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awl -005 <br />CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) <br />PRODUCER 09/7R/9nn9 <br />MARSH USA, INC. <br />M BOX 1 <br />P. <br />P.O. . BOX 1966 ROAD <br />6 <br />MORRISTOWN, NJ 07962 -1966 <br />100129- 6- 7BA -SBT1 -09110 610 <br />INSURED <br />SIEMENS INDUSTRY, INC. INCLUDING <br />BUILDING TECHNOLOGIES DIVISION <br />1000 DEERFIELD PARKWAY <br />BUFFALO GROVE, IL 60089 -4513 <br />THIS CERTIFICATION 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 />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: HDI- Gerling America Insurance Company 41343 <br />INSURER B: Liberty Mutual Fire Ins Co 23035 <br />INSURER c: Liberty Insurance Corporation <br />42404 <br />INSURER D: <br />INSURER E: <br />vv <br />THE POLICIES OF INSURANCE LISTED <br />NOTWITHSTANDING ANY REQUIREMENT, <br />MAY BE ISSUED OR MAY PERTAIN, THE <br />CONDITIONS OF SUCH POLICIES. AGGREGATE <br />INS 1 ADD'L TYPE OF INSURANCE <br />LTR I INSR <br />ENERAL LIABILITY <br />A — <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />- - - - _ -- <br />BELOW HAVE BEEN ISSUED TO <br />TERM OR CONDITION OF ANY CONTRACT <br />INSURANCE AFFORDED BY THE POLICIES <br />LIMITS SHOWN MAY HAVE BEEN <br />POLICY NUMBER <br />GLD11101 -01 <br />THE INSURED <br />OR OTHER <br />DESCRIBED <br />REDUCED BY PAID <br />POLICY EFFECTIVE <br />DATE (MM/DD/YYYY) <br />10/01/2009 <br />NAMED ABOVE <br />DOCUMENT WITH <br />HEREIN IS SUBJECT <br />CLAIMS. <br />POLICY EXPIRATION <br />DATE (MMIDDnrYrl <br />10/01/2010 <br />FOR THE POLICY PERIOD <br />RESPECT TO WHICH THIS <br />TO ALL THE TERMS, <br />LIMITS <br />INDICATED. <br />CERTIFICATE <br />EXCLUSIONS AND <br />EACH C URRENCE <br />1 000 000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 100,000 <br />PERSONAL 8 ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 10,000,000 <br />GENERAL AGGREGATE LIMIT APPLIES PER <br />POLICY JE O- j —.,, LOC <br />PRODUCTS - COMP /OP AG <br />—_ -- <br />INCL <br />— — — <br />B <br />'� <br />'AUTOMOBILE <br />X <br />X <br />X <br />ILE LIABILITY <br />ANY AUTO., <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS✓ <br />AS2- 631 - 004334 -219 <br />���1 I?" <br />�0 <br />10/01 /2009 N <br />�. <br />*-�'y _ <br />j <br />;• <br />`��yO <br />10/01 /2010 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />BODILY INJURY <br />(Per <br />(Per <br />$ 2,000,000 <br />- - <br />$ N/A <br />BODILY INJURY <br />(Per accident) <br />$ N/A <br />PROPERTY DAMAGE <br />(Per accident) <br />AUTO ONLY - EA ACCIDENT <br />$ N/A <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />,1g <br />OTHER THAN EA ACC <br />AUTO ONLY: <br />$ <br />$ <br />EXCESS /UMBRELLA LIABILITY <br />AGG <br />EACH OCCURRENCE <br />$ <br />OCCUR CLAIMS MADE <br />- <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />C <br />C <br />C <br />WORKER COMPENSATION AND <br />EMPLOYERS' BILITY <br />LIA <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N <br />OFFICER/MEMBEREXCLUDED? <br />(Mandatory in NH) If yes, describe under C <br />SPECIAL PROVISIONS below <br />OTHER <br />WA7 -63D- 004334 -019 (AOS) <br />WC7- 631 - 004334 -029 OR, WI <br />( ) <br />EW7- 63N- 004334 -049 (OH) <br />$500K LIMIT / $500K SIR <br />10/01/2009 <br />10/01/2009 <br />10/01/2009 <br />10/01!2010 <br />10/01/2010 <br />10/01/2010 <br />X we sraru- orH- <br />1,000, 0 <br />00 <br />L. EACH ACCIDENT <br />L. DISEASE - EA EMPLOYE <br />$ 1,000,000 <br />.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />RE: 401330; MAINT /REP ALARM SYSTEM - P.D. FACILITY 2600023858 OPERATIONS <br />SEE ATTACHED <br />CERTIFICATE HOLDER <br />NYC- 0o3�RS��n -R9 <br />CITY OF SANTA ANA <br />ATTN: CLERK OF THE CITY COUNCIL <br />20 CIVIC CENTER PLAZA (M -30) <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 -1988 <br />ACORD 25 (2009101) — <br />ELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND <br />UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />Ao�N a RE RESENTA7NE <br />rS I <br />MarryRlhaldUUa3sAzewski <br />©1998 -2009 ACORD CORPORATION. All Rights Reserved <br />The ACORD name and logo are registered marks of ACORD <br />