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ACOR" <br />ik./ <br />AGENCY CUSTOMER 10: CN102147003 <br />LOC#: Morristown <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 Of 2 <br />AGENCY <br />MARSH USA, INC. <br />NAMED INSURED <br />SIEMENS INDUSTRY, INC. <br />1000 DEERFIELD PARKWAY <br />BUFFALO GROVE,IL 600894513 <br />POLICY NUMBER <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: Certificate Of Liability Insurance <br />RE: ALL OPERATIONS <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVES ARE HEREBY ADDITIONAL INSURED AS OBLIGATED UNDER CONTRACT UNDER THE REFERENCED <br />GENERAL UABIUTY AND AUTOMOBILE LIABILITY INSURANCE POLICIES. <br />SUCH INSURANCE AS IS AFFORDED BY THE ADDITIONAL INSURED ENDORSEMENT SHALL APPLY AS PRIMARY INSURANCE& OTHER INSURANCE MAINTAINED BY THE CERTIFICATE HOLDER <br />SHALL BE EXCESS ONLY & NOT CONTRIBUTING WITH INSURANCE PROVIDED UNDER THIS POUCY, <br />WAIVER OF SUBROGATION IS EFFECTUAL WHERE REQUIRED BY WRITTEN CONTRACT. <br />COMPLETED OPERATIONS COVERAGE IS INCLUDED IN THE GENERAL LIABILITY POLICY. <br />IF THESE POUGES ARE CANCELLED FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, THE INSURER WILL DELIVER NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER UP <br />TO 60 DAYS PRIOR TO ME CANCELLATION OR AS REQUIRED BY WRITTEN CONTRACT, WHICHEVER IS LESS. <br />WdeMwgewa0haw� <br />Re tEwE06APMw' <br />© 2008 ACORD CORI %u ;armeme <br />The ACORD name and logo are registered marks of ACORD 'Nm,M,...n <br />