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HomeMy WebLinkAboutSIEMENS BUILDING TECH 1B -2006 " , 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TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect.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 VURANCE GN hLt A- 2006 -116 VGORK C,!Jo .'F:' -,UEC UNT!L i,6U'Ri,i':GE EXPiRLS IV -- 1 — V & .._ CLERK OF COUNCU., 0IPTE 7_- 16—C(C' �? Fiyl�:, ( -') SECOND AMENDMENT TO AGREEMENT THIS SECOND AMENDMENT TO AGREEMENT is entered into on May 15, 2006, by and between Siemens Building Technologies, Inc., a Delaware corporation ( "Consultant ") and the City of Santa Ana, a charter city and municipal corporation of the State of California ( "City "). RECITALS: A. The parties entered into Agreement A- 2003 -022, dated February 3, 2003, (hereinafter "said Agreement ") by which Consultant has provided modification and repair of energy management systems for various City facilities. B. In accordance with the terms and conditions of said Agreement, the parties wish to renew said Agreement for an additional one year period. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this Second Amendment to Agreement, the parties agree as follows: Section 2, SCOPE OF SERVICES, shall be amended by adding a paragraph 7, which shall read as follows: "7. Contractor shall, upon written request of the City Manager or his designee, provide system modifications outside the scope of routine maintenance. Said services shall be compensated at Contractor's then current published service rate." 2. Exhibit A, SCOPE OF SERVICES, shall be amended by amending Section 17, "Exclusions to Scope of Work ", paragraph 6, shall be amended to read: "6. Repairs and replacement of equipment parts and components is limited to restoring proper working condition. Contractor shall not be obligated to provide replacement equipment that represents significant betterment or capital improvement, except as set forth in Section 2, paragraph 7, of said Agreement. Exchanged parts and components become property of Contractor. 3. Section 4, COMPENSATION, shall be amended to increase compensation by $12,000.00, annually, for a total annual modification and repair amount not to exceed $74,577.00. IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement on the date and year first written above. ATTEST: PATRICIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: v ...* j La a heedy Assistant City Attorney CITY OF SANTA ANA DAVID N. R AM City Manager SIEMENS BUILDING TEC OLOGIES, INC. Jo Gruss r Building Technologies, Inc. 1 5 Business Center Drive Cypress, CA 90630 6 3a -ab (jernenstildipg T rr� �. Gra t, MFin -BUS rain, Inc. 10775 BusinHss CeM Cypress; Oe inw ri + ACORDmm CERTIFICATE OF YY) LIABILITY INSURANCE /DATE 19 /05MIDD 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 COMPANIES AFFORDING COVERAGE COMPANY 100129 -BA -- 609 XXXX A INSURANCE CORPORATION OF HANNOVER —_ _— .. INSURED COMPANY SIEMENS BUILDING TECHNOLOGIES, INC. B LIBERTY MUTUAL FIRE INSURANCE COMPANY 1000 DEERFIELD PARKWAY -- —.— -- —.. -- BUFFALO GROVE, IL 60089 -4513 COMPANY C LIBERTY MUTUAL INSURANCE COMPANY COMPANY 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, NOTWITHSTANDING 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. COI POLICY EFFECTIVE POLICY EXPIRATION LTR. TYPE OF INSURANCE POLICY NUMBER DATE(MM /DDIW) DATE(MMIDDIW) LIMITS A GENERALLIABILITY ICH GL 132-05 10101105 10101106 GENERAL AGGREGATE $ 10,000,000 1FX 11 COMMERCIAL GENERAL LIABILITY 1� �L CLAIMS MADE L"' _ OCCUR rIPRODUCTS COMPIOP AG� INCL. PERSONAL & ADV INJURY $ i ODD DDD OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1 000 DDO FIRE_DAMAGE(Ay 1,000,000 oneflre) MED EXP (Any one Pelson) Is 100,000 B AUTO MOBILE LIABILITY iAS2- 631 - 004334 -035 10/01/05 10/01/06 COMBINED SINGLE LIMIT 2,000,000 X ANYAUTO I$ ALL OWNED AUTOS —BODILY—INJURY �$ FX NIA (Per person) SCHEDULED AUTOS — — X III HIRED AUTOS CNON BODILY INJURY N/A IPer accitlenQ $ -OWNED AUTOS -- ' P ROPERTY DAMAGE $ N/A GARAGE LIABILITY ANY AUTO JI - AUTO ONLY - EA ACCIDENT 1 $ _- (I �'L Y `� / OTHER THAN AUTO ONLY EACHACCIDENT $ r A/ AGGREGATEt$$ EXCESS LIABILITY EACH OCCURRENCE /UMBRELLA FORM LAGGREGATE_ $ OTHER THAN UMBRELLA FORM 1 - C EMPUOYPS'U NSATIONAND EMPLOYERS'LIga1LITY WA7 -63D- 004334- 015(AOS) 10101/05 110/01/06 oR SLATU- � 7 WC7- 631 -004334 -025 _ [X 10 {01/05 10/01/06 1EACH ACCIDENT L 1,000,000 THE PROPRIETOR/ (� PARTNERS/ExwunvE X - ILL (AK, ID, MT, OR, & WI) _ i DISEASE, -POUCV uMrr I $ —1,000,000 f OFFICERS ARE EXCL DISEASE - EACH EMPLOYEE $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLESISPEOIAL ITEMS RE: 609- CITY OF SANTA ANA ENERGY AUDIT SEE ATTACHED CERTIFICATE HOLDER NYC- 001505086 -1.3 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL A6X*Awft MAIL CITY OF SANTA ANA 30 ATTN: CLERK OF THE CITY COUNCIL — DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 20 CIVIC CENTER PLAZA (M -30) xxxmmwg w P.O. BOX 1988 SANTA ANA, CA 92702 -1958 bWAUXXY*XJidI;1"X bXXX W6kXiMX fX SH A � Rich O'Connor ACORD 25 (1/96)'; ':' p ACORD CORPORATION 1988'.. ADDITIONAL INFORMATION NYC - 001505086 -13 o9ii9ios PRODUCER COMPANIES AFFORNG COVERAGE MARSH USA INC DI 44 WHIPPANY ROAD COMPANY RO BOX 1966 E MORRISTOWN, NJ 07962 -1966 COMPANY F 100129 -BA -- 609 XXXX INSURED COMPANY SIEMENS BUILDING TECHNOLOGIES, INC. 1000 DEERFIELD PARKWAY G BUFFALO GROVE, IL 60089A513 ` COMPANY H 1.n' 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. 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 c _ �'/ 2 MARSH USA INC. BY Rich O'Connor - Page ACORD CERTIFICATE OF LIABILITY MI °DM) INSURANCE 09/2DATE 7/06 /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 -76A- -06/07 609 XXXX A GERLING AMERICA INSURANCE COMPANY INSURED v+( w COMPANY SIEMENS BUILDING TECHNOLOGIES, INC. B LIBERTY MUTUAL FIRE INSURANCE COMPANY 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 600894513 COMPANY LIBERTY INSURANCE CORPORATION COMPANY — — - 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, NOTWITHSTANDING 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. CO LT R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDD/YY) DATE (MMIDD /YY) LIMITS A GENERAL LIABILITY 7200509 GLP 10 /Oi /06 10/01/07 AGGREGATE $ 7,500000 X COMMERCIAL GENERAL LIABILITY ORAL _. —� T CLAIMS MADE LX- OCCUR I PRODUCTS COMP /OP AGG $ INCL. PERSONAL&ADV INJURY 1 000,000 111 OWNER'S &CONTRACTOR'S PROT EACHOCCURRENCE $ 1,066,000 - -I - -- — - FIRE DAMAGE(Ary one fire) $ 1000000 MED EXP (Any one Pelson) B AUTOMOBILE LIABILITY AS2- 631 - 004334 -216 10/01/06 '.16, /6,7 /6,7 $ 100,000 X ANY AUTO COMBINED SINGLE LIMIT $ 2,000,000 X ALL OWNED AUTOS � BODILY INJURY $ N/A SCHEDULED AUTOS (Per person) _.__ 1XBO HIRED AUTOS X NON -0WNEDAUTOS 1 BODILY INJURY (PeraccMent) $ N/A PROPERTY DAMAGE $ N/A - -- _- GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ MANY AUTO OTHERTHAN AUTO ONE - EACH ACCIDENT 1 $ - -- — —.. EXCESS LIABILITY AGGREGATE $ -- J UMBRELLA FORM. EACH OCCURRENCE $ $ AGGREGATE OTHER THAN UMBRELLA FORM 1 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WA7 -63D- 004334- 016(AIDS) 10/01/06 10/01/07 X WCSTAU- C 1WC7- 631 - 004334 -026 (OR, WI) 10/01/06 10/01/07 TORY LIMITS_ ER - EACH ACCIDENT _ - $ 1 000,000 C THE PROPRIETOR/ X INCL 'EW7- PARTNERS/EXECUTIVE P— 63N- 004334 -046 WA ( ) 10/01/0 (DISEASE - POLICVLIMIT $ 1 000,000 OFFICERS ARE EXCL$500K ,10/01/06 LIMIT /$500K SIR _ _ OF DISEASE EACH EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLEWSPECIAL ITEMS RE: 609- CITY OF SANTA ANA ENERGY AUDIT / C/ SEE ATTACHED CERTIFICATE HOLDER NYC - 001505086 -17 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE CITY OF SANTA ANA EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL 4QbX*AV4ft MAIL 30 ATTN: CLERK OF THE CITY COUNCIL TH — DAYS WRITTEN NOTICE TO E CERTIFICATE HOLDER NAMED TO THE LEFT, 20 CIVIC CENTER PLAZA (M -30) �l(XI%t4>ii6iUfX P.O. BOX 1988 SANTA ANA, CA 92702- 1988Xa�BKxa0B�X7KXXA( i�XJkX1 `+iCdCXXl4iC11(XdfdCXiUK(�X AUTHORIZED REPR TATIVE H 1 A NC/J Mary Radaszewski ACORO 25 (11106) ' p ACORD CORPORATION '1988 " f2 ADDITIONAL INFORMATION PRODUCER MARSH USA INC. 44 WHIPPANY ROAD P.O. BOX 1966 MORRISTOWN, NJ 07962 -1966 100129- 6 -7BA- -06/07 609 _ _ _ XXXX INSURED SIEMENS BUILDING TECHNOLOGIES, INC. 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089 -4513 DATE (MM/DD/1^Q NYC- 001505086 -17. 09/27/06 COMPANIES AFFORDING COVERAGE COMPANY E COMPANY F COMPANY G COMPANY 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. W •S •n.0 RVWCR 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 Mary Radaszewski Paae MARSH Memo To: To Whom It May Concern Date: September 20, 2006 From Marsh CSS Subject: Siemens Corporation Certificates of Insurance 2000 - 2007 Policy Year Marsh USA Inc. 10900 Stonelake Blvd., V Floor Austin, TX 78759 512 342 4400 Fax 212 948 0622 Nisiemens.csg@marsh.com 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 (njsiemens.csg(aa)marsh com) or fax to (212) 948 0622. Best regards, Marsh C S S erux Mauha Md ennan Cnmpan es MMIC 2/20/2008 5:59 PM PAGE 2/004 Eastern Time Zone .... ...... --- - --- --- .......... -- .................... .. ...... .... DATE (MMIDD[fY) M.. ............. 02120108 .................. . ............... ...... ........ . ...... 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 07962-1986 COMPANIES AFFORDING COVERAGE COMPANY 100129-6-7BA--07108 609 0704 XXXX A GERLING AMERICA INSURANCE COMPANY INSURED COMPANY SIEMENS BUILDING TECHNOLOGIES, INC-A-2003-022 9 LIBERTY MUTUAL FIRE INSURANCE COMPANY 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089-4513 A-2003-022-01 COMPANY C LIBERTY INSURANCE CORPORATION COMPANY .A-2006-330 D ...................... .............. THIS IS TO CER71FY THAT THE PCI-ICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM CR 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 SHOM MAY HAVE BEEN REDUCED BY PAID CLAIMS. Go LTR —.'PE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMfDWYY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS A GENERAL LIABILITY 7200509 G LP 10101/07 10101/08 GENERAL AGGREGATE $ 10,000,000 PRODUCTS-COMPICP AGG $ INCL. X COMMERCIAL GENERAL LIABILITY 7 CLAMSMADE Fx] OCCUR PERSONAL &ADVINJJRY $ 1,000,06-0 EACH OCCURRENCE $ 1,000,00() OMER'S & CONTRACTOR'S PROT FIRE DAMAGE (Anyonefire) $ 1,000,000 MEDEXP.(Anycneperacn) $ 100,000 B AUTOMOBILE LIABILITY AS2-631-004334-217 10/01/07 10101/08 COMBINED SINGLE LIMIT $ 2,000,000 X I ANY AUTO BODILY INJURY (P or pemcn) $ NIA X ALL OWNED AUTOS SCHEDULED ALTOS SODiLYINJURY (Per awden!) NIA X X HIRiFD AUTOS NON-OMED AUTOS PROPERTY DAMAGE $ NIA GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHER THAN AUTO ON LY • . .... ................... ANY AUTO EACH ACC DENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ LMBRFLLAFORY OTHER THAN LWBRELAFORM $ C WORKERS COMPENSATION AND WA7-63D-00433" 17 (ADS) 0,01107 10101,08 "TH A —WC STATLS , EMPLOYERS'LLABILITY I TORY UMI T EACH ACCIDENT $ 1,000,000 C WC7-631-004334-027 (OR, WI) 10101t07 10101108 C 7 THE PROPRIETCRI Fv Na PARTNER&EXECUTIVE OFFICERSARE EW7-63N-004334-047 (OH) $500K LIMIT / $500K SIR 10101107 10101108 DISEASE - POLICY LIMIT $ 1,000,000 DISEASEE - EACH EMPLOYEE $ 1,000,000 OTHER DESCRIPTION OF OPERATICNSA.CCATIOMSFVEHICLENSPECIALrrEMS RE: 609- CITY OF SANTA ANA ENERGY AUDIT SEE ATTACHED ........ .......... ...... ........... - . .... ... - - - - - - - - - - - ............. . ........... ............... ............................. ..... . ............... .. ..... ...... . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL MUMM MAIL CITY OF SANTA ANA ATTN: CLERKOF THE CITY COUNCIL 30 --- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 20 CIVIC CENTER PLAZA (M-30) P.O. BOX 1988 SANTA ANA, CA 92702-1988 Dl om AkxNxMxxxkQKvjw ANTWORRED REPRESOTATNE Marsh USA Ina ............ ........... . . BY: Nkuy Radazzemski ......... .. ...... .......... ........ MMC PRODUCER MARSH USA, INC. 44 VVHIPPANY ROAD P.O. BOX 1966 MORRISTOWN, NJ 07962 -1966 100129 -6-7BA -07108 609 2/20/2008 5:59 PM PAGE 3/004 Eastern Time Zone 0704 XXXX INSURED SIEMENS BUILDING TECHNOLOGIES, INC. 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089 -4513 RE: 609 -CITY OF SANTA ANA ENERGY AUDIT CCMPANY E COMPANY F CW PANY G CCM P ANY H DATE (MMIDDIYY) _ ...............:_............ 02/20/08 COMPANIES AFFORDING COVERAGE 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 March USA Inc Mary Radaszemski M� Q MMC 2/20/2008 5:59 PM PAGE 4/004 Eastern Time Zone POLICY NUMBER: 7200509 GLP COMMERCIAL GENERAL LIABILITY CG 2010 07 04 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 Organization(s): Locations Of Covered Operations ANY PERSON OR ORGANIZATION REQUIRED BY ALL LOCATIONS WHERE THE INSURED IS WRITTEN CONTRACT PERFORMING ONGOING OPERATIONS FOR AN ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or orgenization(s) shown in the Schedule, but only with respect to liability for 'bodily injury", "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 additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily Injury' or "property damage' occurring after: 1. All work, including materials, parts or equip- ment furnished In connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional Insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" 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 . y • a DATE (M MIDD/YY) ACORD- CERTIFICATE OF LIABILITY INSURANCE 10103108 PRODUCER MARSH USA, INC. 44 WHIPPANY ROAD P.O. BOX 1966 MORRISTOWN, NJ 07962 -1966 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY 100129- 6- 7BA -SBT1 -08/09 610 A Gerling America Insurance Company INSURED COMPANY SIEMENS BUILDING TECHNOLOGIES, INC. 1000 DEERFIELD PARKWAY B Liberty Mutual Fire Ins Co COMPANY BUFFALO GROVE, IL 60089 -4513 C Liberty Insurance Corporation COMPANY 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, NOTWITHSTANDING 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. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM /DD/YY) POLICY EXPIRATION DATE (MM /DD /YY) LIMITS A GENERAL LIABILITY GLD11101 -00 10/01/08 10/01/09 GENERAL AGGREGATE $ 10,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE rx I OCCUR PRODUCTS - COMP/OP AGG $ INCL. PERSONAL & ADV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 1,000,000 MED EXP (Any one person) $ 1 00,000 B AUTOMOBILE LIABILITY ANY AUTO AS2 -631- 004334 -218 10/01/08 10/01/09 COMBINED SINGLE LIMIT $ 2,000,000 X ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per person) $ N/A X HIREDAUTOS NON -OWNED AUTOS BODILY ( P id er accent) $ N/A X PROPERTY DAMAGE $ N/A GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACHACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM OTHER THAN UMBRELLA FORM $ C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WA7 -63D- 004334 -018 (AOS) WC7- 631 - 004334 -028 (OR, WI) 10/01/08 10/01/08 10/01/09 10/01/09 X A TORY LIMITS ER EACH ACCIDENT $ 1,000,000 C THE PROPRIETOR/ PARTNERS /EXECUTIVE X INCL OFFICERS ARE: IXCL$5OOK EW7- 63N- 004334- 048(OH) LIMIT /$500K SIR 10/01108 10/01/09 DISEASE - POLICY LIMIT $ 1,000,000 DISEASE - EACH EMPLOYEE $ 1,000,000 THER A:1' ROVED AS TO FORM DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL ITEMS RE: 401330; MAINT /REP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS SEE ATTACHED A�Jtiia/11 City Attvruey CERTIFICATE HOLDER NYC - 002600819 -28 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF SANTA ANA ATTN: CLERK OF THE CITY COUNCIL EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 20 CIVIC CENTER PLAZA (M -30) P.O. BOX BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF C SANTA ANAA, , C A 92702 -1988 ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. of Marsh REPRESENTATIVE of Marsh USA Inc. BY: Mary Radaszewski ACORD 25-S (1/95) ® ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ,....y` . ADDITIONAL INFORMATION PRODUCER MARSH USA, INC. 44 WHIPPANY ROAD COMPANY P.O. BOX 1966 E MORRISTOWN, NJ 07962 -1966 COMPANY F 100129- 6- 7BA -SBT1 -08109 610 INSURED SIEMENS BUILDING TECHNOLOGIES, INC. COMPANY 1000 DEERFIELD PARKWAY G BUFFALO GROVE, IL 60089 -4513 COMPANY I H RE: 401330; MAINT /REP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS DATE (MMIDDIYY) NYC - 002600819 -28 10/03108 COMPANIES AFFORDING COVERAGE 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. 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 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. BY: Mary Radaszewski �%y Q GERLING AMERICA INSURANCE COMPANY MANUSCRIPT ENDORSEMENT # 35 Policy Number GLD11 901 -00 Named Insured SIEMENS CORPORATION Policy Period: Inception (M -D -Y) Expiration (M -D -Y) Effective Date and Time of Endorsement 10 -01 -08 10 -01 -09 10 -01 -08 12:01 a.m. Standard Time at Address of the Insured. This Endorsement Changes The Policy. Please Read It Carefully. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following. Commercial General Liability Coverage Form Who is an insured is amended to include as an insured any person whom you are required to add as an additional insured on this policy under a written agreement. The insurance coverage provided to such additional insured applies only to the extent required within the written agreement. The insurance coverage provided to the additional insured person shall not provide any broader coverage than you are required to provide to the additional insured person in the written agreement and shall not provide limits of insurance that exceed the lower of the Limits of Insurance provided to you in this policy, or the limits of insurance you are required to provide in the written agreement. . The insurance provided to the additional insured by this endorsement is excess over any valid and collectible other insurance, whether primary, excess, contingent, or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the written agreement specifically requires that this insurance apply on a primary basis, this insurance is primary. If the written agreement specifically requires this insurance apply on a primary and non - contributory basis this insurance is primary to other insurance available to the additional insured and we will not share with that other insurance. This endorsement shall prevail over additional insured endorsements that may apply under this policy unless required otherwise in the written agreement. All terms and conditions of the policy remain unchanged. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. Page 1 of 1 awl -005 CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) PRODUCER 09/7R/9nn9 MARSH USA, INC. M BOX 1 P. P.O. . BOX 1966 ROAD 6 MORRISTOWN, NJ 07962 -1966 100129- 6- 7BA -SBT1 -09110 610 INSURED SIEMENS INDUSTRY, INC. INCLUDING BUILDING TECHNOLOGIES DIVISION 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089 -4513 THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER A: HDI- Gerling America Insurance Company 41343 INSURER B: Liberty Mutual Fire Ins Co 23035 INSURER c: Liberty Insurance Corporation 42404 INSURER D: INSURER E: vv THE POLICIES OF INSURANCE LISTED NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY PERTAIN, THE CONDITIONS OF SUCH POLICIES. AGGREGATE INS 1 ADD'L TYPE OF INSURANCE LTR I INSR ENERAL LIABILITY A — X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR - - - - _ -- BELOW HAVE BEEN ISSUED TO TERM OR CONDITION OF ANY CONTRACT INSURANCE AFFORDED BY THE POLICIES LIMITS SHOWN MAY HAVE BEEN POLICY NUMBER GLD11101 -01 THE INSURED OR OTHER DESCRIBED REDUCED BY PAID POLICY EFFECTIVE DATE (MM/DD/YYYY) 10/01/2009 NAMED ABOVE DOCUMENT WITH HEREIN IS SUBJECT CLAIMS. POLICY EXPIRATION DATE (MMIDDnrYrl 10/01/2010 FOR THE POLICY PERIOD RESPECT TO WHICH THIS TO ALL THE TERMS, LIMITS INDICATED. CERTIFICATE EXCLUSIONS AND EACH C URRENCE 1 000 000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 100,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GENERAL AGGREGATE LIMIT APPLIES PER POLICY JE O- j —.,, LOC PRODUCTS - COMP /OP AG —_ -- INCL — — — B '� 'AUTOMOBILE X X X ILE LIABILITY ANY AUTO., ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS✓ AS2- 631 - 004334 -219 ���1 I?" �0 10/01 /2009 N �. *-�'y _ j ;• `��yO 10/01 /2010 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per (Per $ 2,000,000 - - $ N/A BODILY INJURY (Per accident) $ N/A PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT $ N/A $ GARAGE LIABILITY ANY AUTO ,1g OTHER THAN EA ACC AUTO ONLY: $ $ EXCESS /UMBRELLA LIABILITY AGG EACH OCCURRENCE $ OCCUR CLAIMS MADE - AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ C C C WORKER COMPENSATION AND EMPLOYERS' BILITY LIA ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under C SPECIAL PROVISIONS below OTHER WA7 -63D- 004334 -019 (AOS) WC7- 631 - 004334 -029 OR, WI ( ) EW7- 63N- 004334 -049 (OH) $500K LIMIT / $500K SIR 10/01/2009 10/01/2009 10/01/2009 10/01!2010 10/01/2010 10/01/2010 X we sraru- orH- 1,000, 0 00 L. EACH ACCIDENT L. DISEASE - EA EMPLOYE $ 1,000,000 .L. DISEASE - POLICY LIMIT $ 1,000,000 RE: 401330; MAINT /REP ALARM SYSTEM - P.D. FACILITY 2600023858 OPERATIONS SEE ATTACHED CERTIFICATE HOLDER NYC- 0o3�RS��n -R9 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 ACORD 25 (2009101) — ELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Ao�N a RE RESENTA7NE rS I MarryRlhaldUUa3sAzewski ©1998 -2009 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD ADDITIONAL INFORMATION PRODUCER MARSH USA, INC. 44 WHIPPANY ROAD P.O. BOX 1966 MORRISTOWN, NJ 07962 -1966 100129- 6- 7BA -SBT1 -09/10 610 INSURED SIEMENS INDUSTRY, INC. INCLUDING BUILDING TECHNOLOGIES DIVISION 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089 -4513 NYC - 003785210 -32 INSURERS AFFORDING COVERAGE INSURER F: INSURER G: INSURER H: INSURER I: DATE (MWDD" 09/26/2009 NAIC # TEXT - RE: 401330; MAINT /REP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS THE CITY OF SANTA ANA - 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AN REPRESENTATIVES REFERENCED GENERAL LIANSURAN E POLICIES AND THE COVERAGE AFFORDED THE ADD T ONALINSUREDUNDER 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. 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 Mary Radaszewski ^ �� 2 GERLING AMERICA INSURANCE COMPANY 0 MANUSCRIPT ENDORSEMENT # 34 Policy Number Named Insured GLD111 o1 -01 SIEMENS CORPORATION Policy Period: Inception (M -D -Y) Expiration (M -D-Y) Effective Date and Time of Endorsement 10 -01 -09 10 -01 -10 10 -01 -09 12:01 a.m. Standard Time at Address of the Insured. This Endorsement Changes The Policy. Please Read It Carefully. TA This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Form Who is an insured is amended to include as an insured any person whom you are required to add as an additional insured on this poicy under a written agreement. The insurance coverage provided to such additional insured applies • only to the extent required within the written agreement. The insurance coverage provided to the additional insured person shall not provide any broader coverage than you are required to provide to the additional insured person in the written agreement and shall not provide limits of insurance that exceed the lower of the Limits of Insurance provided to you in this policy, or the limits of insurance you are required to provide in the written agreement. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible other insurance, whether primary, excess, contingent, or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the written agreement specifically requires that this insurance apply on a primary basis, this insurance is primary. If the written agreement specifically requires this insurance apply on a primary and non - contributory basis this insurance is primary to other insurance available to the additional insured and we will not share with that other insurance. This endorsement shall prevail over additional insured endorsements that may apply under this policy unless required otherwise in the written agreement. All terms and conditions of the policy remain unchanged. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. • Page 1 of 1 A -OM- «� � A - pol -005 DATE (MM/DD/YYYY) Av d CERTIFICATE OF LIABILITY INSURANCE 09/26/2009 PRODUCER THIS CERTIFICATION 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 1001 29-6-7BA-SBT1 -09/10 610 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: HDI- Gerling America Insurance Company 41343 SIEMENS INDUSTRY, INC. INCLUDING ------------ - - - - -- — BUILDING TECHNOLOGIES DIVISION INSURER B: Liberty Mutual Fire Ins Co 23035 1000 DEERFIELD PARKWAY INSURER C: Liberty Insurance Corporation 42404 BUFFALO GROVE, IL 60089 -4513 INSURER D: I INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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. INSR LTR ADD' INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YYYY) POLICY EXPIRATION DATE (MMIDD/YYYY) LIMITS A GENERAL LIABILITY _ X COMMERCIAL GENERAL LIABILITY GLD11101 -01 10/01/2009 10/01/2010 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1'000'000 CLAIMS MADE � OCCUR IVIED EXP (Any one person) $ 100,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GENERAL AGGREGATE LIMIT APPLIES PER POLICY JET LOC PRODUCTS - COMP /OP AG 1 NCL _ _ B AUTOMOBILE X LIABILITY ANY AUTO AS2- 631 - 004334 -219 10/01/2009 _ p l�"�1> 10/01/2010 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 BODILY INJURY $ N/A ALL OWNED AUTOS 'v SCHEDULED AUTOS o (Per person) BODILY INJURY $ N/A X HIRED AUTOS 1 ' X NON -OWNED AUTOS f (Per accident) `l PROPERTY (Per accident) DAMAGE $ N/A GARAGE LIABILITY ANY AUTO Qy �aJi �� G AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/ UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ C C C WORKER§ COMPENSATION AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? 0 WA7- 63D- 004334- 019(AOS) WC7-631-004334-029 (OR, WI) 63N004334 049 EW7 - - - OH ( ) $500K LIMIT / $500K SIR 10/01/2009 10/01/2009 10/01/2009 10/01/2010 10/01/2010 10/01/2010 X WCSTATU- OTH- PR E.L. EACH ACCIDENT 1,000,000 .L. DISEASE - EA EMPLOYE9 $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 (Mandan in NH) If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: 401330; MAINT /REP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS SEE ATTACHED CERTIFICATE HOLDER NYC - 003785210 -32 CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF SANTA ANA EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ATTN: CLERK OF THE CITY COUNCIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 20 CIVIC CENTER PLAZA (M -30) P.O. BOX 1988 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND SANTA ANA, CA 92702 -1988 THE INSURER, ITS AGENTS OR REPRESENTATIVES. TUUPPONN RE AOf M Iare USA InC ENfATIVE Mary Radaszewski ACORD 25 (2009/01) ©1998 -2009 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ADDITIONAL INFORMATION NYC - 003785210 -32 DATE(MWDDNY) 09/26/2009 PRODUCER MARSH USA, INC. 44 WHIPPANY ROAD P.O. BOX 1966 MORRISTOWN, NJ 07962 -1966 100129- 6- 7BA -SBT1 -09/10 610 INSURED SIEMENS INDUSTRY, INC. INCLUDING BUILDING TECHNOLOGIES DIVISION 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089 -4513 TEXT INSURERS AFFORDING COVERAGE INSURER F: INSURER G: INSURER H: INSURER 1: NAIC # RE: 401330; MAINT /REP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS 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. 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 or;%Gl­n,­vL Mary Radaszewski 2 GERLING AMERICA INSURANCE COMPANY MANUSCRIPT ENDORSEMENT # 34 Policy Number Named Insured GLD11101 -01 SIEMENS CORPORATION Policy Period: Inception (M -D -Y) Expiration (M -D-Y) Effective Date and Time of Endorsement 10 -01 -09 10 -01 -10 10 -01 -09 12:01 am. Standard Time at Address of the Insured. This Endorsement Changes The Policy. Please Read It Carefully. This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Form Who is an insured is amended to include as an insured any person whom you are required to add as an additional insured on this policy under a written agreement. The insurance coverage provided to such additional insured applies only to the extent required within the written agreement. The insurance coverage provided to the additional insured person shall not provide any broader coverage than you are required to provide to the additional insured person in the written agreement and shall not provide limits of insurance that exceed the lower of the Limits of Insurance provided to you in this policy, or the limits of insurance you are required to provide in the written agreement. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible other insurance, whether primary, excess, contingent, or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the written agreement specifically requires that this insurance apply on a primary basis, this insurance is primary. If the written agreement specifically requires this insurance apply on a primary and non - contributory basis this insurance is primary to other insurance available to the additional insured and we will not share with that other insurance. This endorsement shall prevail over additional insured endorsements that may apply under this policy unless required otherwise in the written agreement. All terms and conditions of the policy remain unchanged. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. Page 1 of 1