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SIEMENS BUILDING TECHNOLOGIES (2) - 2009
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SIEMENS BUILDING TECHNOLOGIES (2) - 2009
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Last modified
1/3/2012 2:07:54 PM
Creation date
11/20/2009 10:27:41 AM
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Contracts
Company Name
SIEMENS BUILDING TECHNOLOGIES
Contract #
A-2009-144
Agency
PUBLIC WORKS
Council Approval Date
9/8/2009
Destruction Year
0
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A? CERTIFICATE OF LIABILITY INSURANCE °ATE(MM,°DIVYYY) <br />_ 09/16/2010 <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 />100129-6-7BA-SBT1-10/11 610 Chen 1185 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: HDI-Gerlln America Insurance Company 41343 <br />BUILDING TECHNOLOGIES DIVISION INSURER B: Liberty Mutual Fire Ins Co 23035 <br />1000 DEERFIELD PARKWAY <br />.---- <br />BUFFALO GROVE, IL 60089-4513 INSURER c: Liberty Insurance Corporation 42404 <br />INSURER D: <br />INSURER E: <br />COVERAGES _ -1 _--- - --------_ - - -- ?? <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PQIJCY `PERT INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THTS'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 HAVF RFFN RI=nI Icr=n RV RAIn r l AIRAC <br />Ns <br />LTR wuu' <br />INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> DATE (MM/DDIYYYY) DATE (MWDDIYYYY) - ', umq& <br /> GENERAL LIABILITY <br /> <br />A <br />GLD 11101-02 <br />1010112010 <br />10/01/2011 EACH OCCUR?jVCE. <br />71- 1.000.000 <br /> X COMMERCIAL GENERAL LIABILITY MAGE <br />AGE <br />O <br />E <br />1 <br />60? <br />??? <br /> PREM <br />SES <br />_It <br />u <br />pnce <br />? <br />? <br /> CLAIMS MADE a OCCUR MED EXP (An Wso <br /> n) 100,000 <br /> - PERSONAL 8 ADV JURY 1,666,666 <br /> GENERAL AGGREGATE $ 16,060,006 <br /> GENERAL AGGREGATE LIMIT APPLIES PER <br /> PRO <br />X POLICY JECT LOC PRODUCTS -COMP/OP AG $ INCL <br />- - -- <br /> <br />B <br />I AU TOMOBILE LIABILITY <br />AS2-631-004334-21 0 <br />10/01/2010 <br />10/01/2011 <br /> <br />X <br />ANY AUTO COMBINED SINGLE LIMIT <br />(Ea accident) $ 2,000,000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ N/A <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> <br />X <br />NON-OWNED AUTOS <br /> <br />' F(I DILY INJURY $ N/A <br />eraccident) <br /> ?- PROPERTY DAMAGE <br /> H <br />(Per accident <br />$ N <br /> ) <br />/A <br /> GARAGE LIABILITY <br /> AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC $ <br />OTHER THAN <br /> AUTO ONLY: <br />$ <br />I <br /> AGG <br />: <br />A EXCESS / UMBRELLA LIABILITY <br />X , CUD11102-02 10/01/2010 10/01/2011 EACH OCCURRENCE $ 6,006,000 <br /> OCCUR [ - _I CLAIMS MADE AGGREGATE $ 6,000,006 <br /> DEDUCTIBLE $ <br /> RETENTION $ -- --- $ -_ ___ <br />C 'I WORKERS COMPENSATION AND <br />EMPLOYERS'LIABILITY WA7-63D-004334-010 (AOS) 10/01/2010 10/01/2011 X WC STATU- OTH- <br /> WC7-631-004334-020(OR <br />WI) 10/01/2010 / <br /> <br />C <br />ANY PROPRIETORPARTNER/EXECUTIVE Y / N , 10 <br />01/2011 <br />L <br />E <br />EACH ACCIDE <br />$ 1 <br />0 <br /> <br />OFFICER/MEMBER EXCLUDED? <br />_ <br />EW7 63N-004334-040 (OH) <br />10/01/2010 <br />10/01/2011 . <br />. <br />NT <br />, <br />00,000 <br />C 1 <br />5 '$500K LIMIT / $500K SIR' E <br />L <br />DISEASE - EA EMPLOYE $ 1 <br />000 <br />000 <br /> Mandatory in NH) If yes <br />describe under . <br />. <br />, <br />, <br /> , <br />PECIAL PROVISIONS b <br />l <br /> e <br />ow E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br /> OTHER <br />DES CRIPTION OF nPFRATInMSn nreTlnucnrcu.r. ?? .?..... „?, ............._ _.. _.._________ _.___ _ -_. <br />RE: 440P-027046 (LAESO) <br />SEE ATTACHED <br />CERTIFICATE HOLDER NYC-004159613-03 <br />CITY OF SANTA ANA <br />ATTN: TERI CABLE <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA 92701 <br />CANCELLATION <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 A_=-Q e??.,??.-..r.?..._.. <br />AUTHORIZED REPRESENTATIVE - <br />of Marsh USA Inc. <br />Donna Clampitt <br />ACORD 25 (2009101) <br />©1998-2009 ACORD CORPORATION. All Rights Reserved <br />The ACORD name and logo are registered marks of ACORD
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