HomeMy WebLinkAboutSIEMENS BUILDING TECHNOLOGIES, INC. 4A -2008INSURANCE ON ~~~-=
WORK MAY PR(Y:,1:1=D
UNTIL INSURANC:: EXPIRES
CLERK QF ~,QU1~Cl~ 2Q08
'1nTG• JU1`~
FIRST AMENDMENT TO AGREEMENT
A-2008-046
THIS FIRST AMENDMENT TO AGREEMENT is entered into on March 3, 2008, by
and between Siemens Building Technologies, Inc., a California corporation ("Contractor") 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-2006-330, dated December 18, 2006, (hereina8er
"said Agreement") by which Consultant has provided repair and maintenance of fire alarm
systems in the Police Department Administration and Jail Facilities.
B. In accordance with the terms and conditions of said Agreement, and the intentions of the
parties, the parties wish to renew the agreement for an additional one year term and increase
compensation 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:
I . Section 2, COMPENSATION, shall be amended to increase compensation by $32,960.00 to
pay for services during the extended term.
2. Section 3, TERM, shall be amended to extend the termination date to December 31, 2008.
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.
PATRICIA £: HEAL
Clerk of ~the'Council
APPROVED AS TO FORM:
JOSEPH W.FLETCHER
City Attorney
By
L Sheedy
Assistant City Attorney
CITY OF SANTA ANA
DAVID N. RE
City Manager
SIEMENS BUILDING
TECHNOLOGIES, INC.
~AcGD ,\)~1~~1'~
(NAME {~ ,~/~ U
(Title) '~2.rGcJ~`~' ,' l~~
~~c' `,tom`'` ~~j~ ~ ~Io ~
~ ~
L'il'lV LI LVI LVVV VV~.I tL'! Cf'iVL L/ VVZ L4J bVl 11 11!!lV LVLLV
.. ..
. ..............
. (MN10 AfY
DATE o )
w ADORD„ . - ~ _ . - o2rzolo6
THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION
PaooucER
MARSH USA INC ONLY AND CONFERS NO RIOHT9 UPON THE CERTIFICATE
.
44WHIPPAN~ ROAD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. BOX 1966
5"046 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
MORRISTOWN, NJ 07962-1966 p 200 COMPANIES AFFORDING COVERAGE
COMPANY
100129$7BA-07108 609 0704 XXXX A OERLING AMERICA INSURANCE COMPANY
NSURED COMPANY
SIEMENS BUILDING TECHNOLOGIES, INC.;A-2003-022 B LIBERTY MUTUAL FIRE INSURANCE COMPANY
1000 DEERFIELD PARKWAY `
BUFFALO GROVE, IL 80089-4513 ~A-2003-022-01 ': C0""PA"Y
-- C LIBERTY INSURANCE CORPORATION
'A-2006-116
..... ..... ......
J
caMPANr
~A-2006-330 D
.. ...
THIS IS TO CERTIFY THAT THE PCIICIES CF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABC;11E FOR THE POLICY PERIOD
N0TIMTHSTANDING ANY REC111REMENT, TERM Qt OONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
INDICATED
,
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND ODNDITIONS OF SUCH PC+LICIES. AGGREGATE LIMITS SHOYIiW MAY HAVE BEEN REDUCED BY PAID CLAIMS.
~ -`!DE OF NSURANCE POLILYNUMBER POLICY EFFECTNE
DATE (MMIDDIYY) POLN.YEXPIRATION
DATE (MYAIDIYY) WITS
LTR
A GENERAL LI1I~LITY 7200509 GLP 10/01/07 10/01/08 GENERAL AGGREGATE s 10,000,000
X COMMERCUIL GENERAL LIABILITY PRODUCTS-COMPICP AGG S INCL.
0.AIM9MADE ~ OCCUR PER90NAL dAOVINJURV S 1,000,ODO
01hMER'88CONTRACTCR'SPROT EACHODCIIRRENCE S 1,000,000
FIRE DAMA6E(MymeBra) s 1,000,000
MED EXP M ms arum S 1 ~,~
B AIIr oMOBK.E LYIBNJTY A$2~31-004334-217 10/01107 10101/08 poMSNED sNGLE LIMIT s 2,OOD,D00
X I
ANV AUTO
X ALL DYNVED AUT03 BODILY INJURY S NIA
SCHEDULED ALTOS (Per peraan)
X HIR~DALT03 BODILYIN.LRV s N!A
~g ~dmn
X NON-O,M~ED AUT09
PROPERTY DAMAGE 3 NIA
OARAOELUiBILITY Al7TOONLY-EAACQDENT E
'
ANV ALTO OTHER THAN AUTOONLV•
:ter ..: ~!e~:
:.~.......... .. ....
:......
EACfiAOdDENT $
AGGREGATE
EXCEti LKBLITf EACH OCCURRENCE S
UMBRELLAFORM AOGRC-0A7E S
s
OTHER THAN UMBRELLA FORM ..
C WO RKS sCOMPENSAnoN AND
' WA7433D-004334-017 (AOS) 10/01/07 10101/08 X TO~RV UMIT3 ER °'P°N` '
C LIABILffY
EMPLOYERS
4YC7~31.00433A-027 (OR, WI}
1 WD1/D7
10/01/08
EAa ACCIDENT
S 1,000,000
C THEPROPRIETOi! X IN0. EW7.63N-004334-047(OH) 10/01107 10101/06 DISEAg•POLICYUMIT S 1,OOD,000
PARTNEas~EXECUnvE
OFFICERS ARE:
EX0. S600KLIMITJS500KSIR
DISEAg-EACH EMPLOYEE
S 1,000,OD0
i
DESCRDTION OF OP ERATIONSA.OCATIONSNEHICLESIiPECL4L ITEMS ~ ~"
RE: 60.4 CITY OF SANTA ANA ENERGY AUDIT ~ `
-
SEE ATTACHED
• iHOULD ANY OF THE ABOVE DESCRBED POLICIES BE CANCELLED BEFORE THE
EXPRATpN DATE THEREOF, THE INiIRANCE COMPANY WILL ~~ MAL
CITY OF SANTA ANA 30 DAYi WRITTEN NOTICE TO THE CERTt:ICATE HOLDER NAMED TO THE LEFT,
AT>fN: CLERKOF THE CITY COUNCIL
20 CIVIC CENTER PLAZA (M-30) ~~~(
P.O. BOX 1988 aWOC j~(~(Xj(di~~(t1Q(j(d(Xa(~dA~jC
SANTA ANA, CA 92702-1988 AeIeORR mREAREfYTAl1YE
Muth D7Alno. .,,~,~ Q
BY: MRry Redaaxewaki
y ~
DATE (MMIDDn'Y)
ACORD,~ CERTIFICATE OF LIABILITY INSURANCE
10/03/08
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-SBT1-08/09 610 A Gerling America Insurance Company
INSURED COMPANY
SIEMENS BUILDING TECHNOLOGIES, INC. B Liberty Mutual Fire Ins Co
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513 COMPANY
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 POLICY EXPIRATION
LIMITS
DATE (MM/DD/YY) DATE (MMIDD/YY)
A GE NERAL LIABILITY GLD11101-00 10/01/08 10/01/09
GENERAL AGGREGATE
$ 10,t)Ql),Ot)t)
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOPAGG $ INCL.
CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1 ,1)00,000
OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 1 ,000,OOO
FIRE DAMAGE
A 000
OOQ
$ 1
(
ny one fire) ,
,
MED EXP (Any one person) $ 1 OQ,000
B AUT OMOBILE LIABILITY AS2-631-004334-218 10/01/08 10/01/09
COMBINED SINGLE LIMIT
2
000
000
X ANY AUTO $
,
,
X ALL OWNED AUTOS BODILY INJURY
$ N/A
SCHEDULED AUTOS (Per person)
X HIRED AUTOS
URY
O
~ $ NIA
X NON-OWNED AUTOS P
e
acciden
( )
PROPERTY DAMAGE $ N/A
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY
EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
C WORKERS COMPENSATION AND
' WA7-63D-004334-018 (AOS) 10/01/08 10/01/09 A
EMPLOYERS
LIABILITY X
TORY LIMITS ER
C WC7-631-004334-028 (OR, WI) 10/01/08 10/01/09 EACH ACCIDENT $ 1,000,000
C THE PROPRIETOR/
PARTNERS/EXECUTIVE X INCL EW7-63N-004334-048 (OH) 1QJQ1/Q$ 10/01/09 DISEASE-POLICY LIMIT $ 1,000,000
OFFICERS ARE: EXCL $SOOK LIMIT/$SOOK SIR DISEASE-EACH EMPLOYEE $ 1,000
000
THER ,
A1' R () V ~ t~ ~~ ~~ T~) FARM
DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLES/SPECIAL ITEMS
RE: 401330; MAINT/REP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS
~,, ~I a ~,;;, I yu;,c~t v
SEE ATTACHED A~Jtiia/11 City ~ttvfuey
CERTIFICATE HOLDER NYC-002600819-28 CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF SANTA ANA EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
30
ATTN: CLERK OF THE CITY COUNCIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
20 CIVIC CENTER PLAZA (M-30) BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
P.O. BOX 1988
SANTA ANA, CA 92702-1988 ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
of Manrh USA Ine.
Bv: Mary Radaszewski
ACORD 25-S (1195) ®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 DATE (MMIDDIYY)
NYC-002600819-28 10/03108
PRODUCER COMPANIES AFFORDING COVERAGE
MARSH USA, INC.
COMPANY
44 WHIPPANY ROAD
P.O. BOX 1966 E
MORRISTOWN, NJ 07962-1966
COMPANY
F
100129-6-76A-SBT1-08109 610
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC. COMPANY
1000 DEERFIELD PARKWAY G
BUFFALO GROVE, IL 60089-4513
COMPANY
H
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 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
AUTRORIZED REPRESENTATIVE
of Marsh USA Inc.
BY: Mary Radaszewski Q
Pa e
i ~ ~
GERLING AMERICA INSURANCE COMPANY
MANUSCRIPT ENDORSEMENT # 35
Policy Number
GLD19 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 /t 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
MMC 10/3/2008 2:45:58 PM PAGE 2/006 Eastern Time Zone
,` _ DATE (MhVDD/YY)_
A~CfRD„ C~RTIFIGA-TE C3F LIABILITY( ~NBURA~ICE 1oro3ros
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
GC4APANY
100129-6-7BA-SBTi-08/09 610 A Gelling America Insurance Company
INSURED GCMPANY
SIEMENS BUILDING TECHNOLOGIES, INC. B Liberty Mutual Fire Ins Co
100D DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513 coMPANY
C Liberty Insurance Corporalioh
COMPANY
D
COVERAC S ' This cer~fital~ :a~persedes and replaces any previously',issued cei~i~cate.
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,
EXCLUS ONS 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 (MMIDDIYY) POLICY EXPIRATION
DATE (MMIDOlYY)
LIMITS
A GEN ERAL LIABILITY GLD11101-00 10/01/08 10/01/09 GENERAL AGGREGATE $ 10,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMProPAGG $ INCL.
' OLAIMSMADE ~ OCCUR PERSONAL&ADVINJURY $ 1,000,000
_ OW NER'S&CONTRACTOR'SPROT EAGHOCCURRENCE $ 1,000,000
FIRE DAM AGE (Any mefire) $ 1,000,000
MEDEXP(Artyoneperson) $ 100,000
B AUT OMCjBILELIABIUTY AS2-63t-004334-218 10!01/08 10/01/09
GCMBINED SINGLELIMIT
$ 2,000,000
X ANY AUTO
X ALL~OWNEO AUTOS BODILY INJURY $ N/A
SCf1EDULED AUTOS (Per person)
X HIREDAUTCS .-`C~.l
~
" v F®~ BODILY INJURY
(Perecacknt) $ N/A
X NON-OWNED AUTOS ~.
`
~
i~
z-:
Yp ~~
R PROPERTY DAMAGE $ N/A
A
GARAGE LIABILITY -~ ,~~~ ,3~g .'Q~y AUTO ONLY - EAACCIDENT ~ $ _
e
utt3 ~ ~
ANY AUTO ~ „ s i ~ _, !-,, OTHER THAN AUTO ONLY: uu
~ ~
SAY
' ~`"S~~ EACH ACCfDENT $
~-.~~
AGGREGATE $
EXCEa.;.,ABILITY I EACHOCGURRENCE $
UMBRELLA FORM AGGREGATE $
OTFIER THAN UMBRELLA FORM i $
C EM PLOY~RS'LIABILITY WA7-63D-004334-018 (ADS) 1Dro1/D8 10ro1ro9 X TORY LIM ITS ER
C I WC7-631-004334-028 (OR, WI) 10/01/08 10ro1ro9 EACHACUDENT $ 1,000,000
C THEPR~PRIETORr X INCL EW7-63N-004334-048 (OH) 10/01/08 10!01/09 DISEASE-POLICY LIMIT $ 1,000,000
PARTNE srExecuTlvE
OFFICERS ARE'.
EXCL SOOK LIMIT /$500K SIR
DISEASE-EACH EMPLOYEE
$ 1,DDQ DDD
i I
DESCRIPTION OPERATIONSILOCATIDNSfVEHICLES!SPECIAL ITEM5
RE: 40133 MAINT/REP ALARM SYSTEM - P.D. FACILITY 2600023858 ALL OPERATIONS
5EE ATTAC';HED
CERTIFICA 'tIOLOER':. NYG04260081928 CANC'ELLi4TIQN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELIFD BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
CITY OF SANTA ANA 3Q
ATTN: CLERKOF THE CITY COUNCIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
--
20 CIVIC CENTER PLAZA (M-30) BUT FAIWRE TO MAILSUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
P.O. BOX 1988
SANTA ANA
CA 927D2
1988 ANY wND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
,
- AIfrHORIZED REPRESENTATNE
of Marsh USA Inc. ~~~{,~i Q
BY: Mary Radaszetiski ~~ ~~''~~__ VV
A{rVFC1J L~y1,.j1lY~) _ _. Q l~i~.{.7lGtJ N\.IIST VISItlIVl9 :1740.'.1
MMC~ 10/3/2008 2:45:58 PM PAGE 3/006 Eastern Time Zone
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 polici es listed thereon.
rcesvCrse yr rage 'r
MMC 10/3/2008 2:45:58 PM PAGE 4/006 Eastern Time Zone
~~~~~~~ ~~'I~ ~11~~1 ~~17 DATE (MMIDDIYY}.....:
NYC-~02~008~4-2a ioro3ros
- - - _.
PRODUCER COMPANIES AFFORDING COVERAGE
MARSH USA, INC.
44 WHIPPANY ROAD coMPANv
P.O. BOX 1966 ~ E
~ MORRISTOWN, NJ 07962-1966
CCMPANY
F
100129-6-7BA-SBTi-08/09 610
INSURED
SIEMENS BUILDING TECHNOLOGIES, INC. coMPANY
1000 DEERFIELD PARKWAY G
BUFFALO GROVE, IL 60089-4513
COMPANY
i H
,~~ ~.
i
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 TD 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 0~1 BEHALF OF THE NAMED INSURED, SIEMENS BUILDING TECHNOLOGIES, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT.
~A1FE' MQUDEI~
CItY OF SANTA ANA
ATTN: CLERK OF THE CITY COUNCIL
20 CIVIC CENTER PLAZA (M-30)
P.Q BOX 1986
SANTA ANA, CA 92702-1988
AIRNORIZEO REPRESENTA7NE
of Marsh USA Inc.
sv: Mary Radaszewski ~/„~,LL ,~j '
MMC 10/3/2008 2:45:58 PM PAGE 6/006 Eastern Time Zone
GERLING AMERICA INSURANCE COMPANY
MANUSCRIPT ENDORSEMENT ~ 35
Policy Number Named insured
GLD1 f l pf-00 SIEMENS COi4PORA770N
Pdicy Period: Inceptbn (M-D-1n Expiration (M-D-Yy Effecllve Date and
Time of Endorsement
10-01-08 10-0i-09 10-01-08 12:01 a.m. Standard Time
at Address of the Insured.
This Endorrsevne-rf Change~a The Policy. Plees~e Read h t~areful/y.
BLANKET ADDITIONAL INSURED
~ This endorsement modifies insurance provided under the following:
Commercial General LiatHlity Co~rerage Dorm
Who is an Insured is amended to ~tdude as an insured arty 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
i only to the extent required within the written agneement.
The insureno overage provided to the additional insured person shall not provide arty broader coverage than you
are required td provide th the additional insured person in the written agreement and shall not provide limits of
insurance that exceed the Icower of the Limit of Insurance provided in you in this policy, or the limits ~ insurance you
are required to provide in the written agreement
The insurance provided th the additional insured by this endorsement is excess over any valid and olledible other
insurance, whether prvnary, excess, ontingent; or on arty other basis, that s available th the additional insured for a
loss we cover under this endorsement However, if the written agreement specifically nequirea that this ~rsuranoe
apply on a primary basis, this insurance is primary. If the written agreement apeciitlcally r+equlr+es this insurance apply
on a primary and non-ontributory basis this insurance k primary to other insurance available to the additional insured
and we will not share with that other insurance.
This endorsement shall prevail over additlonal insured endorsemerrts that may apply under this policy unless required
otherwise in the wrltten agreement
All terms and conditions of the poAcy remain unchanged.
THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLI[
! WRITTEN.
Peg