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SIEMENS INC. 10 -2014
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SIEMENS INC. 10 -2014
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Last modified
4/30/2014 5:44:06 PM
Creation date
4/30/2014 1:38:35 PM
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Contracts
Company Name
SIEMENS INC.
Contract #
A-2014-025
Agency
POLICE
Council Approval Date
1/21/2014
Expiration Date
6/30/2014
Insurance Exp Date
10/1/2014
Destruction Year
2019
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE 09127//26, VYY) <br />2013 3 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies 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 <br />MARSH USA, INC, <br />445 SOUTH STREET <br />CONTA <br />NAME: <br />PHONE q/C No <br />fAIC, No. Exit <br />E -MAIL <br />ADDRESS: <br />MORRISTOWN, NJ 07960 -6454 <br />INSURER (S) AFFORDING COVERAGE <br />NAIC # <br />EACH OCCURRENCE <br />INSURER A:HDI- Gerling America Insurance Company <br />41343 <br />1001 29-6-7BA-SBT1-1 3/14 610 Guzma <br />INSURED <br />SIEMENS INDUSTRY, INC. INCLUDING <br />BUILDING TECHNOLOGIES DIVISION <br />INSURER B ; Travelers Property Casually Co. of America <br />25674 <br />INSURERC: The Charter Oak Fire Insurance Company <br />25615 <br />1000 DEERFIELD PARKWAY <br />BUFFALO GROVE, IL 60089 -4513 <br />INSURER D <br />$ 10,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />X POLICY PEPT. LOC <br />PRODUCTS - COMP /OPAGG <br />$ INCL <br />INSURER E <br />$ <br />INSURER F: <br />AUTOMOBILE <br />X <br />X <br />X <br />LIABILITY <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />A UTOS AUTOS <br />NONAWNED <br />HIRED AUTOS X AUTOS <br />COVERAGES CERTIFICATE NUMBER: NYC - 06604288442 REVISION NUMBER: <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 <br />R <br />TYPE OF INSURANCE <br />ADDL <br />SU D <br />POLICY NUMBER <br />MM /�DY� <br />POLICY IIVEYYr <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE IT] OCCUR <br />of Marsh USA Inc. <br />GLD1110105 <br />1010112013 <br />10/0V2014 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMA ET RENTED <br />PREMISES Ea occurrence <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 100,000 <br />PERSONAL is ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 10,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />X POLICY PEPT. LOC <br />PRODUCTS - COMP /OPAGG <br />$ INCL <br />$ <br />B <br />AUTOMOBILE <br />X <br />X <br />X <br />LIABILITY <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />A UTOS AUTOS <br />NONAWNED <br />HIRED AUTOS X AUTOS <br />TC2JCAP7440L34A13 <br />10/01/2013 <br />10101/2014 <br />COMBINED SINGLE LIMIT <br />Re eccldent <br />2,000,000 <br />BODILY INJURY (Per person) <br />$ Nlq <br />BODILY INJURY (Per accident) <br />$ N/A <br />PROPERTY <br />Per accitlent DAMAGE <br />$ NIA <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED RETENTION$ <br />$ <br />C <br />B <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PRDPRIETORIPARTNEwexecunvE YIN <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatorym NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />TC20UB744OL27113(AOS) <br />TRJUB7440L28313(AZ, MA, OR &WI) <br />TWXJUB7440L33813 (OH & WA) <br />`$500K LIMIT / $500K SIR` <br />10101/2013 <br />1010112013 <br />10101/2013 <br />10101/2014 <br />10101/2014 <br />1010112014 <br />X WCSTATU- oTH- <br />L <br />E.L. EACH ACCIDENT <br />1,000,000 <br />$ <br />E.L. DISEASE EA EMPLOYED <br />$ 1,000,000 <br />E.L. DISEASE POLICY LIMIT <br />Is 1,000,000 <br />O ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach AC ORD 101, Additional Remarks Schedule, if more space Is recall red) <br />RE: 401330', MAINTIREP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS <br />SEE ATTACHED A.MOVED ./�S TO i"K4 1 <TV1 <br />i.a llra S MCB y <br />CERTIFICATE HOLDER .[assistant. 91ty Attorney CANCELLATION <br />CITY OF SANTA ANA <br />SHOULD ANY 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 <br />ACORD 25 25 (2010105) <br />©1988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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