Laserfiche WebLink
. y • a <br />DATE (M MIDD/YY) <br />ACORD- CERTIFICATE OF LIABILITY INSURANCE 10103108 <br />PRODUCER <br />MARSH USA, INC. <br />44 WHIPPANY ROAD <br />P.O. BOX 1966 <br />MORRISTOWN, NJ 07962 -1966 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />100129- 6- 7BA -SBT1 -08/09 610 <br />A Gerling America Insurance Company <br />INSURED <br />COMPANY <br />SIEMENS BUILDING TECHNOLOGIES, INC. <br />1000 DEERFIELD PARKWAY <br />B Liberty Mutual Fire Ins Co <br />COMPANY <br />BUFFALO GROVE, IL 60089 -4513 <br />C Liberty Insurance Corporation <br />COMPANY <br />D <br />COVERAGES This certificate supersedes and replaces any previously issued certificate. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM /DD/YY) <br />POLICY EXPIRATION <br />DATE (MM /DD /YY) <br />LIMITS <br />A <br />GENERAL <br />LIABILITY <br />GLD11101 -00 <br />10/01/08 <br />10/01/09 <br />GENERAL AGGREGATE <br />$ 10,000,000 <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE rx I OCCUR <br />PRODUCTS - COMP/OP AGG <br />$ INCL. <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />OWNER'S & CONTRACTOR'S PROT <br />FIRE DAMAGE (Any one fire) <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 1 00,000 <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />AS2 -631- 004334 -218 <br />10/01/08 <br />10/01/09 <br />COMBINED SINGLE LIMIT <br />$ 2,000,000 <br />X <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X <br />BODILY INJURY <br />(Per person) <br />$ N/A <br />X <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />BODILY <br />( P id <br />er accent) <br />$ N/A <br />X <br />PROPERTY DAMAGE <br />$ N/A <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN AUTO ONLY: <br />ANY AUTO <br />EACHACCIDENT <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />UMBRELLA FORM <br />OTHER THAN UMBRELLA FORM <br />$ <br />C <br />C <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WA7 -63D- 004334 -018 (AOS) <br />WC7- 631 - 004334 -028 (OR, WI) <br />10/01/08 <br />10/01/08 <br />10/01/09 <br />10/01/09 <br />X A <br />TORY LIMITS ER <br />EACH ACCIDENT <br />$ 1,000,000 <br />C <br />THE PROPRIETOR/ <br />PARTNERS /EXECUTIVE X INCL <br />OFFICERS ARE: IXCL$5OOK <br />EW7- 63N- 004334- 048(OH) <br />LIMIT /$500K SIR <br />10/01108 <br />10/01/09 <br />DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DISEASE - EACH EMPLOYEE <br />$ 1,000,000 <br />THER <br />A:1' <br />ROVED AS TO FORM <br />DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL ITEMS <br />RE: 401330; MAINT /REP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS <br />SEE ATTACHED A�Jtiia/11 City Attvruey <br />CERTIFICATE HOLDER NYC - 002600819 -28 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />CITY OF SANTA ANA <br />ATTN: CLERK OF THE CITY COUNCIL <br />EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />20 CIVIC CENTER PLAZA (M -30) <br />P.O. BOX <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF <br />C <br />SANTA ANAA, , C A 92702 -1988 <br />ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />of Marsh REPRESENTATIVE <br />of Marsh USA Inc. <br />BY: Mary Radaszewski <br />ACORD 25-S (1/95) <br />® ACORD CORPORATION 1988 <br />