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AGENCY CUSTOMER IO: 100129 _ <br />LOC T{: 1iMorrstmn <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 Of 2 <br />AGENCY <br />NAMES INSURED <br />MARSH UEA, INH <br />SIEMENS INDUSTRY, INC. <br />GUILD@N TECHNOLOGIES <br />1000 OEERF'IELLI PARKWAY <br />PoLACN NUMBER <br />GUP=ALO GROVE, IL 60080 <br />CARRIER <br />NAIL CODE <br />EFFECTNE DATE: v <br />hN UMVINA1 INCIVIARr1U <br />THIS ADDITIONAL RE'MARNSFORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 26 FORM TITLE: Certificate of Llabllity lnauranoe <br />REQ AEMA-52MU CITY OF SANTAANA DOWNTOWN SAFETY PROGRAM AMG OETMITION CENTER <br />SANTA ANA POLICE DEPARTMENT, CITY OF SANTA. ANA, ITS OFFICERS, EMPLOYEES, AGENTS AND VOLUNI EERS ARE IMCLUUM A.S ACOITIONAL IDISUR'EO UNDER <br />THE ABOVE REFERENCED GENIERAL LIABILITY ANtl AUTOMOBILE LIABILITY INSURANCE POUCIES AND THE COVERAGE AFFORDED NE ADD TONAL INSURED <br />UNDER THESE POLICIES SHALL BE PRIMARY AND NON-CONTRIBUTORY INSURANCE TO THE EXTENT THAT A CLAIM ARISES FROM THE NEGLIGENCE OF SIEMENS <br />INDUSTRY, INC. OR ITS SUBCONTRACTORS WITH RESPECT TO ALL OPERATIONS OF THE INSURED BU'rONLY WITH RESPECT TO ALL WORK PERFORMED BY AND <br />Old BEHALF Of THE NAMED INSURED, SIEMENS INDU51'RY, INC. FOR CERTIFtC1A.TE HOLDER UNDER CONTRACT, <br />THE OWNER AND CONTRACTOR WAIVE ALL RIGHTS AGAINST EACH OTHER AND A,M' OTHER CONTRACTOR, SUBCONTRACTORS, SUP -SUBCONTRACTORS, <br />AGENTS, AND EMPLOYEES, FOR OAMAGBE OR INJUR SE CAUSED BY PERILS TO THE EXTENT COVERS BY INSURANCE, EXCEPT SUCH RIGHTS AS THEY MAY <br />HAVE TO PROCEEDS OF SUCH INSURANCE HELD BY THE OWN ER ASA FIDUCIARY. <br />COMPLETED OPERATIONS COVERAGE IS INCLUDED IN THE GENERAL LIABILITY POLICY, <br />If THESE POLICIES ARE CANCELLED FOR AN9 REASON OTHER THAN NON-PAYMENT OF PREMIUM, THE INSURER WILL DELIVER NOTICE OF CANCELLATION To <br />THE CERTIFICATE HOLDER UP TOOL DAYS irFKX TO THE CANCELLATION ORAS REQUIRED BY WRITTEN CONTRACT, WHICHEVER IS LESS. <br />ACORD 101 (2006/01) _..__. 0 2006 ACORD CORPORATION. All rights reserved.. <br />I he AGURID name and logo areregistered marRa of ACORD <br />