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<br />A -X01 .-11U <br />Aco CERTIFICATE OF LIABILITY INSURANCE DAB '/2010 YY"' <br />L? 09/20/2010 <br />PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />MARSH USA, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />44 WHIPPANY ROAD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. BOX 1966 7rtn F-C 7 !U 77ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />MORRISTOWN, NJ 07962-1966 AM <br />1001 29-6-7BA-SBT1-1 0/11 610 Guz RERS AFFORDING COVERAGE NAIC # <br />INSURED <br />SIEMENS INDUSTRY, INC. INCLUDING?L?1 }! ( ; ( RER A: HDI-Gerling America Insurance Company 41343 <br />BUILDING TECHNOLOGIES DIVISION <br />1000 DEERFIELD PARKWAY INSURER B: Liberty Mutual Fire Ins Co 23035 <br />BUFFALO GROVE, IL 60089-4513 INSURER C: Liberty Insurance Corporation 42404 <br />INSURER D: <br />INSURER E'. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br />MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND <br />CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADDI <br />TYPE OF INSURANCE <br />LTR INSRD POLICY NUMBER vuucr trrec nve <br />DATE (MM/DD/YYYY) POLICY EXPIRATION, <br />DATE (MM/DD/YYYY) j LIMITS <br />GENERAL LIABILITY <br />A <br />GLD11101-02 10/01/2010 <br />10/01/2011 <br /> <br />EACH OCCURRENCE <br /> <br />1,000,000 <br />X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1 <br />000 <br />000 <br /> PREMISES Ea occurrence , <br />, <br /> <br />.?' CLAIMS MADE [XI OCCUR <br />I ) EXP (Any one person) <br />$ 100,000 <br />-t - _ PERSONAL & ADV INJURY $ 1,000,000 <br /> <br />GENERAL AGGREGATE LIMIT APPLIES PER GENERALAGGREGATE '$ 10,000,000 <br />PRO- PRODUCTS-COMP/OPAG $ INCL <br />X POLICY <br />LOC <br />JECT <br />AUTOMOBILE LIABILITY <br />B ,AS2-631-004334-210 10/01/2010 <br />10/01/2011 <br />COMBINED SINGLE LIMIT <br />$ 2 <br />000 <br />000 <br />X ANY AUTO <br />ALLOWNEDAUTOS (Ea accident) <br />BODILY INJURY , <br />, <br />$ N/A <br />SCHEDULED AUTOS ! (Per person) <br />X HIRED AUTOS <br /> BODILY INJURY $ N/A <br />X ?'.. NON-OWNED AUTOS <br />T <br />O FOR p ,? (Per accident) <br />1 <br />A <br />APPROVED lVl PROPERTY DAMAGE <br /> <br />GARAGE LIABILITY (Per accident) <br /> <br />AUTO ONLY <br />EA ACCI <br />1 $ N/A <br /> <br />ANY AUTO - ?° <br />d <br /> <br />Laura Stitt U <br />y - <br />DENT <br /> <br />'OTHER THAN EA ACC <br /> <br />AUTO ONLY AGG $ <br /> <br /> <br />$ <br /> <br />$ <br />EXCESS / UMBRELLA LIABILITY Assistant eft,' li EACH OCCURRENCE I s <br />OCCUR CLAIMS MADE AGGREGATE $ <br /> j $ <br />DEDUCTIBLE <br />RETENTION $ -- $ - - <br /> <br />C WORKERS COMPENSATION AND <br />WA7-63D-004334-010 (AOS) 10/01/2010 U- OTH- <br />10/01/2011 X WCSTAT <br />EMPLOYERS' LIABILITY WC7 <br />631 <br />004334 <br />020 <br />R CRY, _ER <br /> <br />C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N - <br />- <br />- <br />(O <br />,WI) 10/01/2010 10/01/2011 <br />$ <br /> <br />OFFICER/MEMBER EXCLUDED? I <br />EW7-63N-004334-040 (OH) 10/01/2010 <br />10/01/2011 E.L. EACH ACCIDENT 1,000,000 <br />C ? $ <br /> $500K LIMIT / $500K SIR' L. DISEASE- EA EMPLOYE 1,000,000 <br />SPECIAL PROVISIONS below ibe under ! L. DISEASE -POLICY LIMIT $ 1 ,000,000 <br />OTHER <br />i <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />RE: 401330; MAINT/REP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS <br />SEE ATTACHED <br />CERTIFICATE HOLDER NYC-003785210-34 <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 92702-1988 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND <br />UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Donna Clampitt Cz) - Gam' <br />ACORD 25(2009/01) ©1998-2009 ACORD CORPORATION. All Rights Reserved <br />The ACORD name and logo are registered marks of ACORD