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SIEMENS BUILDING TECH 1B -2006
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SIEMENS BUILDING TECH 1B -2006
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Last modified
5/4/2020 11:37:27 AM
Creation date
7/26/2006 5:17:01 PM
Metadata
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Template:
Contracts
Company Name
Siemens Building Technologies
Contract #
A-2006-116
Agency
Finance & Management Services
Council Approval Date
5/15/2006
Insurance Exp Date
10/1/2010
Notes
Amends A-2003-022
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ACORD CERTIFICATE OF LIABILITY <br />MI °DM) <br />INSURANCE <br />09/2DATE 7/06 /27 /06 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />MARSH USA INC. <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />44 WHIPPANY ROAD <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. BOX 1966 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />MORRISTOWN, NJ 07962 -1966 <br />COMPANIES AFFORDING COVERAGE _ <br />COMPANY <br />100129- 6 -76A- -06/07 609 XXXX <br />A GERLING AMERICA INSURANCE COMPANY <br />INSURED <br />v+( w <br />COMPANY <br />SIEMENS BUILDING TECHNOLOGIES, INC. <br />B LIBERTY MUTUAL FIRE INSURANCE COMPANY <br />1000 DEERFIELD PARKWAY <br />BUFFALO GROVE, IL 600894513 <br />COMPANY <br />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 />LT R <br />TYPE OF INSURANCE POLICY NUMBER <br />POLICY EFFECTIVE POLICY EXPIRATION <br />DATE (MMIDD/YY) DATE (MMIDD /YY) <br />LIMITS <br />A GENERAL LIABILITY <br />7200509 GLP 10 <br />/Oi /06 <br />10/01/07 <br />AGGREGATE <br />$ 7,500000 <br />X COMMERCIAL GENERAL LIABILITY <br />ORAL <br />_. <br />—� <br />T CLAIMS MADE LX- OCCUR <br />I <br />PRODUCTS COMP /OP AGG <br />$ INCL. <br />PERSONAL&ADV INJURY <br />1 000,000 <br />111 OWNER'S &CONTRACTOR'S PROT <br />EACHOCCURRENCE <br />$ 1,066,000 <br />- -I - -- — - <br />FIRE DAMAGE(Ary one fire) <br />$ 1000000 <br />MED EXP (Any one Pelson) <br />B AUTOMOBILE LIABILITY <br />AS2- 631 - 004334 -216 10/01/06 <br />'.16, /6,7 /6,7 <br />$ 100,000 <br />X ANY AUTO <br />COMBINED SINGLE LIMIT <br />$ 2,000,000 <br />X ALL OWNED AUTOS <br />� <br />BODILY INJURY <br />$ N/A <br />SCHEDULED AUTOS <br />(Per person) <br />_.__ <br />1XBO <br />HIRED AUTOS <br />X NON -0WNEDAUTOS <br />1 <br />BODILY INJURY <br />(PeraccMent) <br />$ N/A <br />PROPERTY DAMAGE <br />$ N/A <br />- -- _- <br />GARAGE LIABILITY <br />AUTO ONLY EA ACCIDENT <br />$ <br />MANY AUTO <br />OTHERTHAN AUTO ONE - <br />EACH ACCIDENT 1 <br />$ <br />- <br />-- — <br />—.. <br />EXCESS LIABILITY <br />AGGREGATE <br />$ <br />-- <br />J UMBRELLA FORM. <br />EACH OCCURRENCE <br />$ <br />$ <br />AGGREGATE <br />OTHER THAN UMBRELLA FORM <br />1 <br />$ <br />C <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WA7 -63D- 004334- 016(AIDS) 10/01/06 <br />10/01/07 <br />X WCSTAU- <br />C <br />1WC7- <br />631 - 004334 -026 (OR, WI) 10/01/06 <br />10/01/07 <br />TORY LIMITS_ ER <br />- <br />EACH ACCIDENT _ <br />- <br />$ 1 000,000 <br />C <br />THE PROPRIETOR/ X INCL 'EW7- <br />PARTNERS/EXECUTIVE P— <br />63N- 004334 -046 WA <br />( ) <br />10/01/0 (DISEASE <br />- POLICVLIMIT <br />$ 1 000,000 <br />OFFICERS ARE EXCL$500K <br />,10/01/06 <br />LIMIT /$500K SIR <br />_ _ <br />OF <br />DISEASE EACH EMPLOYEE $ 1,000,000 <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLEWSPECIAL ITEMS <br />RE: 609- CITY OF SANTA ANA ENERGY AUDIT / <br />C/ <br />SEE ATTACHED <br />CERTIFICATE HOLDER NYC - 001505086 -17 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE <br />CITY OF SANTA ANA <br />EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL 4QbX*AV4ft MAIL <br />30 <br />ATTN: CLERK OF THE CITY COUNCIL <br />TH <br />— DAYS WRITTEN NOTICE TO E CERTIFICATE HOLDER NAMED TO THE LEFT, <br />20 CIVIC CENTER PLAZA (M -30) <br />�l(XI%t4>ii6iUfX <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702- 1988Xa�BKxa0B�X7KXXA( <br />i�XJkX1 `+iCdCXXl4iC11(XdfdCXiUK(�X <br />AUTHORIZED REPR TATIVE H 1 A NC/J <br />Mary Radaszewski <br />ACORO 25 (11106) <br />' p ACORD CORPORATION '1988 <br />" f2 <br />
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