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A -OM- «� � A - pol -005 <br />DATE (MM/DD/YYYY) <br />Av d CERTIFICATE OF LIABILITY INSURANCE 09/26/2009 <br />PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />MARSH USA, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />44 WHIPPANY ROAD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. BOX 1966 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />MORRISTOWN. NJ 07962 -1966 <br />1001 29-6-7BA-SBT1 -09/10 610 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: HDI- Gerling America Insurance Company 41343 <br />SIEMENS INDUSTRY, INC. INCLUDING ------------ - - - - -- — <br />BUILDING TECHNOLOGIES DIVISION INSURER B: Liberty Mutual Fire Ins Co 23035 <br />1000 DEERFIELD PARKWAY INSURER C: Liberty Insurance Corporation 42404 <br />BUFFALO GROVE, IL 60089 -4513 <br />INSURER D: <br />I <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br />MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND <br />CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />ADD' <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MMIDD/YYYY) <br />POLICY EXPIRATION <br />DATE (MMIDD/YYYY) <br />LIMITS <br />A <br />GENERAL LIABILITY <br />_ <br />X COMMERCIAL GENERAL LIABILITY <br />GLD11101 -01 <br />10/01/2009 <br />10/01/2010 <br />EACH OCCURRENCE <br />1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 1'000'000 <br />CLAIMS MADE � OCCUR <br />IVIED EXP (Any one person) <br />$ 100,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 10,000,000 <br />GENERAL AGGREGATE LIMIT APPLIES PER <br />POLICY JET LOC <br />PRODUCTS - COMP /OP AG <br />1 NCL <br />_ _ <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />AS2- 631 - 004334 -219 <br />10/01/2009 <br />_ p <br />l�"�1> <br />10/01/2010 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 2,000,000 <br />BODILY INJURY <br />$ N/A <br />ALL OWNED AUTOS <br />'v <br />SCHEDULED AUTOS <br />o <br />(Per person) <br />BODILY INJURY <br />$ N/A <br />X <br />HIRED AUTOS <br />1 <br />' <br />X <br />NON -OWNED AUTOS <br />f <br />(Per accident) <br />`l <br />PROPERTY <br />(Per accident) DAMAGE <br />$ N/A <br />GARAGE LIABILITY <br />ANY AUTO <br />Qy <br />�aJi <br />�� <br />G <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESS/ UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />C <br />C <br />C <br />WORKER§ COMPENSATION AND <br />EMPLOYERS'LIABILITY <br />ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N <br />OFFICER/MEMBER EXCLUDED? <br />0 <br />WA7- 63D- 004334- 019(AOS) <br />WC7-631-004334-029 (OR, WI) <br />63N004334 049 <br />EW7 - - - OH <br />( ) <br />$500K LIMIT / $500K SIR <br />10/01/2009 <br />10/01/2009 <br />10/01/2009 <br />10/01/2010 <br />10/01/2010 <br />10/01/2010 <br />X WCSTATU- OTH- <br />PR <br />E.L. EACH ACCIDENT <br />1,000,000 <br />.L. DISEASE - EA EMPLOYE9 <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />(Mandan in NH) If yes, describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: 401330; MAINT /REP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS <br />SEE ATTACHED <br />CERTIFICATE HOLDER NYC - 003785210 -32 CANCELLATION <br />I <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />CITY OF SANTA ANA <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />ATTN: CLERK OF THE CITY COUNCIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />20 CIVIC CENTER PLAZA (M -30) <br />P.O. BOX 1988 <br />BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND <br />SANTA ANA, CA 92702 -1988 <br />THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />TUUPPONN RE <br />AOf M Iare USA InC ENfATIVE <br />Mary Radaszewski <br />ACORD 25 (2009/01) ©1998 -2009 ACORD CORPORATION. All Rights Reserved <br />The ACORD name and logo are registered marks of ACORD <br />