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<br />AbDITIONAL INFORMATION NYC-004159613-03 DATE (MMIDDIYY) <br />] <br />- -- ---- -- --- - -- - - - -- - -- ---- --- - - -- - --- -- ---- - - -- -- - -- - --- 09/16/2010 <br />- -- - - --- <br />PRODUCER - - - - - ---- -- ---- - -- - - -- - - - _ _ _ ___ <br />MARSH USA, INC. <br />44 WHIPPANY ROAD <br />P.O. BOX 1966 <br />MORRISTOWN, NJ 07962-1966 <br />100129-6-7BA-SBT1-10/11 610 Chen 1185 <br /> INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br /> <br />SIEMENS INDUSTRY, INC. INCLUDING INSURER F: <br />- - -- ------- -- <br />BUILDING <br />TECHNOLOGIES DIVISION <br />INSURER G: --- ---- <br />----- <br />1000 DEERFIELD PARKWAY - - - -- - - - - <br />INSUR RER-H: <br />-- <br />BUFFALO GROVE, IL 60089-4513 <br /> INSURER I: <br />TEXT <br />4 -027046 (LAESO) - - THE CITY AND ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL <br />INSURED UNDER THE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY INSURANCE POLICIES, BUT ONLY WITH RESPECT TO <br />ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS INDUSTRY, INC. FOR CERTIFICATE HOLDER UNDER <br />CONTRACT. <br />THE OWNER AND CONTRACTOR WAIVE ALL RIGHTS AGAINST EACH OTHER AND ANY OTHER CONTRACTOR, SUBCONTRACTORS, SUB- <br />SUBCONTRACTORS, AGENTS, AND EMPLOYEES, FOR DAMAGES OR INJURIES CAUSED BY PERILS TO THE EXTENT COVERED BY INSURANCE <br />EXCEPT SUCH RIGHTS AS THEY MAY HAVE TO PROCEEDS OF SUCH INSURANCE HELD BY THE OWNER AS A FIDUCIARY. <br />$1,000,000 PROFESSIONAL LIABILITY IS INCLUDED UNDER THE GENERAL LIABILITY POLICY AND $1,000,000 IS INCLUDED UNDER THE <br />UMBRELLA LIABILITY POLICY. <br />THE INSURANCE AFFORDED BY THIS POLICY SHALL APPLY SEPARATELY TO EACH INSURED WHO IS SEEKING COVERAGE OR AGAINST <br />WHOM A CLAIM IS MADE OR A SUIT IS BROUGHT, EXCEPT WITH RESPECT TO THE COMPANY'S LIMIT OF LIABILITY. <br />CERTIFICATE HOLDER <br />CITY OF SANTA ANA <br />ATTN: TERI CABLE <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA 92701 <br />of Mari <br />Donna <br />Passe 3 <br />