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<br />.03/05/05
<br />
<br />13:47 FAX 714 826 2353
<br />
<br />SIEIlENS BLDG TEe
<br />
<br />141002
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<br />THI8 CERTIFICATS IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHT8 UPON THE CE~TIFICATE
<br />HOLCER, THIS CERTIFICATE DOES NOT AMENC, eXTE"D OR
<br />ALTER THE COVERAGE AFFORcec BY THE POLICIES BElON,
<br />COMPANIES AFFORDING COVE~AGE
<br />
<br />IIf1l0CUCII!:
<br />MARSH USA INC.
<br />~ WHIPPANY RO>\D
<br />P.O, BOX 1956
<br />MORRISTOWN, NJ 07962.1966
<br />
<br />loo12~A-
<br />
<br />609
<br />
<br />xxxx
<br />
<br />CQMPANT
<br />A INSURANCE CORPORATION OF HANNOVeR
<br />
<br />INSURECI
<br />
<br />SIEMENS BUILDING TECHNOLOGIES, INC,
<br />1000 DEE~IELD PARKWAY
<br />BUFFALO GROVE,IL IlOOBIl-4513
<br />
<br />OOMPAN'l'
<br />B LIBERTY MunJAL FIRE INSURANce COMPANY
<br />COMPANY
<br />C LIBERTY MUTUAL INSURANce COMPANY
<br />
<br />, COMPANV
<br />A. D
<br />Cll\1ER~G~S':i;"i'"'I" ,.....:"", ..""!lmt"' .' ' '""""'fi.lr;I;'''''~''''''.Ir~~"iijd''';;;;i;'''''''I'::::'~'.1/iI\ji!ijliji"''''''''.;F;''''"""."""lIr'" I ,,:''';''!''~I:~111'''l!iJ1 ijjjj , ,.1"1" ::,::;I"I;I~;llm
<br />~1l."i"""'_"'''~~_'_''~'~~M,I.. !/i)~'VIIIll~lIr,~,~,~r.:...:.~J.s.:~~M"'" ~,_l'\1~~," ,.,IIfiIi:~." ":"'dl',:l'i'I~I~;)J:!,I_",,_,.,,..__,~~1 ,_t,,{t~!il':m",,__~...,,~ j .' :'lr.1f:ll1i'Jr.,Ii>lil<,.iIf;!1li~c.., ,....." . '''~..~,~ 1i,'h,RiUMI";;",~. ".
<br />ll'i1S IS TO CERTIFY THAT lHE POl,lClEs' :II~ INSURANCE LISTED BEl..OW HAW seeN ISSUED TO THE INSUReo NAMED ABOvE! FOR THE POLICY PERIOD
<br />INDJeAlCD, NO'l"VIJITHSTAND1NG ANY REQUIREMeNT. 'TERM OR CONOmoN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICI- THIS
<br />CERllFICA1E MAY E1G ISsueD OR MAY PERTAIN, 'THE IN:SVIUNC! AFFORDED BY THE POlIClli5 DeSCRIBED Hf.A.EJN IS SUBJECT TO ALL. THE TEF\MS.
<br />EXCLUSIONS ^NO cO"JOmONS OF SUCH pOl.ICleS, AGGREQATE LIMITS SHOWN MAY HAVE eJeEN RECUCCO BY PAID CLAIMS.
<br />
<br />CD TYII'1i OF ItllIURANCE 'OUC;Y HU.tE~ 11'01.10'1' EfFleTIve POlICY O'IIU.T1C1H U"l1
<br />"" DAT& IMIlWDfTTl DATE rMMlODIYYI
<br />A ~LLlASlUTV ICH GL 13241 10101104 10101105 GENERALAGGR~GA~ $ 10 000,000
<br /> X COAU.1EFlew.. C;;C.NI:IVIL UAellUTY P~UCT5. COMP'tOP AGG $ INCL.
<br />I CLAIMS MADE ~ OCCUR PERSONAl." ArN INJURY $ 1 000.000
<br /> OWNER'S & CON I ~,AC1'OR'S PROT EACH OCCURRENCE $ { 000,000
<br /> FIR. J:IAMAG!. {Any_ QrM fII\1 $ 1 000,000
<br /> MEO EXP fAA'I' 4M l"Il/'Ml'lJ $ 1 00,000
<br />B AUTOMOBI1.E UAIIfl.I'I"Y AS2-<l31./104334.034 (AOS) 10101/04 10101105 COMBINED SINGLi LNIT $ 2000,000
<br /> X' .....NV AUTO AS1-<l31.OQ4J3HI54 (OH) 10101/04 10101105
<br /> X ALLOWNEDAUTOS BODILY INJvR'r' $ NlA
<br /> 5CHEgUl.f.D AuTOS (parp8fSOl'lJ
<br /> X HREDAUTOS BODILY INJURY $ N1A
<br /> X NON-OWNED ALJ'roS {p_,Zl:ill.-.!J
<br /> PROPERTY DAMAGE $ NlA
<br /> CAflA~i LlAStL,lTY .....L1TO ONLY. EA ACCIDENT
<br /> ANV'AUIO , 'THF.Fl 'lHAN ^UTO ONLY:
<br /> EAC~
<br /> AGGREGA.TE
<br /> ity Attorne EACt-4 OCCURRENCE
<br /> UMDRELI.A FORM ,AGGREGATE
<br /> , Ofl.lEi:! nw.I UMBRElLA FORM
<br />C i WORKER5 COMf'ENSATI ANO WAHI3D-004334-014 (AOS) 10/01104 1 0101/05 X TORY LIMITS .. 'jiMhil!m1 fe~ "'i:~"~~ml
<br /> EM~LOY&RS'UA~UITY 10101105 1.000.000
<br /> WC7-63H04334-1J24 10101104 EACH ACCIDENT
<br /> THE pFlOPRliTORl X INet (AK, ID. MT. OR, & Wij OIS8ASE - POLL:Y UMIT 1,000,000
<br /> PAR'l'N~~SIExeCUT1VE 1,000,000
<br /> OFFK:ERS AI'l.e: EXeL DISE.o\~E. EACH EIo1PLOYl:l:
<br /> OTHER
<br />
<br />
<br />
<br />
<br />DESCRIPTION OF OPEIilATIgN!/LOCA nON.SIVEHICLESJS'iQA~ ITEMS
<br />RE: 609- CITY OF SANTA ANA EN!!RGY AUDIT
<br />
<br />SEE ATTACHED
<br />&~!~~-~~~~~~~~~~;~W~~_~~~~911f.f~:!ffiT~~~!~'i;~~~rrnt~W<<ji~~)t\9.~~B.~f:mg~~~j~illtij@,~2m.~;~~~' '~.I~@rlt1~mff~~W;il~]t%i~~jt
<br />SHOULD ANf Of llfE A&aVE DEtit:RIalCl POUCli$ BE QANCIOu..ED BUOJU: "H!
<br />EXPIRAnON DATI THiREOF, THE lNSlllU.NC:E eoMPAHY \NIt.1. ~ IlI!l\IL
<br />SO ""VG WlUT'TEN NOTle!:: TO THE OERTIFICAn HOLDER NAMEg TO llfE l-E FT,
<br />~~U~,W~K~~~aiX
<br />~lY'fll~~W<
<br />bA- ~~ ~:.t~'~~'.";"
<br />Ullian Campben
<br />. ~~.~J~,,~j~i!El!il!ln':';;;:~!I!I!~ii~~;rt::r;[;!;mr;II'i-'B1miJThi~!m,,:;;::,j;!,:ill ,iIIi~ii1li1iij1:U:i:lm~';;jf.fflmliilr~I,!1!ii!tr::i~rrii]rj\;1!:p.il1ii\t~!.I!mmljjii!1l~:,. . ..;.!:ll~~'li!mittii)
<br />
<br />CITY OF SANTA ANA
<br />ATTN: CLERK OF THE CITY COU~CIL
<br />20 CIVIC CENTER PLAZA (M"lO)
<br />p ,0, BOX 19M
<br />SANTA ANA, CA 92702-1966
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