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� - aoo°�- i °► � - a 1 <br />�A�_ °R °® CERTIFICATE OF LIABILITY INSURANCE DATE (MrwoD /vvvv) <br />�� 09/16/2011 <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 hpolderr♦�•pn �11flQI�IC�NA��N$�jR the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the olic rer�l-t ff of Iles may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER '- / = CONTACT <br />MARSH USA, INC. G � I ��_ ^' ' NAME: _ <br />— __.. <br />1 – - - _ - - -_ _.__ .- __ –___ <br />445 SOUTH STREET Ct i - - � �� I *•+�' L PH4 �JYO�Eatly __._. _ _ __. .. _- _ ac NoL ___ <br />MORRISTOWN, NJ 07980 -6454 s_ _ � � - E -MAIL � - - "- - -_ -- <br />ADDRESS: <br />_10012_9_- 6.76A -SBT1 -11/12 -_. _ _610 <br />INSURED <br />SIEMENS INDUSTRY, INC. INCLUDING <br />BUILDING TECHNOLOGIES DIVISION <br />1000 DEERFIELD PARKWAY <br />BUFFALO GROVE, IL 60089 -4513 <br />INSURER(SL AFFORDING COVERAGE <br />NAIC X <br />INSURER A HDI- Gerling America Insurance Company <br />41343 <br />23035 <br />_ -- — - -- <br />wsuReR B_ Liberty Mutual Fire Ins Co <br />wsuRER c : Liberty Insurance Corporation <br />,42404 <br />[']AVER A/'�FS CFRTIFIC ATF NI IMRFR- Nvr nnann�aan_�t Rcvlcl/lwl wu uwoco. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PF_RIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />C:ERTI FICATE 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 />- <br />ItJSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER- <br />� <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD /YV VV <br />POLICY E %P <br />MM/DD /YVYV <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE [� OCCUR <br />Manashi Mukherjee _.I'yi.auoo ti_ `b4 -- w�ar� <.L <br />GLD11101 -03 <br />10/01/2011 <br />10/01/2012 <br />EACH OCCUR_ RENCE <br />$ 1,000,000 <br />DAMAOiE TO RENTED <br />PREMISES' (Ea occurrences_ <br />� 1 OOQOOO <br />$ _ _ <br />MED EXP (Any one person) <br />100,000 <br />$ , -, — <br />PERSONAL 8 ADV INJURY <br />$ 1.000,000 <br />______ <br />GENERAL AGGREGATE <br />$ 10,000,000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ INCL <br />X POLICY <br />PRO LOC <br />$ <br />B <br />AUTOMOBILE <br />___.._ <br />LIABILITY <br />AS2 -631- 004334 -211 <br />10/01/2011 <br />10/01/2012 <br />COMBINED SINGLE LIMI i <br />SH cggPnO _._...___ -_. _.__ <br />€_ 2,000,000 <br />'� <br />ANY AUTO <br />I <br />� <br />UODILV INJURY (Par person) <br />� $ N/A <br />X <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accrtlent ) <br />$ N/A <br />X <br />PROPERTY DAMAGE <br />Per accitlen,_.- _._____, _. <br />$ N/A <br />_ _ <br />NON -OWNED <br />HIRED AUTOS X AUTOS <br />UMBRELLA LIAB <br />_ <br />OCCUR <br />OC_CUR_R ENC_E <br />$ <br />_EACH __ <br />AGGREGATE <br />____ ____ <br />$ <br />E %CESS LIAB <br />CLAIMS -MADE <br />DED RETENTION <br />_ <br />$ <br />C <br />WORKERS COMPENSATION <br />WA7 -630- 004334 -011 (AOS) <br />10/01/2011 <br />10/01/2012 <br />X WC SrATU- OTH- <br />O <br />C <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR /PARTNER/E %EGUTIVE V /N <br />OFFICER /MEMBER EXCLUDED? N <br />(Mandatory in NH) <br />N/A <br />WC7 -631- 004334 -021 (OR, Wq <br />EWS -63N- 004334 -421 (OH) <br />10/01/2011 <br />10/01/2011 <br />10/01/2012 <br />10/01/2012 <br />__ TORY LIMIT$ __ <br />E. L. EACH ACCIDENT <br />_ _ _ _ _ __ _ <br />1,000,000 <br />E.L. DISEASE - EA EMPLOYE <br />_$_________ _ <br />$ 1,000.000 <br />II yes, tleseribe untler <br />DESCRIPTION OF OPERATIONS below <br />��S5OOK LIMIT / $SOOK SIR" <br />- -------- - - - -�� _._ <br />$ 1,000,000 <br />- - -- -- - -- <br />EL DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS / LOCATONS /VEHICLES (Attach ACORD 101, Adtli[ional Remarks Schedule, it more space is required) <br />E 401330; MAINT /REP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS +,. e, �� {� {_ ��E., D �.� ('i_j }_ � O jZ <br />SEE ATTACHED <br />\. / ��yj' <br />.___._ � __._ _.__ —___. __ �C __L_....... __ <br />�ti: >istz;lt i/. ^ty Ati,>rl:�y <br />CITY OF SANTA ANA <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />ATTN: CLERK OF THE CITY COUNCIL <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA (M -30) <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 -1988 <br />AUTHORIZED REPRESENTATIVE <br />of Marsh USA Inc. <br />Manashi Mukherjee _.I'yi.auoo ti_ `b4 -- w�ar� <.L <br />CIJ 7988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2070/05) The ACORD name and logo are registered marKs of ACORD <br />