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Home My WebLink AboutSIEMENS BUILDING TECHNOLOGIES 7A - 2011Pr-2- City of Santa Ana Clerk of the Council AGREEMENT TERMINATION FORM Office Use Only 2011 MAR 23 Please complete this form when the attached agreement and a[bITY OF SANTA ANA amendments (if any) are no longer in effect. CLERK OF Return form to the Clerk of the Council Office (M-30). Call 647-! if you have any questions. 6520 The agreement with S-rEMC=�dJS No. 4- 2009,1? "al Avas completed on /2-31-ZO 1/ and final payment has been made. (List all amendments. Use space below if needed.) A-zoaq- IRb C7) # A-2DOq - 1q-02 (70) Department: r N1 S }i ZLBC' MA-S/N7: Phone/Ext.: X Signature: Date: Revised 04-12-10 DELIVERED MAR 2 3 2016 A- 2009 - 196 -01 V')PK NIP f Nitiz, j^un1 Y CLERK ��F'7 JN FIRST AMENDMENT TO AGREEMENT art MAR 2 5 2011 THIS FIRST AMENDMENT TO AGREEMENT is entered into on February 9, 2011, by and between Siemens Building Technologies, Inc., a California corporation ( "Contractor ") and the City of Santa Ana, a charter city af11 municipal corporation organized and existing under the Constitution and laws of the State of California ( "City "). RECITALS: A. The parties entered into that certain Agreement A- 2009 -196, dated December 7, Jf 2009, (hereinafter "said Agreement ") by which Contractor has provided fire alarm ._ maintenance and repair services. A _ B. In accordance with the terns and conditions of said Agreement, the parties wish to exercise the first option to extend the term and increase compensation in order to pay for services during the extended term. 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 First Amendment to Agreement, the parties agree as follows: Section 2, COMPENSATION, shall be deleted in its entirety and replaced with the following: "City agrees to pay, and Contractor agrees to accept as total payment for its test and inspection services, an annual fee of $29,844.00, payable in quarterly payments of $7,461. If additional parts or services are necessary, said services shall be provided at the rates set forth in Appendix A of said Agreement, "Discounted Labor & Material Pricing (Active Service Agreement Customers) ". Additional parts shall be priced pursuant to Contractor's Parts Price List on file with the City's Building Maintenance Superintendent. The total sum to be expended under this Agreement shall not exceed $38,000.00, annually, during the term of this Agreement." 2. Section 3, TERM, shall be amended to extend the term of said Agreement for an additional one -year period, through December 31, 2011. Services provided since January 1, 2011, shall be included within this one -year extension period. 3. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement on the date and year first written above. ATTEST: MARIA D. HUIZAR ' Clerk of the Council APPROVED AS TO FORM: JOSEPH STRAKA Interim City Attorney By: j r V � Laura heedy Assistant City Attorney RECOMMENDED FOR APPROVAL: FRANCISCO GUTIERREZ Executive Director — Finance and Management Services Agency CITY OF SANTA ANA DAVID N. REAM City Manager INpv-qrr- Y SIEMENS BU*k4)+14G INC. C;70Me.4Vj t4a,4 iqe . Siemens Industry, Inc. January 4, 2011 Mario Ghizzi City of Santa Ana 20 Civic Center Plaza, Rm. B -19 Santa Ana, CA 92702 Ref: Renewal Service Agreement: 2600025786/Santa Ana Police Facilities Our records indicate that the service agreement between Siemens Industry, Inc. - Building Technologies Division and City of Santa Ana Police Facilities expired December 31, 2010. We will renew your contract with your authorization. The renewal dates and amounts are indicated below. The intent of this letter is to inform you that Siemens Industry, Inc. - Building Technologies Division will renew this contract based on our long time partnership with your facility and your Contractor Agreement A- 2009 -196, dated 12/7/09. This renewal will commence with the same terms and conditions and the same scope of work. Contract Period & Amount: 1/1/2011 through 12/31/2011: $29,844.00 (Billed Quarterly $7,461 /Quarter) Upon review and acceptance, please complete the below "ACKNOWLEDGEMENT' section and fax this letter to my attention Fax (866) 644 -2315. Please feel free to call me at 714 - 816 -1424 if your have any questions or concerns. Thank you. !�G!?2 �Gt�CGU4�GL� Kim Hackworth, Siemens Industry, Inc. — Service /Renewals 714/816- 14240ffice, (866) 644 -2315 Fax 10775 Business Center Drive, Cypress, CA 90630 ACKNOWLEDGEMENT - please fax to Kim Hackworth Fax 866 644 -2315 Customer Representative Accepted B . K*e_tp 4 -fiLL( Name: Title: Date: -Nft_-%i, WOO TO WHOM IT MAY CONCERN: This is to inform you effective October 1, 2009, Siemens Building Technologies, Inc. changed its name to Siemens Industry, Inc. The Federal Identification number of Siemens Industry, Inc. is 13- 2762488 and the original date of incorporation is November 28 ". 1972 Should you have any questions, please feel free to call nie. Best regards, Daniel W. Hislip Vice President, Secretary & General Counsel Siemens Industry, Inc. SIEMENS INDUSTRY, INC. 1000 Deerfield Parkway Tel: 847- 215 -1000 Building Technologies Division Buffalo Grove, IL 60089 -4513 Fax: 847- 941 -6810 AddaWkm 1 to Ceshwtsr AVvme■t (NA rommun City a[tlaatw Asa eTkyw) sad fileaseaa >I.eay, Tae. IDmk& 12=09 City rod Caat[ectW agree ib mo ft tie A eowm t as d*Acd bdow. Whm the A omua coatfiias with a lift- It+am this Addeod.ot, the pro ruioos of bis Adde�dam wIL oaat�ei. INob d&omm g mly&bg haeio b the QfmY ,sperm a docamset edw dm the Agmem w and 66 Adder shin reib iob to or or impose wY W= eibx PwW miad+Ne to warranty, bdm oky, =mum*, delay, Hgdditd d=qM pqmag or d0ft to , eampiur code or obey popidwy iabmstioa. The Agee umm is hereby modified n poHoww 1. AN ra11 p m % "3iamteue 9=Mbg Tedmologim, hm- &a he chaard m w � this Addmdm moNim tie Aramum between the panes dakld 1?Jl ?W and {s kco pwabd tiw[ by this t�Dt�Ca. I *# IN A - RW)-11kz� A6 d CERTIFICATE OF LIABILITY INSURANCE DATE 'MM /DDNYYY) L� 09/20/2010 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION MARSH USA, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. 44 BOX 1 6 ROAD iR n HOLDER. THIS BY THE MPOLIICE ST BELOW. P.. BOX 1966 i0' , LFC z 7 AM MORRISTOWN NJ 07962 -1966 L 100129- 6- 7BA -SBT1 -10111 610 Guzrr INSURED SIEMENS INDUSTRY, INC. INCLUDING BUILDING TECHNOLOGIES DIVISION 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089 -4513 COVERAGES - RERS AFFORDING COVERAGE ' NAIC 0 E {" ' J f Dt RER A: HDI- Gerling America Insurance Company INSURER 41343 B: Liberty Mutual Fire Ins Co 23035 INSURER C: Liberty Insurance Corporation 42404 INSURER D: EACH OCCURRENCE INSURER E. 1 000 000 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. TYPE OF INSURANCE LTR INSRD POLICY NUMBER vuucr Errecnve DATE IMM/DOIYYYY) POLICY E.P. -TION DATE (MWDDrNYY) LIMITS A GENERAL LIABILITY _ X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR GLD11101 -02 10/01/2010 10/01/2011 EACH OCCURRENCE 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 GENERALAGGREGATE $ 10,000,000 GENERAL AGGREGATE LIMIT APPLIES PER X POLICY JEC- LOC PRODUCTS - COMPIOPAG $ INCL B AUTOMOBILE LIABILITY X ANY AUTO AS2- 631 - 004334 -210 10/01/2010 10/01/2011 COMBINED SINGLE LIMIT (Ea accident) $ 2.000,000 —1i ALL OWNED AUTOS BODILY INJURY $ N/A _I SCHEDULED AUTOS - (Per person) X 1 HIREDAUTOS Ti NON- OWNED AUTOS —1 APPROVED A TO FOiM BODILY (Per accident) $ N/A PROPERTY PROPERTY DAMAGE (Per accident) is N/A GARAGE LIABILITY ANY AUTO Laura Stitt i :GC(iy I AUTO ONLY - EA ACCIDENT I$ OTHER AAUTOONLYN EA ACC AGG $ $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ - �$ C C C WORKERS COMPENSATION AND WA7 -63D- 004334 -010 (AOS) EMPLOYERS'LIABILITY WC7- 631- 004334 -020 (OR,WI) ANY PROPRIETOR /PARTNER/EXECUTIVE Y OFFICER /MEMBER EXCLUDED? IEW7 -63N- 004334 -040 (OH) (Mandatory in NH) If yes, describe under E 3500K LIMIT / $500K SIR' SPECIAL PROVISIONS below 10/01/2010 10/01/2010 10/01/2010 - 10/01/2011 We sTArU- OTH- 10/01/2011 .L. EACH ACCIDENT 10/01/2011 L. DISEASE - EA EMPLOYE E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ 1 ,000,000 $ 1,000,000 OTHER I UMJCMP I IUN Ur UFLKA IIUNWLUCATIONSIVEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: 401330; MAINT /REP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS SEE ATTACHED CERTIFICATE HOLDER NYC - 003785210 -34 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 CANCELLATION 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. Donna Clampitt � ACORD 25 (2009!01) C 1998.2009 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD T .l IMp6RTANT 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 PRODUCER MARSH USA, INC. 44 WHIPPANY ROAD P.O. BOX 1966 MORRISTOWN, NJ 07962 -1966 100129- 6- 7BA -SBT1 -10/11 610 Guzma I INSURED SIEMENS INDUSTRY, INC. INCLUDING BUILDING TECHNOLOGIES DIVISION 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089 -4513 NYC - 003785210 -34 INSURERS AFFORDING COVERAGE INSURER F: INSURER G: INSURER H INSURER I: DATE (MWDDIYY) 09/20/2010 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 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 INDUSTRY, INC. OR ITS SUBCONTRACTORS WITH RESPECT TO ALL OPERATIONS 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 of Man Donna 3 HDI- GERLING AMERICA INSURANCE COMPANY MANUSCRIPT ENDORSEMENT # 34 Policy Number GLD i 1101 -02 Named Insured SIEMENS CORPORATION Policy Period: Inception (M -D -Y) Expiration (M -D -Y) Effective Date and Time of Endorsement 10 -01 -10 10 -01 -11 10 -01 -10 12:01 am. 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 � - aoo°�- i °► � - a 1 �A�_ °R °® CERTIFICATE OF LIABILITY INSURANCE DATE (MrwoD /vvvv) �� 09/16/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate hpolderr♦�•pn �11flQI�IC�NA��N$�jR the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the olic rer�l-t ff of Iles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER '- / = CONTACT MARSH USA, INC. G � I ��_ ^' ' NAME: _ — __.. 1 – - - _ - - -_ _.__ .- __ –___ 445 SOUTH STREET Ct i - - � �� I *•+�' L PH4 �JYO�Eatly __._. _ _ __. .. _- _ ac NoL ___ MORRISTOWN, NJ 07980 -6454 s_ _ � � - E -MAIL � - - "- - -_ -- ADDRESS: _10012_9_- 6.76A -SBT1 -11/12 -_. _ _610 INSURED SIEMENS INDUSTRY, INC. INCLUDING BUILDING TECHNOLOGIES DIVISION 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089 -4513 INSURER(SL AFFORDING COVERAGE NAIC X INSURER A HDI- Gerling America Insurance Company 41343 23035 _ -- — - -- wsuReR B_ Liberty Mutual Fire Ins Co wsuRER c : Liberty Insurance Corporation ,42404 [']AVER A/'�FS CFRTIFIC ATF NI IMRFR- Nvr nnann�aan_�t Rcvlcl/lwl wu uwoco. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PF_RIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS C:ERTI FICATE 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - ItJSR LTR TYPE OF INSURANCE ADDL SUER- � POLICY NUMBER POLICY EFF MM/DD /YV VV POLICY E %P MM/DD /YVYV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [� OCCUR Manashi Mukherjee _.I'yi.auoo ti_ `b4 -- w�ar� <.L GLD11101 -03 10/01/2011 10/01/2012 EACH OCCUR_ RENCE $ 1,000,000 DAMAOiE TO RENTED PREMISES' (Ea occurrences_ � 1 OOQOOO $ _ _ MED EXP (Any one person) 100,000 $ , -, — PERSONAL 8 ADV INJURY $ 1.000,000 ______ GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ INCL X POLICY PRO LOC $ B AUTOMOBILE ___.._ LIABILITY AS2 -631- 004334 -211 10/01/2011 10/01/2012 COMBINED SINGLE LIMI i SH cggPnO _._...___ -_. _.__ €_ 2,000,000 '� ANY AUTO I � UODILV INJURY (Par person) � $ N/A X ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accrtlent ) $ N/A X PROPERTY DAMAGE Per accitlen,_.- _._____, _. $ N/A _ _ NON -OWNED HIRED AUTOS X AUTOS UMBRELLA LIAB _ OCCUR OC_CUR_R ENC_E $ _EACH __ AGGREGATE ____ ____ $ E %CESS LIAB CLAIMS -MADE DED RETENTION _ $ C WORKERS COMPENSATION WA7 -630- 004334 -011 (AOS) 10/01/2011 10/01/2012 X WC SrATU- OTH- O C AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/E %EGUTIVE V /N OFFICER /MEMBER EXCLUDED? N (Mandatory in NH) N/A WC7 -631- 004334 -021 (OR, Wq EWS -63N- 004334 -421 (OH) 10/01/2011 10/01/2011 10/01/2012 10/01/2012 __ TORY LIMIT$ __ E. L. EACH ACCIDENT _ _ _ _ _ __ _ 1,000,000 E.L. DISEASE - EA EMPLOYE _$_________ _ $ 1,000.000 II yes, tleseribe untler DESCRIPTION OF OPERATIONS below ��S5OOK LIMIT / $SOOK SIR" - -------- - - - -�� _._ $ 1,000,000 - - -- -- - -- EL DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATONS /VEHICLES (Attach ACORD 101, Adtli[ional Remarks Schedule, it more space is required) E 401330; MAINT /REP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS +,. e, �� {� {_ ��E., D �.� ('i_j }_ � O jZ SEE ATTACHED \. / ��yj' .___._ � __._ _.__ —___. __ �C __L_....... __ �ti: >istz;lt i/. ^ty Ati,>rl:�y CITY OF SANTA ANA SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: CLERK OF THE CITY COUNCIL THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA (M -30) ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 1988 SANTA ANA, CA 92702 -1988 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee _.I'yi.auoo ti_ `b4 -- w�ar� <.L CIJ 7988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2070/05) The ACORD name and logo are registered marKs of ACORD ACO/20® ��" AGENCY CUSTOMER ID: 'I00'129 LOC p: Morristown ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA, INC. SIEMENS INDU STRV, INC. INCLUDING BUILDING TECHNOLOGIES DIVISION 1000 DEERFIELD PARKWAY POLICY NUMBER BUFFALO GROVE, IL 600894513 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I FORM NUMBER: 2`-1 FORM TITLE: Certificate of Liability Insurance 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 LINDE =.R THE ABOVE REFERENCED GENERAL LIABI LITV 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 INDU STRV, INC. OR ITS SUBCONTRACTORS WITH RESPECT' TO ALL OPERATIONS ACORD �O� (2008/011) 2008 ACORD CORPORATION_ All riohts reserved The ACORD name and logo are registered marKs of ACORD MARSH Memo To: To Whom It May Concern Date: September 14, 201 t From: Marsh CSS Subject: Siemens Corporation Certificates of Insurance 2011 - 2092 Policy Year Marsh USA Inc. 10900 Sto n ®lake Blvd., 2" Floor Austin, TX 78759 512 342 4400 Fax 2l2 948 0622 Njsiem ens.csg� mars h.com As a Siemens Corporation Certificate Holder, please find attached your company's renewal. certificate for the 10/1/2011 10/1/2012 policy period. if you do not require this Certificate of Insurance, please advice by marking "delete" on the certificate and returning it via email (nisiemens.cs�C�marsh.com) or fax to (212) 948 0622. Best regards, Marsh CSS �� Mersh S M[Lannan CnmpaNes HDI- GERLING AMERICA INSURANCE COMPANY MANUSCRIPT ENDORSEMENT # 34 Policy Number Named Insured GLO��O� -03 SIEMENS CORPORATION Policy Period: Inception (M -D Y) Expiration (M -D -Y) Effective Date and Time of Endorsement 1r3 -01 -11 10 -01 -12 10 -01 -11 12:01 a.m. Standard Time at Address of the Insured. This Endorsement Changes The Po /icy. P /ease Read It Car¢fuJly. - � �� • - � 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 I