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HomeMy WebLinkAboutSIEMENS BUILDING TECH 1A - 2004 " , City of Santa Ana Clerk of the Council COTC Office Use Only AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. Is the agreement(s)a permanent record?Yes No)( Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with (YIN' wen au' 7 /ii / u'es Ali HeQgte No. A — 3 -t 22 was completed on ,' /!l / and final payment has been wide. p (List all amendments. Use space be if-needed. ! a1H belie/WA aCrO (Aaer 2063-622- eilea tV a 3 "003' 3/ ar'tment: l��A , IcatiA . M t'n/we* '-.2 3 -6 22 -01 Phone/Ext.: 0.97 fOA- eq3b —fib Signature: ' -�-• i Date: 41;0/ Revised: 10-18-16 ~stJRANCE ON FILE wORK I',',^¥ PROC££D UNTIL I~SU~'~CE E×PII~ES DATE: ~" 2~ ~ ~ AMENDMENT TO PERFORMANCE SERVICE AGREEMENT THIS AMENDMENT, made and entered into on this 5 th day January, 2004, by and between Siemens Building Technologies, Inc., a Delaware Corporation ("Contractor") and the City of Santa Ana, a charter city and municipal corporation duly organized and existing under the Constitution and laws of the State of California ("City"), collectively referred to herein as "the Parties". RECITALS A. The Parties entered into that certain agreement entitled "AGREEMENT FOR THE PURCHASE, iNSTALLATION AND MAiNTENANCE OF ENERGY CONSERVATION MEASURES, hereinafter referred to as "said Agreement", for providing energy saving products and services. B. The Parties hereto now desire to amend Exhibit A of said agreement, and the Compensation term of said Agreement in order to in order to provide continuous uninterrupted service under the Agreement. WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter contained and made, and subject to all of the terms and conditions of said Agreement as hereby amended, the parties hereto do hereby agree as follows: 1. Exhibit A, of said Agreement, pertaining to Scope of Services of said Agreement is hereby amended by including the terms as set forth in Attachment 1 to Exhibit A of said agreement "Siemens invoices no's 62302-co#1, 6202-co#2, and 6202-co#3, attached hereto incorporated herein by reference. 2. Section 4, of said agreement, pertaining to "Compensation" term of said Agreement is hereby amended to reflect an increase in compensation of $12,452.00, due to an unexpected increase in the City's need for the Consultant's services under said Agreement. 3. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year first above written. Clerk of the Council CITY OF SA/NTA.ANA DAVID N. REAM City Manager (signatures continued) APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attom. ey ' Michael Vigliotta ~ Deputy City Attorney RECO/3J'~ME ED FOR APPROVAL: Cd~od~fitd~(R.~i°ma Executive Dttector of the Finance Agency CONTRACTOR D-U-N-S 08-690-3861 .Si EM Ei iS 1 L~ndi$ Di¥iEiOn Customer # 00740773 ~~ To ensure proper payment app cation to your accounL ~,~t ~lease Include your INVOICE · 6202~O~2 ,20 Civic Center Plaza M-11 Santa Ana, California MANUAL JBILLING CONTACT: ~onna Muraco SIEMENS BUILDING TECHNOLOGIES INC. 10775 BUSINESS. CENTER DR. BUILDING AUTOMATION GROUP CYPRESS, CA 90630 7850 Coflection Center Ddve (714) 816-1450 Chicago, Illinois 60693 Emall: don na.m ura¢o~slemens, com CONTRACT SUMMARY REFER TO THESE NUMBER WHEN CORRESPONDING CONTRACT NO, INVOICE NO. & DATE 609-MQ~202 6202-CO ~2 ~ 1011012003 Patching & Painting of Library Exterior Window Frames (Costs) Change Order #3 BASE CONTP,~CT AMOUNT AL EXTRAS TO DATE INVOICE FOR WORK'PERFORMED ON THE INSTALLATION OF ~i TEMPERATURE CONTROLS BUILDING AUTOMATION SYSTBt~IS $3,000.00 · ~' ,: . TOTAL WORK COMPLETED TO DATE $ $3,000.00 $3,000.00 ~)2. LESS RETENTION TOTALREQUISITIONSTODATE S $3,000,00 . ;4. LESSPRZORREOUI$1T[ONE $ BA~CE CU~E~L¥ u.~^~o s S3,O0O.00 ~i~. s $3,000.00 $3.000.00 $3,000.00 TERMS: PAYABLE UPON RECEIPT Customer g 00740773 D-U-N-S 08-690-3861 SIEMEr IS Landis Division p[ea~e Include your INVOICE # 6202-CO83 .20 Civic Center Plaza M-11 Santa Aha, California MANUAL BILLING CONTACT: Donna Muraco SIEMENB BUILDING TECHNOLOGIES INC. 10775 BUSINESS CENTER DR. BUILDING AUTOMATION GROUP CYPRESS, CA 90630 7850 Collection Center D6ve (714) 816-1450 Chicago, lflinois 60693 Emall: don na.mu rac~sleme ns.c.o~_m-- .-~ ~ CONTRACT SUMMARY CONTRACT NO. 609-MQ-6202 INVOICE NO. & DATE $202-CO fk3 1011012003 Pull Stat Wire tn Council Chamber (Cost) Change Order#3 ~"OTA L EXTRAS TO DATE REVISED CONTRACT AMOUNT $ $2,835J:)0 TOTAL REQUISITIONS TO DATE $ $2,835.00 ~CE CURR~Y UNPAID $ $2~35~0 INVOICE FOR WORK'PERFORMED ON THE INSTALLATION OF $2,835.00 ~;iTEMPERATURE CONTROLS BUILDING AUTOMATION SYSTEMS '~I I. TOTAL WORK COMPLETED TO DATE $ $2,835.00 LESS RETENTION $ % TOTAL EARNED LESS RETENTION S $2,835.00 {Line 1 ~ess L~ne 2) LESS PRIOR REQUISITIONS AMOUNT OF REOUIStTION (b~fm'e taxes) $ $2,835,00 (Line 3 less Line 4) TOTAL OF THIS REQUISmON $ $2,835.00 TERMS: PAYABLE UPON RECEIPT Customer # 00740773 D-U-N-S 08690-3861 SIEMENS Landis Division proper payment application to your accouaL please Include your INVOICE ~ 6202-CO#1 on check voucher stub when remitting paymenL '~nC ,,.C ......... a,,, ,1 Santa Aha, California MANUAL BILLING CONTACT; REFER TO THESE NUMEER '¢*"riE N CCRRF_S~C'~:NG ~"~--~ :SIEMENS BUILDING TECHNOL~IES INC, CONTACT NO. I~O~CE NO. & DATE 10775 BUSINESS CENTER DR. BUILDING A~O~T~ON GROUP CYPRESS, CA 90630 7850 ~lle~ion ~nler Drive (7J4) 816-14S0 Chi~go. Illinoi* 60603 I ~00-M0-6202 I 8202-C0 fimall: donna.mu~eo~l,m,n~.com I CONTACT SUM~RY Provide Four (4) Elevator Directo~ Sign~ge Change Order #1 ,sa CONTACT AMOUNT 8 $6,617.00 TOTAL EXTP~ S TO OATE $ Rav)EED CONTP,~,C? AMOUNT 8 $6,617.00{ TOTAL REQUISITIONS TO DATE $ $6,617.00 INVOICE FOR WORK*PERFORMED ON THE INSTALLATION OF TEMPERATURE CONTROLS BUlLGING AUTOMATION SYSTEMS 1. TOTAL WORK COMPLETED TO DATE $ $6,617.00 $6.617.00 .- 6 s $6,817.00 $6,817.00 $6,6t7.00 TERMS: PAYABLE UPON RECEIPT OK ,T-,O PAY .11/18/03 15:47 FAX 7147612134 SIEMENS BLDG ~002 ................... ~ '~ T-N~ P.002/004 CORO. CE 'E. ~ippany~a~ HO~ THIB CER~FICA~ OO~ ~OT ~END, ~EHD OR P.O. ~x 19~0 ~ - ~00~ '~ ~ ~ ~ ~T~ ~E OOVERA~E AFFORDED BY ~E POUCh8 BELOW. Mo~r~, ~ ~2-196~ I~12~. EOg A IN~U~N~ CORPO~TION ~ H~N~ER 81EMENS aut~ '~CH~L~I~, !~. ~ B ~[BER~ MUT~ F~ I~CE C UBBR~ MU~ ~U~ COMPANY D ....... ~,.~ ,~, ..:,::l. .~ '. ~ ~.... COVERAGES' , '?h$~(e,eu~e~de~nd~e~p~evou~y~t~ r:. ,' ' .. [,, ~.H, ?~ 1 A~ ~u~o ASl-B3t~4~ (OH) ~1~01~ 10/011~ MT, OR, & WI) 1,000,000 RE: 6~g* Cl'r~ OF ~.a,NTA ANA ENERGY AUD1T AT'TN; CL~RK OF TI4~ CITy CO~INCI L AOORO 25 {'1,~5) ':: ':' , ' ]:., · ]1/18/03 15:47 FAX 7147612134 · RD D'ITIO IAL,INF, ORMATION 1~00120,~A_- _. 80g ~000 DEEEFIELD BLIFFALO GROVE, II. 000~9.4513 SIEMENS BLDG 003 YN~ CITY OF ~N'~,A AN, A 20 CLV]C C E~,.q'E R P~.AZA, 5ANTA ANA. C;AL~FORHIA 62701: TT~ 0 ;FLOE fiB, EMPL.OYEE*~, A.C~-cNT E,VOLUN, T~ERS AND REPRE~TATIVI-~ AR~']NCLL~OED AS ADOITIONAL INSURED UNDER THE ABOVE REI~RE NC~D G~NERA~. ~.IA~ILWY AND AUTOM 0~t.~ ~.L~J~flJ'TY I~URANCE POUOES AND ?H~ COVERAGE A~ORDED THE ADDITIONAL LN.~UR~D UNDER **~1 E8 ~ POLICiEE SH~..L BE P RI U G~fl~6.~q D NON.~ON'I'RIBU'~y iNSUPd~CE TO THE EXTENT THAT A CLAI~ ARISES ~CROM THE N EGLIGE NC[ OD EIEMEHB BUILDING TECHNOLO E INC. OR IT~ 5 U ~C~TRACTOR8 WiTH REGPEC"T TO ALL 0 P~*'RAT]O NS OF THE INBURED BUT ONLY WITH RESPECT 70 ALL WORK pER~TQRMEO BY ANO ON BEHAJJ" OF THE NAMED IN6~iR~D, SIEMENS EIJILDIN~ ~ECHNCILOGIEE, INO. FOR CERTIFICATE HOLDER U~DER CONTRAC 11/18/03 15:48 FAX 7147612134 SIEMENS BLDG TECH/LAN~ ~004 2~0$-H-Ir~ 011:10 From,,~l~,~ IK: T-8~10 P,004/004 F-Z~i PQLICY F~UM~,i[R: ICH ~L. POLtC~ I:q-'RIOD: t 0/6'U03 - 10J01/04 COMMERCIAL GENERAL M/~ILITY ~IEMEI¢~ CORP. ETAL THIIS ENDORSEMENT CHANGES THE POI.ICY. PLF..ASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION Thla endorsement moclffles insurarloe provide~l un~er the following: COMMERCIAL GIENERAL LIABILITY COVERAGE PART SCHEDULE A. ~1,1~ # - Who Im An Inaumd i,~ ~d~ to ~u~e as an I~U~ ~e pe~on ~ ~n~on ~e~/or ~ ~n~. B. Wi~ r~p~ ~ t~e in~U~ ~rd~ to ~ addl~ona~ Insure, the ~llowing ~uslon ls a~de,~: 'i'llis Insutan~ ao~ not app~ ~ "bodily In. All weft,, inolucllng matM~le, parts or equipment furnished in ~nne~ w~ ~e, ma~a~ or ~lm) to be ~ byerm ~of~ a~ 0~ has ~ or Th~ poplin ~ ~ur ~k" out ~ which ~. Inlu~ or ~age ~s~ put to ~ Int~aed u~ ~y any pemon or organ~t~n ot~er ~an .no~ mn. ~a~r or sub~r p~in9 opera~ ~ a p~ ~ ~e ~me p~. It is e~lr~d that thi~; insurance me[ntalned pursuant to ~e ~d~en ~ agr~en~ ~a[I be p~ ~, and ~ot ~bu~ wEh a~y ~sumn~ ~ ~lf- I~u~nr~ maln~n~ ~ ~ a~ve, b~ only ~ ree~ work p~o~ed by or on behaE of ~e Nam~ I~u~. CG 2(I 10 10 01 © ]~D Properties, Inc., 2000 Page I of t I'1 .03/05/05 13:47 FAX 714 826 2353 SIEIlENS BLDG TEe 141002 if;I;;"';:'" ,~" -, '.-"..,... "~-~.".,~~,~~" .,AC!Jl!/)" "-:'~':"~.'~~'~~~~~~rlr,l",")o"or,~ '.'~~~"\'."I II" I' ~.'. ."r,....."'.':_~...,~~'~.;...~,:,.""".,...".I:\'~~'''h~ Ml'''t'''''lm'~ .-......, '," I I" ,.m._',~""'" '!~:I" 'u~.. 0'" 'I , ',': ,,' ". "~'."'~";f~";';I:.~" .......,..t , y ,: I' l l :p:...~~~:~:~~i.:-' j':~ ,i~ 09130104 , 1, "u" ....,.."l.~..,:.J,~",..L.~.r::~..~~ fU~l~il THI8 CERTIFICATS IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT8 UPON THE CE~TIFICATE HOLCER, THIS CERTIFICATE DOES NOT AMENC, eXTE"D OR ALTER THE COVERAGE AFFORcec BY THE POLICIES BElON, COMPANIES AFFORDING COVE~AGE IIf1l0CUCII!: MARSH USA INC. ~ WHIPPANY RO>\D P.O, BOX 1956 MORRISTOWN, NJ 07962.1966 loo12~A- 609 xxxx CQMPANT A INSURANCE CORPORATION OF HANNOVeR INSURECI SIEMENS BUILDING TECHNOLOGIES, INC, 1000 DEE~IELD PARKWAY BUFFALO GROVE,IL IlOOBIl-4513 OOMPAN'l' B LIBERTY MunJAL FIRE INSURANce COMPANY COMPANY C LIBERTY MUTUAL INSURANce COMPANY , COMPANV A. D Cll\1ER~G~S':i;"i'"'I" ,.....:"", ..""!lmt"' .' ' '""""'fi.lr;I;'''''~''''''.Ir~~"iijd''';;;;i;'''''''I'::::'~'.1/iI\ji!ijliji"''''''''.;F;''''"""."""lIr'" I ,,:''';''!''~I:~111'''l!iJ1 ijjjj , ,.1"1" ::,::;I"I;I~;llm ~1l."i"""'_"'''~~_'_''~'~~M,I.. !/i)~'VIIIll~lIr,~,~,~r.:...:.~J.s.:~~M"'" ~,_l'\1~~," ,.,IIfiIi:~." ":"'dl',:l'i'I~I~;)J:!,I_",,_,.,,..__,~~1 ,_t,,{t~!il':m",,__~...,,~ j .' :'lr.1f:ll1i'Jr.,Ii>lil<,.iIf;!1li~c.., ,....." . '''~..~,~ 1i,'h,RiUMI";;",~. ". ll'i1S IS TO CERTIFY THAT lHE POl,lClEs' :II~ INSURANCE LISTED BEl..OW HAW seeN ISSUED TO THE INSUReo NAMED ABOvE! FOR THE POLICY PERIOD INDJeAlCD, NO'l"VIJITHSTAND1NG ANY REQUIREMeNT. 'TERM OR CONOmoN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICI- THIS CERllFICA1E MAY E1G ISsueD OR MAY PERTAIN, 'THE IN:SVIUNC! AFFORDED BY THE POlIClli5 DeSCRIBED Hf.A.EJN IS SUBJECT TO ALL. THE TEF\MS. EXCLUSIONS ^NO cO"JOmONS OF SUCH pOl.ICleS, AGGREQATE LIMITS SHOWN MAY HAVE eJeEN RECUCCO BY PAID CLAIMS. CD TYII'1i OF ItllIURANCE 'OUC;Y HU.tE~ 11'01.10'1' EfFleTIve POlICY O'IIU.T1C1H U"l1 "" DAT& IMIlWDfTTl DATE rMMlODIYYI A ~LLlASlUTV ICH GL 13241 10101104 10101105 GENERALAGGR~GA~ $ 10 000,000 X COAU.1EFlew.. C;;C.NI:IVIL UAellUTY P~UCT5. COMP'tOP AGG $ INCL. I CLAIMS MADE ~ OCCUR PERSONAl." ArN INJURY $ 1 000.000 OWNER'S & CON I ~,AC1'OR'S PROT EACH OCCURRENCE $ { 000,000 FIR. J:IAMAG!. {Any_ QrM fII\1 $ 1 000,000 MEO EXP fAA'I' 4M l"Il/'Ml'lJ $ 1 00,000 B AUTOMOBI1.E UAIIfl.I'I"Y AS2-<l31./104334.034 (AOS) 10101/04 10101105 COMBINED SINGLi LNIT $ 2000,000 X' .....NV AUTO AS1-<l31.OQ4J3HI54 (OH) 10101/04 10101105 X ALLOWNEDAUTOS BODILY INJvR'r' $ NlA 5CHEgUl.f.D AuTOS (parp8fSOl'lJ X HREDAUTOS BODILY INJURY $ N1A X NON-OWNED ALJ'roS {p_,Zl:ill.-.!J PROPERTY DAMAGE $ NlA CAflA~i LlAStL,lTY .....L1TO ONLY. EA ACCIDENT ANV'AUIO , 'THF.Fl 'lHAN ^UTO ONLY: EAC~ AGGREGA.TE ity Attorne EACt-4 OCCURRENCE UMDRELI.A FORM ,AGGREGATE , Ofl.lEi:! nw.I UMBRElLA FORM C i WORKER5 COMf'ENSATI ANO WAHI3D-004334-014 (AOS) 10/01104 1 0101/05 X TORY LIMITS .. 'jiMhil!m1 fe~ "'i:~"~~ml EM~LOY&RS'UA~UITY 10101105 1.000.000 WC7-63H04334-1J24 10101104 EACH ACCIDENT THE pFlOPRliTORl X INet (AK, ID. MT. OR, & Wij OIS8ASE - POLL:Y UMIT 1,000,000 PAR'l'N~~SIExeCUT1VE 1,000,000 OFFK:ERS AI'l.e: EXeL DISE.o\~E. EACH EIo1PLOYl:l: OTHER DESCRIPTION OF OPEIilATIgN!/LOCA nON.SIVEHICLESJS'iQA~ ITEMS RE: 609- CITY OF SANTA ANA EN!!RGY AUDIT SEE ATTACHED &~!~~-~~~~~~~~~~;~W~~_~~~~911f.f~:!ffiT~~~!~'i;~~~rrnt~W<<ji~~)t\9.~~B.~f:mg~~~j~illtij@,~2m.~;~~~' '~.I~@rlt1~mff~~W;il~]t%i~~jt SHOULD ANf Of llfE A&aVE DEtit:RIalCl POUCli$ BE QANCIOu..ED BUOJU: "H! EXPIRAnON DATI THiREOF, THE lNSlllU.NC:E eoMPAHY \NIt.1. ~ IlI!l\IL SO ""VG WlUT'TEN NOTle!:: TO THE OERTIFICAn HOLDER NAMEg TO llfE l-E FT, ~~U~,W~K~~~aiX ~lY'fll~~W< bA- ~~ ~:.t~'~~'.";" Ullian Campben . ~~.~J~,,~j~i!El!il!ln':';;;:~!I!I!~ii~~;rt::r;[;!;mr;II'i-'B1miJThi~!m,,:;;::,j;!,:ill ,iIIi~ii1li1iij1:U:i:lm~';;jf.fflmliilr~I,!1!ii!tr::i~rrii]rj\;1!:p.il1ii\t~!.I!mmljjii!1l~:,. . ..;.!:ll~~'li!mittii) CITY OF SANTA ANA ATTN: CLERK OF THE CITY COU~CIL 20 CIVIC CENTER PLAZA (M"lO) p ,0, BOX 19M SANTA ANA, CA 92702-1966 03/05/05 13:48 FAX 714 826 2353 SIEIlENS BLDG TEe 141003 PRODUCER MARSH USA INC. 44 WHIPPANY ROAD P.O, BOX 1966 MORRISTOWN. NJ 07'362-19$ .~~' ._._-,........~-'--.._"'Jf ~~~] ~Ti(MMI~'Orm ~I . . ~ ,..1,1!; 09/30!J4 , COMPANIES AFFORDING COVeRAGE COMPANV E COMPANY F 1 00129-1lA- INS\lUD 609 XXXX SIEMENS BUILDING TECHNOLOGIES. INC. 1000 DEERFIELD PARKWAY BUFFALO GROVE. R. 60061l-4613 COMPANY G COMPANY H l!~EX1LI:!!~~F~~~rl!;itllll~I~!Rl~N~~!m!;:i~'f~r:lYm"~~Jlijiii~~~tjjf.:~~@~;~;i"'~!~U~j ~~jljii;B~lTl~lMt:'~l~!l~lf!l!lIII. tiiM!~"':lidj~:~, 1!1\!!l~~I~imflF~'~!;lij.ilI~lf.~~r!~!I~~!~H~ ","'::."".1. ilif*~~~I~j~!~ Ril.~.!flIIJl!,!!!!i!!~ll.:'iildlilllill:,.._.. ,,:l!1t!lr..c!lJL!'iaI_,lIlllo':l~C;....~.,;;,.:.1[1~I'If\~I'I""'"'" .~iWr~:l;...._..., ! ~!ijllMlldlli6ll~~ l<.Ij'J~~mr:=r~!(/GIliDiiiIW,..~..!iP..IfIi~"..,~I~II1I.,*~r;~~IIlIIII\i\lr~"n: ,.,-,_.~..~,. f.~;.......~I~ 1tl~I~ii~i~Jt~, Re: 609- CITY OF SANTA ANA ENERGY ~ UOIT THE CITY OF SANTA ANA, 20 CI\IIC CEN'IcR PLAZA, SANTA ANA, CALIFORNIA 92701: ITS OFFICERS, eMPLQYCES.AGENTS. VOLUNTE:ER'l AND REPRESENTATlVES ARE INCLUDeD AS ADDmONAL INSUReD UNOER THE ABOVE REFERfNCED GENERAL LIABLlTY AND AUTOMOBILe LIABILITY INSURANCE POLICies AND THE COVERAGE AFFORDED THE ADDmoNAL INSURED UNOER THESE POLICIES SHALL Be PRIMARY AND NON-CONTRIBlTrORY INSURANCE TO THE OX11;NT THAT A CLAIM ARISES FROM THE NEGLIGENCE OF SIEMENS BUILDING Tl!CHNOLOC,IES INC. OR ITS SUBCONlRACTORS IJVI'T1ol RESPFCT TO ALL OPERA nONS OF THE INSUReD BuT ONLY WITH RESPECT TO ALL WORK PERF')RMEO BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUiLDING TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UND.R CONTRAC-'. / APPROVED AS TO FORM .~2/Z /Laura Stitt Sheedy ASSIstant City Attorney 1!C:*!FW:t\'l~T-ElICUl1ER!'~i'li~f.:::.":~:I;;:~!t'~!!!l,,1f!".-";l' ri\iF~;~W~::,fl;ll~lr ;lijii~~i'fJt~'~:":lIi~illli~ill!ilil':~; Ii;!,: I:!, !t~U'!1li1ll~W:.l' '~i' ~ .:1. :.J!!~l~'li !i""-;;;C-,w._i~ol~;~~,~,~~"....,;,,,,,,,,,....~~~:'~~:I;Jhi:;~lllI<i,~m!L}:::;:,'!::::":;~,.d:!:i:!t1=,,;.:;;;mI{l;,, ,.,.. ..\C~il"~~"~,.:r:o, ,.....!~~, ,;i'i~~,~~J"i;I!f',i~ ".,~ ~(;RJ.I~'~:r.II,;;;.,,~; CITY OF SANTA ANA ATTN' CLERK OF THe CITY COUNCIL 20 CIVIC CENTER PLAZA (M-W) P.O. BOX 1999 SANTA ANA, CA 927Q2-196S 'l~m~.:\,~~~L~t~~~~~~Ttjmlia;~i~~~~~iifi.Yi~;~_~j~!~!!!~~ MARSH USA INC, BY UIli.nC.m~bell ~~-!"CfI' ".''''.!11'. '~'!""'jliili~l'I~"'1r!/'liiilj"'~7:r:[.R~I!!il~~!I;:t1&l~' ~~~C':' ":i3lI~;wz;tIl!~I'!Ui' ~;ir~;;!,;~~m'l1Jl~IC~~';' ,"'--;mi~rn~~I~31~~~i!!~;:;m,:~:~, l'., ~~~.~~l':I,~i\~,~~,~ l "'~!~~~~~r.~;t . A CORl)~ CERTIFICATEOF.UABILlTY.INSURANCE DATE {MMJDDNY) 09/19/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 44 WHIPPANY ROAD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. BOX 1966 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MORRISTOWN, NJ 07962-1966 __ _ _ ~OMPANIES AFFORDING COVERAGE_ _ _ _ I COMPANY 100129-BA-- 609 XXXX -t A INSURANCE CORPORATION OF HANNOVER e--- -- - -------- ------------------ -- -...-- - ----- -------.----..--.-------- --- ---._---- INSURED COMPANY SIEMENS BUILDING TECHNOLOGIES, INC. L _ ~~BERTY MUTUAL FIRE INSURANCE COMPANY 1000 DEERFIELD PARKWAY I COMPANY -- - ---- - BUFFALO GROVE, IL 60089-4513 I C LIBERTY MUTUAL INSURANCE COMPANY ---._----..- A-:A':o3~Odd -o( ---..- ----.-._- ---- ---- ..- ------ \ CO~ANY COVERAGES This certificate. supersedes and. repla~s..any..previously.i5suedcertificate. THlS IS TO CERTIFY THAT THE POliCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POliCY PERIOD INDICATED, NOT'\^lITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, 1-. EXCLUSIONS AND CONDITIONS OF SUCH POliCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -----,-,._._..-.__._--~.._.__..._.._-.-_.__.._'--,--.._-- -.--.-.----. .-.-.----.-...--.-- -'-"-- co I I I POLICY EffECTIVE I POUCY EXPIRATIO;f LTR j' TYPE OF INSURANCE , POLICY NUMBER . DATE (MMfDD/VY) DATE (MMfDD/VY) . I' LIMITS A ! GENERAL LIABILITY ItCH GL 132-\l5 110/01/05 ! 10101106 :.2E.)\JERALAGqREGA~ ,I $__-----.!.O,OOO,OOO IX 1 COMMERCIAL GENERAL_LIABILITY I I I I PRODUCTS _ COMPfOP AGill INCL. 1------ ---- ~LI CLAIMS MADE ~ _-I OCCUR I 1 I . PERSONAL & ADV INJURY --+$ 1,000,000 -..--..----- '--'-..--.- ~ _I OVVNER'S & CONTRACTOR'S PROT . I EACH OCCURRENCE ' $ 1,000,000 I i -----11---- ir------ i ~E DAMAGE (Anyone fire) $ _. _1,000,000 MED~;-(Ariyo~eperson) 1$- - "100,000 B AUTOMOBILE liABILITY I AS2-631-004334-035 10/01/05 110/01/06 [ COMBINED SINGLE LIMIT i $ 2,000,000 1 X\ ANY AUTO r<- ALL OWNED AUTOS 1 1------1--- -- I ' BODilY INJURY . $ NIA ~J SCHEDULED AUTOS 1 ~er person) ---i '- - --- - --~-- X ~ HIRED AUTOS I I I BOOIL Y INJURY I $ N/A C8 -i NON-OWNED AUTOS (per accident) t----i- - - -- ~1---- - - -I I I' PROPERTY DAMAGE $ N/A , LGARAGE LIABILITY I $k, . I I~TO ONLY "5A ACCIDENT LL ___-~~_ i-I ANY AUTO I / {UC7--42--- ...QTHERTHAN AUTO ON~~1~~~~._~ i~------~I I .'. . .... ...~ I ~ _____ EACH ACCIDEN~-ti__ __.~_ : . i AGGREGATE $ ~ EXCESS UABlUTY : I I ~ACH OCCURREN,,"-- _ LL _ ~ __ '-=1 UMBRELLA FORM I AGGREGA"':~___-if__ __~ \- I OTHER THAN UMBRELLA FORM ;$ c I WORKERS COMPENSATION AND IWA7-63D~004334-015 (AOS) !10/01/05 10/01106 ! 1 ,,!c:srATu~;l ; om! I EMPLOYERS'L1AB1L1TY 0-.--.I9_RY U~ITS_,~~~_~:~~ IWC7-631-\l04334-025 110/01/05 10/01106 IEACHA~CID~___l!___~ ,O~~ I THE PROPRIETOR! ~ INCL (AK to MT OR & WI) ~~ASE,~ POLICY UMlr ,_~__ ~OOO,9.QQ. i PARTNERS/EXECUTIVE ' , , , I OFFICERS ARE: ,'EXCL- i-DISEASE - EACH EMPLOYEE i $ 1,000,000 rOTHER i i I I I I I I I I DESCRIPTION OF OPERATlONSfLOCATIONSNEHICLESlSPEClAlITEMS RE: 609- CITY OF SANTA ANA ENERGY AUDIT SEE ATTACHED CERTIFICATE HOLDER NYC-001505086-13 CANCEUATlON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WIll ~ MAIL CITY OF SANTA ANA ~ DAYS WRITTEN NOTICE TO THe: CERTIFICATE HOLDER NAMED TO THE LEFT, ATTN: CLERK OF THE CITY COUNCIL 20 CIVIC CENTER PLAZA (M-30) ~1ll\IOO( P.O. BOX 1988 ~~~~JOliOOlX SANTA ANA. CA 92702-1988 JQIDI- ElIJ~ ~SH~A"~~._ Rich O'Connor ACQRD25 (1195) i!)ACORD CORPORATION 19118 . ADDITIONAL INFORMATION PRODUCER MARSH USA INC 44 WHIPPANY ROAD P.O. BOX 1966 MORRISTOWN, NJ 07962-1966 DATE (MMIOD/VY) NYC-001505086-13 09/19/05 ~ _..._.._~.~-~~-~ .-.__...~.._~ COMPANIES AFFORDING COVERAGE COMPANY COMPANY I F INsUREO-:EMENS BUILDING TECHNOLOGIES,',N;-- -- --T-;;OMPANY' -- - --- - ---- --.- -- 1000 DEERFIELD PARKWAY I G BUFFALO GROVE, IL 60089-4513 1_____ _______________ I C~MPANY 100129-BA-- 609 XXXX TEXT RE: 609- CITY OF SANTA ANA ENERGY AUDIT THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL INSURED UNDER THE ABOVE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY INSURANCE POLICIES AND THE COVERAGE AFFORDED THE ADDITIONAL INSURED UNDER THESE POLICIES SHALL BE PRIMARY AND NON-CONTRIBUTORY INSURANCE TO THE EXTENT THAT A CLAIM ARISES FROM THE NEGLIGENCE OF SIEMENS BUILDING TECHNOLOGIES INC. OR ITS SUBCONTRACTORS WITH RESPECT TO ALL OPERATIONS OF THE INSURED BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUILDING TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT '/15:5 2./<__ CERTIFICATE HOLDER CITY OF SANTA ANA ATTN: CLERK OF THE CITY COUNCIL 20 CIVIC CENTER PLAZA (M-30) P.O. BOX 1988 SANTA ANA, CA 92702-1988 MARSH USA INC, BY Rich O'Connor ~ ~.......~- Pa A COBP. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDfYV) 09/27/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 44 WHIPPANY ROAD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. BOX 1966 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MORRISTOWN, NJ 07962-1966 COMPANIES AFFORDING COVERAGE - - --- -- - - --- - -- ----- COMPANY 100129-6-7BA--06/07 609 XXXX A GERLING AMERICA INSURANCE COMPANY -- -- - - ----- ----- - -- .~ - - - -- -- - - - ---- ----- ----- ----- INSURED k;lroio-111t> COMPANY SIEMENS BUILDING TECHNOLOGIES, INC. B LIBERTY MUTUAL FIRE INSURANCE COMPANY 1000 DEERFIELD PARKWAY A- ;).(;03--0),';) --...-- - - - - - - - ---- ---- -- BUFFALO GROVE, IL 60089-4513 A - ;;lco3-0..Q.-ol COMPANY C LIBERTY INSURANCE CORPORATION ,- - - -- - - ------- -- -- -- COMPANY i D COVERAGES This certificate supersedes and replaces any previously issued certificate. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTVlfITH$TANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ----,---- --- ----- -1".-- .- -- --- POLlCY EFFECTIVE! ';;UCY EX~IRATIO-';-I---- -- - -- -- -- CO TYPE OF INSURANCE , POLICY NUMBER LIMITS LTR DA.TE (MMIDDlYY) DA.TE (MMIDD/YV) A GENERA'- lIAB1LlTY 17200509 GLP ! 10/01/06 10101/07 ~RALAGGREGATE ~_ ..'7,500,000_ 7.1 C::,MMERCIAL GENE~IABILlTY PRODUCTS - COMPfOP AGG $ INCL. , ~SONA~~DV INJUR~ . $ ~OO,OOO ---L-- CLAIMS MADE ~__' OCCUR I ------ -----= j O_ERS & CONTRACTORS PROT , EACH OCCURREN~ -t!--- ~~,o~~ ---- - --- - ~9AMAGE (Any one fire) _~~__ __~000,0~~ MED EXP (Any one pe~on) $ 100,000 B I AUTOMOBILE LIABILITY AS2-631-004334-216 10101/06 '10101/07 COMBINED SINGLE LIMIT $ 2,000,000 , Y ANV AUTO --.-..---- -t.-....-- ---- . l X ~ ALL OWNEO AUTOS BODILY INJURY 1= NIA _ . SCHEDULED AUTOS (Perpe~on) ---- -- --- 'X HIRED AUTOS BODILY INJURY NIA F-I NON<JWNED AUTOS (Per accident) , --- -- - - , PROPERTY DAMAGE $ NIA ~ GARAGE LIABILITY I ~.?!'J_LY. EA_,o1.CCIDENT__ ..L.. - R ANY AUTO _ .--- .. OTHER_T~AN AUT9._0NLY: _~,~_ -- - - - ___ _ EACHACgDENT_I_~ -- I AGGREGATE $ EXCESS LIABILITY I EACH OCCURRENCE $ ,-------, --....--- - -- -.. Il UMBRELLA FORM AGGREGATE $ --- --"--.- ---- OTHER THAN UMBRELLA FORM '$ C WORKERS COMPENSATION AND WA7-63D-004334-016 (AOS) 10101/06 10101/07 X WCST~l,~-?_U~,l,ti- EMPLOYERS' LIABILITY ~O_RY LlMIT~ E~ ~._ C 'WC7-631-004334-026 (OR, WI) 10101/06 10/01/07 ~_c:~CCIDEr-J~_-=- ~_ .' '.. '.~ ,6~ C THE PROPRIETOR! rq INCL 'EW7-63N-004334-046 (WA) 10/01/06 10/01/07 'DISEAS!'-._._POLlCY _L~M~-r-L- .. ~OO,~~ I PARTNERS/EXECUTIVE :- EXCL $5ooK LIMIT I $5ooK SIR OFFICERS ARE- DISEASE - EACH EMPLOYEE $ 1,000,000 laTHe" , I I ! , I DESCRIPTION OF OPERATIONS1LOCATIONSIVEHICLESJSPECIAL ITEMS .~(lc RE: 609- CITY OF SANTA ANA ENERGY AUDIT SEE ATTACHED CERTIFICATE HOLDER NYC-001505086'17 CANCElLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ~ MAIL CITY OF SANTA ANA ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ATTN: CLERK OF THE CITY COUNCIL 20 CIVIC CENTER PLAZA (M-30) ~- P.O. BOX 1988 Xol\I<~~~lifI:~ SANTA ANA, CA 92702-1988 AUTHORIZED REPRESENTATIVE ~N"G?~tlA~'.LI.. Mary Radaszewski ACORD 2$ (11/0$) '" ACORD CORPORATION 1988 " Il. ADDITIONAL INFORMATION 100129-6-7BA--06/07 609 1-- -- I C;MPANY _l?MPANY _ _ DATE (MMfODNY) NYC-001505086-17 09/27/06 - -- --- - - -- - COMPANIES AFFORDING COVERAGE PRODUCER MARSH USA INC. 44 WHIPPANY ROAD P.O. BOX 1966 MORRISTOWN, NJ 07962-1966 ----- - - -- .- XXXX INSURED SIEMENS BUILDING TECHNOLOGIES, INC. 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089-4513 L~MPANY COMPANY H -----._- - TEXT RE: 609- CITY OF SANTA ANA ENERGY AUDIT THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL INSURED UNDER THE ABOVE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY INSURANCE POLICIES AND THE COVERAGE AFFORDED THE ADDITIONAL INSURED UNDER THESE POLICIES SHALL BE PRIMARY AND NON-CONTRIBUTORY INSURANCE TO THE EXTENT THAT A CLAIM ARISES FROM THE NEGLIGENCE OF SIEMENS BUILDING TECHNOLOGIES INC. OR ITS SUBCONTRACTORS WlTH RESPECT TO ALL OPERATIONS OF THE INSURED BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUILDING TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT 't%:3 2-/"L. CERTIFICATE HOLDER CITY OF SANTA ANA ATTN: CLERK OF THE CITY COUNCIL 20 CIVIC CENTER PLAZA (M-30) P.O. BOX 1988 SANTA ANA, CA 92702-1988 Page MARSH USA INC. BY Mary Radaszewski ~ a"''/,.~p ,.....;.: MARSH Marsh USA Inc. 10900 stone lake Blvd., 3'iJ Floor Austin, TX 78759 5123424400 Fax 2129480622 Njsiemens.csg@marsh.com Memo To: Date: From: Subject To Whom It May Concern September 20, 2006 Marsh CSS Siemens Corporation Certificates of Insurance 2006 - 2007 Policy Year As a Siemens Corporation Certificate Holder, please find attached your company's renewal certificate for the 10/1/06- 10/1/07 policy period. If you do not require this Certificate of Insurance, please advise by marking "delete" on the certificate and returning it via email (nisiemens.csgClllmarsh.com) or fax to (212) 948 0622. Best regards, Marsh CSS MAte Mill~h&MdpnnilrIC[)mpaflle~ MMC 2/20/2008 5:59 PM PAGE 2/004 Eastern Time Zone .. PRODUCER MARSH USA, INC. 44 VlJHIPPANY ROAD P.O. BOX 1966 MORRISTOVIIN, NJ 07962-1966 DATE (lINIDDIYY) 02120/08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIQHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE OOVERAQE AFFORDED BY THE POLIOIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY loo129~7BA-07/08 609 0704 XXXX A GERLING AMERICA INSURANCE COMPANY INSURED SIEMENS BUILDING TECHNOLOGIES, INC. 'A-2003-022 1000 DEERFIELD PARKWAY ~ " '" BUFFALO GROVE, IL 60089-4513 !A-2003-022-01 'A-2006-116 !~-2006-330 COMPANY B LIBERTY MUTUAL FIRE INSURANCE COMPANY COMPANY o LIBERTY INSURANCE CORPORATION COMPANY D THIS IS TO CERllFY lrIAT THE PQ.IOES a= INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAWED ABCNE FOR lrIE POLICY PERIOO INDICA 'TED, NOlWlTHSTANDING ANY REWIRENENT, 'TERM CR ~DI1lON OF ANY ~TRACT CR OTHER DOCUroENT WITH RESPECT TO WHICH THIS CERllFICA'TE MAY BE ISSUED OR MAY PERTAIN, lrIE INSURANCE AFFORDED BY lrIE PQ.IOES DESCRIBED HEREIN IS SUB.ECT TO ALL lrIE TERMS, EXCLUSIOOS AND ~DI1lONS OF SUCH POUOES. AGGREGA'TE LIMITS SHOMII MAY HAVE BEEN REDUCED BY PAID CLAIMS. co ~!PE OF tlSURllNCE PQ.ICY NUMBER PQ.ICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (lIMIDDIYY) DATE (lII/1IDDIYYI A GENERAl LIAEIILITY 7200509 GLP 10101/07 1 0/01108 GENERAl AGGREGATE $ 10,000,000 X COMMEROAl GENERAL lIABllIlY PRODUCTS - CaMP/a> AGG $ INCL. CLAIMS MADE ~ OCCUR PERSONAl &,ooV INJURY $ 1,000,000 OWNER'S & CONTRACTOR'S PROT EAOI OCCURRENCE $ 1,000,000 $ 1,000,000 $ 100,000 B AUTOMOBILE LIABILITY AS2~l-004334-217 10/01/07 10/01/08 $ 2,000,000 OOM81NED SNGLE LIMIT i X MV AUTO X AlL CMNED AUTOS 80DIL Y INJURY $ NIA ~EDULED Al.;TOS (Per perscnJ X HIRED AUTOS 80DILYINJURY NIA X (Per arod"'tJ $ NON-CM.NED AUTOS PRa:>ERlY DAMAGE $ NIA OARAOE LIAEIILITY !\UTa ONLY - EAACODENT $ ...............................................;.... ANY AUTO OTHER THAN AUTO ONLY' _~.~'4f::_-::_-:_._._.:\!,%~.:._-_-.-_. EAOI AOODENT $ AGGREGATE $ EXCESS LIAIILITY Ei'CH OCCURRENaE $ UMBRELLA FORM AGGREGATE $ , ~ER THAN UMBRELLA FORM $ ,C WORKERS COMPENSATION AND WA7~D-004334-017 (AOS) 10/01/07 10/01/08 GTH,"':-- ......._.............:.::.::.:::.?:~~t;:.::: EM PLOYERS' LlABlLnv ER ............................................':i:. C WC7-831-OO4334-027 (OR, WI) 10101/07 1 0/01/08 $ 1,000,000 C THE PROPRIETCR/ X INCl EWl-83N-004334-047 (OH) 10/01/07 10101/08 DISEAI'E . PQICY LI MIT $ 1,000,000 PARTNER~EXEClIl1'IE OFFI aERS ME EXCl $5OOK LIMIT I $SOOK SIR DISEAI'E . EACH EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONSIlOCATlONSIVEHICLESlSPECIAL ITEMS RE: 609- CITY OF SANTA ANA ENERGY AUDIT SEE ATTACHED CllY OF SANTA ANA AnN: CLERKOF THE CITY COUNCIL 20 CIVIC CENTER PLAZA (M-30) P.O. BOX 1988 SANTA ANA, CA 92702-1988 SHOULD ANY OF THE ABOVE DESCRIlED POLlaES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURANCE CONPANY WILL ~ MAIL .:~_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~ ~~ li)0()QiOO(~~)Ii1Q(~lQO(~~~ AU 11IDRIZED REPRESEIITAlIVE owihI A~...... /7 ttI, /a . March USAlnc. .n.-. UlilI fI"~--"" ~- BY: Mary RadaszllNSki MMC 2/20/2008 5:59 PM PAGE 3/004 Eastern Time Zone . PRODUCER MARSH USA, INC. 44 WHIPPANY ROAD P.O. BOX 1966 MORRISTO\l\lN, NJ 07962-1966 DATE (MMIDD1YY) * 02/~O(QB ,.""._..1 COMPANIES AFFORDING COVERAGE Ca"P~Y E COMPANY II' 100129-6-7BA-07/08 609 0704 XXXX INSURED SIEMENS BUILDING TECHNOLOGIES, INC. 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 6008~13 ~P~Y G ~P~Y H RE: 609- CITY OF SANTA ANA ENERGY AUDIT THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL INSURED UNDER THE ABOVE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY INSURANCE POLICIES AND THE COVERAGE AFFORDED THE ADDITIONAL INSURED UNDER THESE POLICIES SHALL BE PRIMARY AND NON.cONTRIBUTORY INSURANCE TO THE EXTENT THAT A CLAIM ARISES FROM THE NEGLIGENCE OF SIEMENS BUILDING TECHNOLOGIES INC. OR ITS SUBCONTRACTORS "WITH RESPECT TO ALL OPERATIONS OF THE INSURED BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS BUILDING TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT. CITY OF SANTA ANA ATTN: CLERKOF THE CITY COUNCIL 20 CIVIC CENTER PLAZA (M-30) P.O. BOX 1988 SANTA ANA, CA 92702-1988 lIa"'" USA I... f~'.:::'---"'. ~~ MMC J 2/20/2008 5:59 PM PAGE . POLICY NUMBER: 7200509 GLP 4/004 Eastern Time Zone COMMERCIAL GENERAL LIABILITY CG 20 10 0704 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, lESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : MY PERSON OR ORGANIZATION REQUIRED BY WRITTEN CONTRACT LOCIItlon. Of Covered 0 tions ALL LOCATIONS WHERE THE INSURED IS PERFORMING ONGOING OPERATIONS FOR AN ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT A. Section II - Who Is An Insured is amended to include as an additional insured the person(s)or organization(s) shown In the Schedule, but only with respect to liability for ''bodily injury" I "property damage" or "personal and advertising injury" caused, in whole or In part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; In the performance of your ongoing operations for the additional insured{s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these aQditional insureds. the following additional exclu- sions apply: .. This insurance does not apply to -bodDy Injury" or "property damage- occurring after: 1. All work, including materials, parts or equip- ment furnished In connection with such WOI1t, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the addltlonallnsured(s) at the location of the covered operations has been completed; or 2. That portion of "your WOJ1<" out of which the injury or damage arises has been put to its in. tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project