2. _ of 2 <br />AGENCY <br />NAMED INSURED <br />MARSH USA, INC. <br />SIEMENS INDUSTRY, INC. <br />BUILDING TECHNOLOGIES <br />1000 DEERFIELD PARKWAY <br />POLICY NUMBER <br />BUFFALO GROVE, IL 60089 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:. 25 FORM TITLE: <br />RE: $11#2600070890 P09320MOIS PROJECT# 31007058 PROJECT NAME: BCA&SES-CITY OF SANTA ANA POLICE DEPT <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSURED UNDER THE ABOVE REFERENCED <br />GENERAL LIABIUTYAND AUTOMOBILE LIABILITY INSURANCE POLICIES AND THE COVERAGE AFFORDED THE ADDITIONAL INSURED UNDER THESE POLICIES <br />SHALL BE PRIMARY AND NON-CONTRIBUTORY INSURANCE TO THE EXTENT THAT A CLAIM ARISES FROM THE NEGLIGENCE OF SIEMENS INDUSTRY, INC. OR ITS <br />SUBCONTRACTORS WITH RESPECT TO ALL OPERATIONS OF THE INSURED BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE <br />NAMED INSURED, SIEMENS INDUSTRY, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT. <br />THE OWNER AND CONTRACTOR WAIVE ALL RIGHTS AGAINST EACH OTHER AND ANY OTHER CONTRACTOR. SUBCONTRACTORS, SUB -SUBCONTRACTORS, <br />AGENTS, AND EMPLOYEES, FOR DAMAGES OR INJURIES CAUSED BY PERU TO THE EXTENT COVERED BY INSURANCE, EXCEPT SUCH RIGHTS AS THEY MAY <br />HAVE TO PROCEEDS OF SUCH INSURANCE HELD BY THE OWNER AS A FIDUCIARY, <br />COMPLETED OPERATIONS COVERAGE IS INCLUDED IN THE GENERAL LIABILITY POLICY, <br />IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NON-PAYMENT OF PREMIUM, THE INSURER WILL DELIVER NOTICE OF CANCELLATION TO <br />THE CERTIFICATE HOLDER UP TO 60 DAYS PRIOR TO THE CANCELLATION OR AS REQUIRED BY WRITTEN CONTRACT, WHICHEVER IS LESS. <br />ACORD 101 <br />O 2008 A <br />name and logo are registered marks of ACORD <br />All <br />