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?-???w <br />AGENCY CUSTOMER ID: '100129 <br />LOC *: Morristown <br />ADDITIONAL REMARKS SCHEDULE Paga z of 2 <br />AGENCY NAMED INBURED <br />MARSH USA, INC. SIEMENS INDUSTRY, INC. WCLUDING <br /> DMSION <br />POUev NUM9eR 8000 DEERFIELD PARKWgY <br /> BUFFALO GROVE, IL BOD39-453 <br />CARRIER NAIC CODE <br /> EFFECTIVE DATE: <br />AYV? ? ?VIYAL RCMAKR3 <br />TH13 ADDITIONAL REMARKS FORM 13 A 9CHEDUL.E TO ACORD FORM, <br />FORM NUMBER: ZS FORM TITLE: Certificate of Liability InsurenCa <br />RE: SBT 28000?b788 <br />CITY OF SANTA ANA, R8 OFFlCERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATNES ARE WCLUDED AS ADORIONAL INSURED UNDER THE ABOVE REFERENCED GENERAL LIABILITY <br />AND AUTOMOBILE LUBILrfY INSURANCE POLICES AND THE COVERAGE AFFORDED THE ADDITIONAL INSURED UNDER THESE POLICIES SHALL BE PRIMARY AND NON-CONTRIBUTORY INSURANCE <br />TO THE EMENT THAT A CWM ARISES FROM THE NEGLIGENCE OF SIEMENS INDUSTRY, INC. OR ITS SUBCONTRACTORS WITH RESPECT TO ALL OPERATIONS <br />ACORD 101 (2008/01) ®2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are reglstersd marks of ACORD