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coRV® CERTIFICATE OF LIABILITY INSURANCE DATE (MhVODIYYYY) <br />09!10/20„ <br /> <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 eartlfleate holder to en ADDITIONAL INSURED, the polley(lea) must ba andoraed. If SUBROGATION IS WAIVED, aubJeet to <br />the terms and eondltlons of the Polley, eartaln pollelea may require an andoraamant. A statement on this certlfleete dose not confer rlghta to the <br />certlflceta holder In Ileu of such endorsement s . <br />PRODUCER . <br />MARSH USA, INC. PNONE FAX <br />445 SOUTH STREET <br />MORRISTOWN, NJ 07980-0454 1- <br /> INBURE 8 AFFORDING COVERAGE NAIC p <br />100128-8-7BA-SBT1-71/12 810 Glenna INSURER A : HDI-GBIIIf10 ATBIIC81fMUIHIIOB C01?8ny 47343 <br />INSURED INSURER B : LI6e11y Mllhlai Fire IIIS Co 23035 <br />SIEMENS INDUSTRY, WC. INCLLN7ING <br />Uberl <br />lniurence Cor <br />oratlon <br />42404 <br />BUILDWG TECHNOLOGIES DIVISION Y <br />y <br />INSURERC: <br />1000 DEERFIELD PARKWAY INSURER D <br />BUFFALO GROVE, IL 80089-4513 <br /> INSURER E <br />. ? <br /> ER , <br />CAVEROCEB ? CERTIFIC1e•TE NLIMRERe NYr` ^^°^'2884ffii REVISION Nl1MBERc <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 13 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />W R TYPE OF INSURANCE POLICY NUMBER LILY CXP LIMITS <br />A GENERAL LIABILITY GLD11101-03 10/012011 10/012012 EACH OCCURRENCE f 1.000,000 <br /> X COMMERC VIL GENERAL LIABILITY i 1.000'000 <br /> CLAIMS?IADE ? OCCUR MED EXP one rson i 100,000 <br /> PERSONAL 6 ADV INJURY S 1,000.000 <br /> GENERAL AGGREGATE 3 10,000,000 <br /> OENL AGGREGATE LIMIT APPLIE8 PER PRODUCTS -COMP/OP AGO i INCL <br /> X POLICY PRO- LOC i <br />B AUTOMOBILE LU\a1LITY AS2?31-004334-211 10/012071 10/012012 C MBI D uMT 2,000,000 <br /> X ANY AUTO BODILY INJURY (Par parson) i WA <br /> X A?OOYNVED ?T?ULEO BODILY INJURY (Par sodden!) i WA <br /> X X WMED PROPERTY DAMAGE i WA <br /> HIRED AUT08 AU ? <br /> i <br /> UMBRELLA LIAB OCCUR EAGH OCCURRENCE $ <br /> <br /> EXCESS LUU) CLAIMS?L4DE AGGREGATE i <br /> DED ETE ON i <br />(?` WO RKHta COMPENBATON <br />' A7 1 AOS X VNC 8TATU- OTH- <br /> <br />C AND EMPLOYERS <br />LUUMDTY <br />v / N <br />WC7$31-004334-021 (OR <br />W? <br />10/012011 <br />10/012012 <br />000 <br />1 <br />000 <br /> ANY PROPRIETOR/PARTNER/EXECVTIVE , E.L EACH ACCIDENT ' <br />' <br />i <br /> <br />C OFFICER/MEMBER EXCLUDED? ? <br />(Msndatery In NH) N / A <br />EWS83N-0OA334421 (OH) <br />10/012011 <br />10/012012 <br />E.L. DISEASE - EA EMPLOYE <br />6 1,000,000 <br /> n neauw uneY? '$500K LIMIT / S500K SIR' 000 <br />1 <br />000 <br /> DESCRIPTION T E.L DISEASE -POLICY LIMB , <br />, <br /> _, . [:._l <br /> !?, <br />r-. <br />DESCRIPTION OF OPERATIONS / LOCATON8 / VEHCLEB (AMaeh ACORD 107, Additlonal RamerM 8dladuls, H mere epees V requlrW) <br />G? <br />401330; MAINT/REP ALARM SYSTEM-;P•D. FACIUTV 2800023858 ALL OPERATIONS A?" c?? J t ? _ y ) ?J-?} , <br />r'_" <br />EE ATTACHED ?? <br />LL 'T?? p ?' <br /> <br />fiA1L1L.4af ? I( <br />GERTIFIGATE MC7LUEK fiArv{rC LL/?IIVIV <br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />ATTN: CLERK OF THE CITY COUNCIL THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CMC CENTER PLAZA (M30) ACCORDANCE WITH THE POLICY PROVISIONS. <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702-1988 AUTHORIZED REPRESENTATVE <br />of Marsh USA Ins. <br />Manashi Mukhar)ee .?]tiC.CLUAadsa -? <br />® 1988-2010 ACORD CORPORATION. All rlahta reserved. <br />ACORD 26 (2010/06) The ACORD name and logo era registered marks of ACORD