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<br /> <br />Aft.till.. ~~~C.ERTI fICAT;~,~':I'N:$ f~:B~~'::~ 0 ;7~~M;~~IYY) <br /> <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 /> <br />PRODUCER <br />MARSH USA INC, <br />44 WHIPPANY ROAD <br />P.O. BOX 1966 <br />MORRISTOWN, NJ 07962-1966 <br /> <br />610 <br /> <br />COMPANY <br />A LUMBERMENS MUTUAL CASUALTY COMPANY <br /> <br />100129-BA-- <br />INSURED <br />SIEMENS BUILDING TECHNOLOGIES, INC. <br />1000 DEERFIELD PARKYVAY <br />BUFFALO GROVE, IL 60089-4513 <br /> <br />COMPANY <br />B N/A <br /> <br />COMPANY <br />C TRAVELERS INDEMNITY CO. OF ILLINOIS <br /> <br />COMPANY <br />D <br /> <br /> <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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />CO <br />LTR <br /> <br />POLICY EFFECTIVE POLICY EXPIRATION <br />DATE IMM/DDIYYI DATE IMM/DDIYY) <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br /> <br />A GENERAL LIABILITY 3AA034140-00 <br /> <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE [8] OCCUR <br />OWNER'S & CONTRACTOR'S PROT <br /> <br />10/01/00 <br /> <br />10/01/01 <br /> <br /> <br />C AUTOMOBILE LIABILITY <br />X ANY AUTO <br />X ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON-OWNED AUTOS <br /> <br />TC2J-CAP-229T228-3- TIL-OO <br />'(AOS)' <br />TC2E-CAP-229T229-5- TCT -00 <br />'(TX)' <br />T J-EAP-229T230-2- TIL-OO <br />'(MA-XS)' <br /> <br />10/01/00 <br /> <br />10/01/01 <br /> <br />10/01/00 <br /> <br />10/01/01 <br /> <br /> <br />GARAGE LIABILITY <br /> <br />ANY AUTO <br /> <br />EXCESS LIABILITY <br /> <br />C <br /> <br />UMBRELLA FORM <br /> <br />OTHER THAN UMBRELLA FORM <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />10/01/01 <br /> <br />TRJ-UB-229T226-A-00 <br />'(AZ,HI,OR,MT,NV,WI)' <br />TC2J-UB-229T225-8-00 (AOS) <br /> <br />10/01/00 <br /> <br />THE PROPRIETORl <br />PARTNERSlEXECUTIVE <br />OFFICERS ARE: <br />OTHER <br /> <br />X INCL <br /> <br />10/01/00 <br /> <br />10/01/01 <br /> <br />EXCL <br /> <br />LIMITS <br /> <br />$ <br />PRODUCTS - COMP/OP AGG $ <br />$ <br />$ <br />$ <br />$ <br /> <br />5,000,000 <br />INCL. <br />1,000,000 <br />1,000,000 <br />1 ,000,000 <br />100,000 <br /> <br />1,000,000 <br /> <br />GENERAL AGGREGATE <br /> <br />PERSONAL & ADV INJURY <br /> <br />EACH OCCURRENCE <br /> <br />FIRE DAMAGE (Anyone fire) <br />MED EXP (Anyone person) <br /> <br />COMBINED SINGLE LIMIT <br /> <br />$ <br /> <br />BODILY INJURY <br />(Per person) <br /> <br />$ <br /> <br />N/A <br /> <br />BODILY INJURY <br />(Per accident) <br /> <br />$ <br /> <br />N/A <br /> <br />PROPERTY DAMAGE <br /> <br />$ <br /> <br />N/A <br /> <br />AUTO ONLY - EA ACCIDENT <br />OTHER THAN AUTO ONLY: <br />EACH ACCIDENT <br />AGGREGATE <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br /> <br />X STATUTORY LIMITS <br />EACH ACCIDENT $ <br />DISEASE - POLICY LIMIT $ <br />DISEASE - EACH EMPLOYEE $ <br /> <br />1,000,000 <br />1,000,000 <br />1,000,000 <br /> <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTlBLES OR RETENTIONS. <br /> <br />E: 610-MB-1522, 610-MB-1523, 610-MB-1524 <br />HE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL <br />NSUREDS UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY INSURANCE POLICIES, BUT ONLY WITH RESPECT TO ALL <br />ORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUILDING TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER <br /> <br /> <br /> <br />CITY OF SANTA ANA <br />ATTN: MARIO GHIZZI <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL~lfO MAIL <br />3~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />XBlIXlEll\lIIlllBIIllDGIllUlX'lllXQ["ltKXREl)S'~l(J<lMeOOe()'DQlBIaGAt1lX")()8:XIABlDIXXXlF <br />XlUI)()()(KIfH)(X)(J8OJ(XXDlIXXI!:!l~XXlaXXlWSII<IlS(X)()ft(X'ffil"""""-"'1UCJlDflES. <br /> <br /> <br />