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AGENCY CUSTOMER ID: 100129 <br />LOC #: Morristown <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />MARSH USA, INC. <br />SIEMENS INDUSTRY, INC. INCLUDING <br />BUILDING TECHNOLOGIES DIVISION <br />1000 DEERFIELD PARKWAY <br />POLICY NUMBER <br />]CODE <br />BUFFALO GROVE, IL 60089 -4513 <br />CARRIER <br />NAIC <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />RE, 401330; MAINTIREP ALARM SYSTEM - RD, FACILITY 2600023858 ALL OPERATIONS <br />THE CITY OF SANTA ANA - 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL <br />INSURED UNDER THE ABOVE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY INSURANCE POLICIES AND THE COVERAGE AFFORDED THE ADDITIONAL INSURED UNDER THESE <br />POLICIES SHALL BE PRIMARY AND NON- CONTRIBUTORY INSURANCE TO THE EXTENT THAT A CLAIM ARISES FROM THE NEGLIGENCE OF SIEMENS INDUSTRY, INC. OR ITS SUBCONTRACTORS WITH <br />RESPECT TO ALL OPERATIONS <br />ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />