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A� 11/11/2025/2025® CERTIFICATE OF LIABILITY INSURANCE DATEIYYYY)
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> MARSH USA,LLC. NAME'
<br /> ON
<br /> 445 SOUTH STREET AIC No,
<br /> Ext: AIC,No):
<br /> MORRISTOWN,NJ 07960-6454 E-MAIL
<br /> ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> CN 1 02147003-RAM-PROF-25/26 610 CICKO NOC60 INSURERA: Zurich American Insurance Company 16535
<br /> INSURED INSURER B: Travelers Propefty Casualty Co.of America 25674
<br /> SIEMENS INDUSTRY,INC.
<br /> 1000 DEERFIELD PARKWAY INSURERC: N/A N/A
<br /> BUFFALO GROVE,IL 60089-4513 INSURER D: Travelers Casualty&Surety Company 19038
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: NYC-010269414-44 REVISION NUMBER: 21
<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 /> INSR ADDLSUBRTYPE OF INSURANCE INSD WVD POLICY NUMBER
<br /> POLICY EFF POLICY EXP
<br /> LTR MM/DDIYYYYI iMMIDDIYYYYI LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY GL00444023-00 10/01/2025 10/01/2026 EACH OCCURRENCE $ 1,000,000
<br /> RENTEDDAMAGE TO
<br /> CLAIMS-MADE X� OCCUR FIR SES(Ea.";
<br /> Ea occrre... $ 1,000,000
<br /> MED EXP(Any one person) $ 100,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000
<br /> POLICY❑ JECT PRO ❑ LOC PRODUCTS-COMP/OPAGG $ IN
<br /> NCL
<br /> OTHER: I $
<br /> B AUTOMOBILE LIABILITY TC2J-CAP-7440L34A-TIL-25 10/01/2025 10/01/2026 COMBINED SINGLE LIMIT $ 2,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $ N/A
<br /> X OWNED SCHEDULED BODILY INJURY(Per accident) $ N/A
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTYDAMAGE
<br /> X AUTOS ONLY X AUTOS ONLY Per accident) $ N/A
<br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ $
<br /> B WORKERS COMPENSATION U B-8 P83929A-25-51-K(AOS) 10/01/2025 10/01/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> D YIN UB-8P79233A-25-51-R AZ,MA,WI 10/01/2025 10/01/2026
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE ( ) E.L.EACH ACCIDENT $ 1,000,000
<br /> B OFFICER/MEMBER EXCLUDED? N❑ NIA
<br /> (Mandatory in NH) TWXJ-UB-7440L338-TIL-25(OH) 10/01/2025 10/01/2026 E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under """"""'$500K LIMIT/$500K SIR""""""' 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> A PROFESSIONAL LIABILITY EOC3245701-00 10/01/2025 10/01/2026 Limit 1,000,000
<br /> SIR 1,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Digitally sign
<br /> RE:SIEMENS JOB#2600077971,5/01/CITY OF SANTA ANA SERVICE AGREEMENT TU Tran by Tu Tran
<br /> Nguyen
<br /> SEE ATTACHED Nguyen Date:2025.1, 4
<br /> 09:49:13-08'0
<br /> APPROVED
<br /> By Tu Tran Nguyen at 9:48 am,Nov 14,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> ATTENTION:PWA PARKS,FLEET&FACILITIES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 20 CIVIC CENTER PL M-11 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> SANTA ANA,CA 92701
<br /> AUTHORIZED REPRESENTATIVE
<br /> of Marsh USA LLC
<br /> ©1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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