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<br />· AC'()BD! <br /> <br />PRODUCER <br />Arthur J. Gallagher & Co. <br />Ins Brokers of CA Inc. 072629 <br />15 Enterprise, Suite 200 <br />A1iso Viejo CA 92656 <br />Phone: 949-349-9800 Fax:949-349-9900 <br /> <br />OP 10 DATE (MMlDDIYYYY) <br />ADVANOB 03 29 06 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURED <br /> <br />N-;lo01-13't <br /> <br />INSURER A: <br />INSURER B: <br />INSURER c: <br />INSURER 0: <br />INSURER E: <br /> <br />Great A1qriean Assurance Co <br /> <br />Clarendon Natio...l tnsur. Co. <br /> <br />Advanced Automated Systems,Inc <br />& Electrical Systems, Inc. ./ . ,I 'I <br />23691 Via Del Rio .1 -'ro.,.-13"'-C <br />Yorba Linda CA 92887 1"-eX <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />LTR <br /> <br />POLICY NUMBER <br /> <br />I ~9..~E MMIDDiW'lc PgkTE MMJDDNY <br /> <br />A <br /> <br />EACH OCCURRENCE <br />I PRa1:Si:.s (Ea occurence) <br />MED EXP (Anyone person) <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS. COMPIOP AGG <br /> <br />GLP9251462 <br /> <br />02/21/06 <br /> <br />02/21/07 <br /> <br />RE {ISE <br /> <br />, <br />, <br />I <br />U <br /> <br />COMBINED SINGLE LIMIT <br />(Eaaccidenl) <br /> <br />,;.{ <br /> <br />, <br />L.,j <br /> <br />-_..~-' 1.; I i CAJf <br />;,:iJ':::S ALL PF iOFl <br />IS"UED <br /> <br />PROPERTY DAMAGE <br />(PeraccJdenl) <br /> <br />BODILY INJURY <br />(Per person) <br /> <br />BODILY INJURY <br />(Per accident) <br /> <br />A <br /> <br />~RAGE LIABILITY <br />I ANY AUTO <br /> <br />~ESSIUMBRELLA LIABILITY <br />~ OCCUR D CLAIMS MADE <br /> <br />02/21/07 <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />AUTO ONLY. EA ACCIDENT <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />EA Ace <br />AGG <br /> <br />EXC9251463 <br /> <br />02/21/06 <br /> <br />B <br /> <br />I DEDUCTIBLE <br />I RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMe.ER EXCLU~ED'! <br />~~~~I~iS~~bOVIS16NS below <br />OTHER <br /> <br />11/13/05 <br /> <br />x ITO''\"/''MITS 1 IOJ~' <br />11/13/06 E.L. EACH ACCIDENT <br />-~, . <br />E.L. DISEASE. EA EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br /> <br />01KR0031627 <br /> <br />NAIC# <br /> <br />LIMITS <br /> <br />.1,000,000 <br />.50,000 <br />. EXCLUDED <br />.1,000,000 <br />.2,000,000 <br />.2,000,000 <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br />. <br />. <br />.2,000,000 <br />.2,000,000 <br />. <br />. <br />. <br /> <br />.1,000,000 <br />.1,000,000 <br />.1,000,000 <br /> <br />. , <br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS I. /.pYX! i' 1/ <br />RE: City of Santa Ana HVAC Building service agreement. (T";::'l":J_Jic/__lj <: <br />Ci ty of Santa Ana and Siemens Building Technologies, Inc., their officers; ..- - l~~ - ~ -l.__ <br />employees,agents,volunteers and representatives are n~ed as additional <br />insured per the attached endorsement. Primary wording applies to GL.*10 day <br />notice of cancellation for nonpayment of premium. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />Attn:Clerk of the City Council <br />20 Civic Center Plaza (M-30) <br />P.O Box 1988 <br />Santa Ana CA 92702 <br /> <br />SANTAAl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHr~~TATlVE <br /> <br />ACORD 25 (2001/08) <br />C ' . <br /> <br />@ ACORD CORPORATION 1988 <br />