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SIEMENS INDUSTRY, INC. 12 -2014
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SIEMENS INDUSTRY, INC. 12 -2014
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Last modified
5/4/2020 11:40:48 AM
Creation date
7/22/2014 1:46:12 PM
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Contracts
Company Name
SIEMENS INDUSTRY, INC.
Contract #
A-2014-117
Agency
FINANCE & MANAGEMENT SERVICES
Council Approval Date
5/20/2014
Expiration Date
6/30/2015
Insurance Exp Date
10/1/2014
Destruction Year
2020
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`°°�'�"R& CERTIFICATE OF LIABILITY INSURANCE <br />li, <br />DATE /2013 YYYY) <br />0912712013 <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 pollcy(les) 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 />446 SOUTH STREET <br />MORRISTOWN, NJ 07900.0454 <br />HAME AME1 <br />FAX N <br />E-M R <br />INSURER(S), AFFORDING COVERAGE <br />NAIC <br />INSURER A:HDI- Gerling America Insurance Company <br />41343 <br />100129.6- 7BA -SBT1 -13114 610 Guzma <br />INSURED <br />SIEMENS INDUSTRY, [NO, INCLUDING <br />BUILDING TECHNOLOGIES DIVISION <br />INSURER S; Travelers Properly Casualty Co. of America <br />26674 <br />INSUReac; The Charler Oak Fire Insurance Company <br />25615 <br />1000 DEERFIELD PARKWAY <br />BUFFALO GROVE, IL 60089.4613 <br />INSURER D; <br />INN RE; <br />10,000,000 <br />SENT AGGREGATE <br />X POLICY <br />INSURER F ; <br />PRODUCTS- COMPIOPAGG <br />$ INCL <br />COVERAGES CERTIFICATE NUMBER; NYC - 006042884.42 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 />LTR <br />TYPE OF INSURANCE <br />AUDL <br />INSP <br />BURR <br />POLICY NUMBER <br />MMIDCY EFF <br />POLICY EXP <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE rT OCCUR <br />OLD111O105 <br />1010112013 <br />10/01/2014 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISEli o ^urrre <br />$ 1,000,000 <br />$ 100,000 <br />MED EXP Any one person <br />PERSONAL &ADVINJURY <br />$ 11000,000 <br />GENERAL AGGREGATE <br />10,000,000 <br />SENT AGGREGATE <br />X POLICY <br />LIM IT APPLIES PER: <br />PRO LOC <br />PRODUCTS- COMPIOPAGG <br />$ INCL <br />$ <br />B <br />AUTOMOBILE <br />X <br />X <br />X <br />LIABILITY <br />ANYAUTO <br />AUT OWNED SCHEDULED <br />X NON -OWNED <br />HIRED AUTOS AUTOS <br />T02JCAP1440L34A13 <br />1010112013 <br />1010112014 <br />COM @I MINGLE LIMIT <br />2,000,000 <br />BODILY INJURY (Per person) <br />$ NIA <br />BODILY INJURY (Per accident) <br />$ NIA <br />PReOPERTY DAMAGE <br />$ NIA <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED I I RETENTION <br />IS <br />C <br />B <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS LIABILITY <br />ANY PROPRIETOWPARTNEWEXECUTIVE YIN <br />OFFIDERIMEMBER EXCLUDED? <br />(Mandatary In NH) <br />If yae, tlaecnhe antler <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />T 20UB744OL27 (A OS) <br />TRJUB7440L28313 (AZ, MA, OR WI) <br />TWXJUB7440L33813OH &WA <br />( ) <br />1 °�$606K LIMIT/ $500K $R "° <br />10/01/20 3 <br />1010112013 <br />10101IM13 <br />1011HI2014 <br />10101/2014 <br />10101/2014 <br />X WC STATU. OTH- <br />LIMITS ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />ELL. DISEASE -EA EMPLOYE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />RE: 401330', MAINTREP ALARM SYSTEM -PA FACILITY 2600023868 ALLOPERATIONS <br />SEE ATTACHED CAP,6p OVFD AS TO FORM <br />CERTIFICATE HOLDER Assistant Cary t-itturuc,y f`ANf`Pr I ATInN <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 Mash USA Inc. <br />Manashl Mukher) ee <br />©1988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />
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