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<br />,,03/05/05
<br />
<br />13:47 FAX 714 826 2353
<br />
<br />SIEMENS BLDG TEe
<br />
<br />~002
<br />
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<br />''''OOUCIJI
<br />MARSH USA INC.
<br /><< WHIPPANY ROAD
<br />P.O. BOX 1966
<br />MORRISTOWN, NJ 07962.1966
<br />
<br />
<br />. '. """'.'''''''''l:o~''''",~ ",nll<I,j1<tI:l\'11
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<br />09130104
<br />THIS CERTIFICATI IS ISSUED AS A MATTER OF INFORIIATION
<br />ONLY AND CONFBRS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE ODES NOT AliENO, EXTE.,D OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELDN.
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />l0012~A-
<br />
<br />609
<br />
<br />xxxx
<br />
<br />CgllllPANY
<br />A INSURANCE CORPORATION OF HANNOVe:R
<br />COU"'A""'t'
<br />B L1SERTY MUTUAL FIRE INSURANCe: COMPANY
<br />COMPANY
<br />C LISERTY MUIUAL INSURANCE COMPANY
<br />
<br />IN!UR'ECl
<br />
<br />SIEMENS BUILDING TECHNOLOGIES, INC.
<br />1000 OEERFIELD PAR~AY
<br />BUFFALO GROVE.IL SOOB~513
<br />
<br />A COMPAN'(
<br />
<br />_~ 0
<br />
<br />'enIlEll!A'llES:';"'''I'' ,.."" , '''''llm!. I .: 'I"C""'fi~~'''''<'''''C''''~':.i'kf':;;;;;.'''''''''''''~'illl!lillliiiilii'OIl'!l!d~''''''~''''''.ijjill;!~ 1..,";':'I:"''I\~''WI'I,_ "".' "Ii:, ::,::'''":',~;Dm
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<br />THIS IS TO CERTIFY TI-lAT POl,ICIES ~~ INSURANCE L1SlED BeLOW HAV& BE!N ISSUED TO THE INSURED NAMED ABOl/e FOR ll-lE POUCY PERIOD
<br />INDICATED, NOTVVITHSTANDlNG ANY FU:aUI~I:!MeNT, TERM OR CONOfTJON Of ANY CONTRACT OR 01HER DOCUMIiNT WITH R!SPECT TO WHIC}O' T'JolIS
<br />CERllflCATE MAY 91;;; ISSUSO OR MAY PERTAIN, THE INSu~NCE! AFFORDED BY 1HE POLICIEiS O!5CftIBEO H!A:E1N IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS ^ND cOf'llOmONS OF SUCH P0I.1CIES, A~GA TE LIMITS SHOWN MAY HAVE SEiEN REDUce.O BY PAID C!-AIMS.
<br />
<br />co TYPIii OF INSUM"CE 'OUCY NUMai~ POLICY liI='ECTl'li POlICY SXPIlU.TlOH LIMn
<br />". DATB'MIWDm'l CATEIMMlbDIYYl
<br />A ~LU.lJlI.1TY ICH GL 132.04 10101/lJ4 10101/05 GENERAl.. AGGREGATE $ 10 000.000
<br /> X COMME~e~LGCNCRALUAB~rrv PRODUCTS. COMPIOP AOO $ INCl..
<br />/ CLAIMS L\ADE ~ OCCUR _PiR$ONAl. &; ArN INJURY $ 1 000,000
<br /> OWNER'S ..COl<lIRp.Cl"OR<SPROT EACH OCCURRENCe $ { 000.000
<br /> FIRE OAMAG!. (Nly_ 9"' 1\nI S 1 000,000
<br /> ~EOIiXP(Anyol'll1l'1ll""'l $ 1 00.000
<br />8 AUTDMOIIIU UAeI\.I'l"V AS2-631-00433<-03< (AOS) 1010"04 1010110. COMBINE.D SINGLE !.NIT $ 2 000,000
<br /> X ~v AUlO ASl.1l31.o04334-o54 (OH) 10101104 1011)1100
<br /> x ALL OWNE.O AlITOS BOOIL Y INJUR1 $ NlA
<br /> 5CHECUl.E.D AV\O$ (f'lIl"persDn)
<br /> X HlREDAUTOS BODIlY INJUR'l' S NlA
<br /> X NON-OWNED AUTOS {f'lIracdllenl)
<br /> PROPERTY DAIo'IAGE $ NlA
<br /> GARAQ:i UA&lUTT AlITO ONLY. EA ACCIDENT
<br /> ANVAUIO , OTHF.;1'l 'l"HAN AUTO ONLY;
<br /> E.;<;.
<br /> L AGGREGATE
<br /> EXClSS I.IA.BIUTY Attorne~ EAeI-lOCCUAAENCE
<br /> UlolORELJ...Il FORM ,o.GGfl:I;GATE
<br /> OTHER THAN UMBRE.lLA FORM
<br />C WOMiRIi COMI'ENl!lAn ANO WAHI30-0043J4.014 (AOS) 10/01/04 10101100 X
<br />EWl.OYERS' L1AlIlUTT TORY UMITS
<br /> WC7 -631-004334-024 10/01104 10/01105 EACH AC;C1DENT
<br /> THE PROPRIETORl X 1NCl. (AK, ID. Mr. OR, & WI) DI5CASf. poLeY UMIT
<br /> PAA'l'Nl!tlSJEXECUTIVE
<br /> OFFICERS ARe:: EXCL DlSEA~E. EACH E,..,PlOYl:F.
<br /> OTHER
<br />
<br />
<br />
<br />DESCRIPTION 0'" O'iRAnO~lOCAnONSlVEiHICLE!JS"iClAL ITEM'
<br />RE: 60'" CITY Of SANTA ANA e:NERGY AUDrr
<br />
<br />SEE A rrACHED
<br />~~~~~~,!!smr,ff~l~ll~~~8!~~lW~~~~~~~~:lr~lli:~~~;:;J~!~j;r.~~~1ffll!:a!!~~;t!9.m~!R.I~i~m~~ff~a~~ijilltt2~~~~~'Sh"~mI~j~~!!t~~mfj~~m~lrn@t~i~~j~
<br />.sHOULD ANY OF THE ABtJVE DE:!ieR1DaC POUCliS liE QANCEl...LED aUORE "HI!
<br />EXPiRATION CATI THiREOf, l'H'E: INSUFtANeE. eoMII'ANY 1Ml.!. ~ !l!AlL
<br />~D"'Y~ WRlTTtN NOTI!;:I TQ THE CERTIFICATE I-IOl.DER NAMED TO niE I-fFT,
<br />~nY""""'XiWflI~~0iiX
<br />~1"'tll_"'~W<
<br />;I.atI- -'Q9R, JiI.~!i.~W..:. :"':c;" ~'Il'..";"
<br />Ullian Campbell ~. ~
<br />:'~', .~R1jf~~mn~tl~'!;J~Wl1~!~~ij'~i~,jff:~~;:1~6~1r;ffif'!~&'Th1~~(~~;:~~;;~~':~?~~)!!OOilfllmp!l!ffffil~~m~rJttljl~imJirtiN~~m~?!iEf:f~~~~ffirlrllr:ffi!i!;~f.I~j~~%ili!., ~ \' ..;.~~~~D~{"'~
<br />
<br />CITY OF SANTA ANA
<br />AnN: CLERK OF n;E CITY COUNCIL
<br />20 CIVIC CENlER PLAZA (M-30)
<br />P.O. BOX 1966
<br />SANTAANA.CA 92702-1988
<br />
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