HomeMy WebLinkAboutSIEMENS, INC. 16 - 2016INSURA
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ORK 1 NQ
CLERK
COUNCIL
DATE: tEP 13 Z016
A
MAINTENANCE SERVICE AGREEMENT
1
This Agreement ("Agreement ") dated August 16, 2016, by and between SIEMENS
INDUSTRY, INC., An Illinois corporation, ("Siemens"), and the City of Santa Ana, a charter
city and municipal corporation, ("City").
RECTTALS
A. The City of Santa Ana has a video surveillance system for the Police Administration
Building and Civic Center Area to protect critical infrastructure and key resources.
B. The City desires to retain a contractor having special skill and knowledge to maintain and
repair of the video security f surveillance system.
C. Siemens represents that it is able and willing to provide such services to the City.
D. In undertaking the performance of this Agreement, Siemens represents that it is
knowledgeable in the field and that any services performed by Siemens under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional contractor in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
SCOPE OF SERVICES
Siemens shall provide maintenance and repair services for the surveillance system
located in the Police Administration Building and Civic Center Area, as set forth in the proposal
attached hereto as Exhibit "A."
2. COMPENSATION
City agrees to pay, and Siemens agrees to accept as total payment for its services the
costs outlined in the proposal attached as Exhibit "A." The total sum to be expended under this
Agreement shall not exceed $174,914.00, during the term of this Agreement;
3. TERM
This Agreement shall commence on August 1, 2016 and terminate on July 31, 2017,
unless terminated earlier in accordance with Section 12, below.
4. INDEPENDENT CONTRACTOR
Siemens shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which Siemens
performs the services which are the subject matter of this Agreement; however, the services to be
provided by Siemens shall be provided in a manner consistent with all applicable standards and
regulations governing such services. Siemens shall pay all salaries and wages, employer's social
security taxes, imemployment insurance and similar taxes relating to employees and shall be
responsible for all applicable withholding taxes.
5. INSURANCE
Prior to undertaking performance of work wider this Agreement, Siemens shall maintain
and shall require its subcontractors, if any, to obtain and maintain insurance as described below:
a. Commercial General Liability Insurance. Siemens shall maintain commercial general
liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Siemens's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of $1,000,000 per occurrence,
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for
owned, hired and non -owned automobiles.
c. Worker's Compensation Insurance. In accordance with the provisions of Section 3700
of the Labor Code, Siemens; if Siemens has any employees; is required to be insured against
liability for worker's compensation or to undertake self-insurance. Prior to commencing the
performance of the work under this Agreement, Siemens agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
d. The following requirements apply to the insurance to be provided by Siemens pursuant
to this section:
(i) Siemens shall supply City with a fully executed additional insured endorsement
for cormnercial general liability and automobile coverages which a) names the
City of Santa Ana, its officers, employees, agents and volunteers as additional
insured, b) provides that Siemens insurance coverage shall be primary and that
any other insurance, or self-insurance maintained by the City, its officers,
employees, agents and volunteers shall be excess of Siemen's insurance and shall
not contribute with it.
(ii) Siemens agrees to waive subrogation which any of its insurers may acquire from
Siemens by virtue of payment of any loss. Siemens agrees to obtain any
endorsement that may be necessary to effect this waiver of subrogation.
(iii) Siemens shall maintain all insurance required above in full force and effect for
the entire period covered by this Agreement.
(iv) Certificates of insurance shall be furnished to the City upon execution of this
Agreement and shall be approved in form by the City Attorney.
(v) Certificates and policies shall state that the policies shall not be canceled or
reduced in coverage or changed in any other material aspect without thirty (30)
days prior written notice to the City.
(vi)Certificates and renewals shall be sent to:
Santa Ana Police Department
Homeland Security Division
60 Civic Center Plaza
Santa Ana, CA 92702
e. If Siemens fails or refuses to produce or maintain the insurance required by this
section or fails or refirses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
terminate this Agreement. Such termination shall not effect Siemens's right to be paid for its
time and materials expended prior to notification of termination. Siemens waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6. INDEMNIFICATION
Siemens agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants; special counsel, and representatives from liability for personal injury,
damages, just compensation, restitution, judicial or equitable relief arising out of claims for
personal injury, including death, and claims for property damage, which may arise from the
negligence or willful misconduct of Siemens or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section 1 of this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section.
7. CONFIDENTIALITY
If Siemens receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Siemens agrees that it
shall not use or disclose such information except in the performance of this Agreement, and
further agrees to exercise the same degree of care it uses to protect its own information of like
importance, but in no event less than reasonable care. "Confidential Information" shall include
all nonpublic information. Confidential information includes not only written information, but
also information transferred orally, visually, electronically, or by other means. Confidential
information disclosed to either party by any subsidiary and/or agent of the other party is covered
by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to
any information that (a) has been disclosed in publicly available sources; (b) is, through no fault
of the Siemens disclosed in a publicly available source; (c) is in rightful possession of the
Siemens without an obligation of confidentiality; (d) is required to be disclosed by operation of
law; or (e) is independently developed by the Siemens without reference to information disclosed
by the City.
8. CONFLICT OF INTEREST CLAUSE
Siemens covenants that it presently has no interests and shall not have interests, direct or
indirect, which would conflict in any manner with performance of services specified under this
Agreement.
9. NOTICE
With the exception of insurance certificates and renewals covered by Section S.e.iv,
above, any notice, tender, demand, delivery, or other communication pursuant to this Agreement
shall be in writing and shall be deemed to be properly given if delivered in person or mailed by
first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in
the manner provided in this Section, to the following persons:
To City:. Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
With courtesy copies to:
Santa Ana Police Department
Homeland Security Division
60 Civic Center Plaza
Santa Ana, CA 92702
(714) 245-8098 Fax Number
City Attorney
City of Santa Ana
20 Civic Center Plaza, M29
Santa Ana, CA 92702
(714) 647-6515 Fax Number
To Siemens: Siemens Industry, hie.
Michael Dietsch, Enterprise Account Executive
10775 Business Center Drive
Cypress, CA 90630
(714) 866-289-3006 Fax Number
(714) 252-1306 Phone Number
A party may change its address by giving notice in writing to the other party. Thereafter,
any communication shall be addressed and transmitted to the new address. If sent by mail,
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by fax, communication shall be effective or deemed to have
been given twenty-four (24) hours after the time set forth on the transmission report issued by the
transmitting facsimile machine, addressed as set forth above. For purposes of calculating these
time frames, weekends, federal, state, County or City holidays shall be excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Siemens, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Siemens. The parties agree
that any terms or conditions of any purchase order• or other instrument that are inconsistent with,
or in addition to, the terms and conditions hereof, shall not bind or obligate Siemens nor the City.
Each party to this Agreement acknowledges that no representations, inducements, promises or
agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any
party, which are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Siemens,
Siemens may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Siemens shall be entitled to receive and the City shall pay Siemens
compensation for all services performed by Siemens prior to receipt of such notice of termination.
13. DISCRIMINATION
Siemens shall not discriminate because of race, color, creed, religion, sex, marital status,
sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by
applicable law, in the recruitment, selection, training, utilization, promotion, termination or other
employment related activities. Siemens affirms that it is an equal opportunity employer and shall
comply with all applicable federal, state and local laws and regulations.
14. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
15. LICENSES AND PERMITS
Siemens shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers; and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Siemens shall notify the City
immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals,
waivers, and exemptions. Said inability shall be cause for termination of this Agreement,
16. CONSULTANT CJERTIFICATIONS
a. Federal Regulations — Recipient must comply with the government cost
principles, uniform administrative requirements and audit requirements for federal grant program
housed within Title 2, Part 200 of the Code of Federal Regulations.
b. Debarment and Suspension — As required by Executive Orders 12549 and 12689,
and 2 CFR §200.212 and codified in 2 CPR Part 200, Recipient must provide protection against
waste, fraud, and abuse by debasing or suspending those persons deemed irresponsible in their
dealings with the Federal government..
C. Audit Records - With respect to all matters covered by this agreement all records
shall be made available for audit and inspection by CITY, the grant agency and/or their daily
authorized representatives for a period of three (3) years from the date of submission of the final
expenditure report by the City of Santa Ana. For a period of three years after final delivery
hereunder or until all claims related to this Agreement are finally settled, whichever is later,
Recipient shall preserve and maintain all documents, papers and records relevant to the services
provided in accordance with this Agreement, including the Attachments hereto. For the same
time period, Recipient shall make said documents, papers and records available to City and the
agency from which City received grant funds or their duly authorized representative($), for
examination, copying, or mechanical reproduction on or off the premises of Recipient, upon
request during usual working hours.
d. Recipient shall provide to City all records and information requested by City for
inclusion in quarterly reports and such other reports or records as City may be required to
provide to the agency from which City received grant funds or other persons or agencies.
e. Section 504 of the Rehabilitation Act of 1973 (Handicapped) - All recipients of
federal funds must comply with Section 504 of the Rehabilitation Act of 1973 (The Act).
Therefore, the federal funds recipient pursuant to the requirements of The Act hereby gives
assurance that no otherwise qualified handicapped person shall, solely by reason of handicap be
excluded from the participation in, be denied the benefits of or be subject to discrimination,
including discrimination in employment, in any program or activity that receives or benefits from
federal financial assistance. The Recipient agrees it will ensure that requirements of The Act
shall be included in the agreements with and be binding on all of its contractors, subcontractors,
assignees or successors.
f: Americans with Disabilities Act of 1990 - (ADA) Recipient must comply with all
requirements of the Americans with Disabilities Act of 1990 (ADA), as applicable.
g. Lobbying and Political Activity - None of the funds, materials, property, or
services provided directly or indirectly under this agreement shall be used for any partisan
political activity, or to further the election or defeat of any candidate for public office, or
otherwise in violation of the provisions of the "Hatch Act".
h. Recipient will comply with all applicable lobbying prohibitions and laws,
including those found in United States Code Title 31, § 1352, et seq., and agrees that none of the
funds provided under this award may be expended by the Recipient to pay any person to
influence, or attempt to influence an officer or employee of any agency, a Member of Congress,
an officer or employee of Congress, or an employee of a Member of Congress in connection with
any federal action concerning the award or renewal of any federal contract, grant, loan, or
cooperative agreement.
i. Recipient will comply, and all its contractors (or subrecipients) will comply, with
all requirements of the Byrd Anti -Lobbying Amendment (31 U.S.C. 1352), as applicable.
j. Non -Discrimination and Equal Opportunity - Recipient will comply, and all its
contractors (or subrecipients) will comply, with Title VI of the Civil Rights Act of 1964, as
amended; Section 504 of the Rehabilitation Act of 1964, as amended; Subtitle A, Title II of the
Americans with Disabilities Act (ADA) (1990); Title IX of the Education Amendments of 1972;
the Age Discrimination Act of 1975, as amended; Drug Abuse Office and Treatment Act of
1972, as amended; Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970, as amended; Section 523 and 527 of the Public Health Service Act of
1912, as amended; Title VIII of the Civil Rights Act of 1968, as amended; Department of Justice
Non -Discrimination Regulations, 28 CFR Part 42, Subparts C, D, E, and G; and Department of
Justice regulations on disability discrimination, 28 CFR Part 35 and 39. In the event a Federal or
State court, Federal or State administrative agency, or the Recipient makes a finding of
discrimination after a due process hearing on the grounds of race, color, religion, national origin,
sex, or disability against a recipient of funds, the Recipient will forward a copy of the findings to
CITY whichh will, in turn, submit the findings to the Office of Civil Rights, Office of Justice
Programs, U.S. Department of Justice.
k. Recipient will comply, and all its contractors (or subrecipients) will comply,
with all requirements of the Executive Order 11246 of September 24, 1965, entitled "Equal
Employment Opportunity," as amended by Executive Order 11375 of October 13, 1967, and as
supplemented in Department of Labor regulations (41 CFR chapter 60), as applicable.
1. Recipient will comply, and all its contractors (or subrecipients) will comply, with
all requirements of the California Public Contract Code Section 10295.3, as applicable.
in. Recipient will comply, and all its contractors (or subrecipients) will comply,
with all requirements of the Copeland "Anti -Kickback" Act (18 U.S.C. 874) as supplemented
in Department of Labor regulations (29 CFR Part 3), as applicable.
n. Recipient will comply, and all its contractors (or subrecipients) will comply,
with all requirements of the Davis -Bacon Act (40 U.S.C. 276a to 276a-7) as supplemented by
Department of Labor regulations (29 CFR Part 5), as applicable.
o. Recipient will comply, and all its contractors (or subrecipients) will comply,
with all requirements of Sections 103 and 107 of the Contract Work and Safety Standards Act
(40 U.S.C. 327-330) as supplemented by Department of Labor regulations (29 CFR Part 5), as
applicable.
P. Recipient will comply, and all its contractors (or subrecipients) will comply,
with all applicable standards, orders or requirements issued under Section 306 of the Clean Air
Act (42 U.S.C. 1857(h)), Section 508 of the Clean Water Act (33 U.S.C. 1368), Executive
Order 11738, and the Environmental Protection Agency regulations (40 CFR part 15), as
applicable.
q. Recipient will comply, and all its contractors (or subrecipients) will comply,
with all requirements of the Energy Policy and Conservation Act (Pub. L. 94-163, 89 Stat.
871), (53 FR 8078, 8087, Mar. 11, 1988, as amended at 60 FR 19639, 19645, Apr. 19, 1995),
as applicable.
r. Recipient will comply, and all its contractors (or subrecipients) will comply, with
all requirements of Section 6002 of the Solid Waste Disposal Act, as amended by the Resource
Conservation and Recovery Act, as applicable.
S. Recipient agrees that the Department of Homeland Security shall have the
authority to seek patent rights for any process, product, invention or discovery developed and
paid for with funding through this Agreement based on the requirements of 37 CFR§ 401, as
applicable.
t. Recipient may copyright any books, publications or other copyrightable materials
developed in the course of or under this Agreement. However, the federal awarding agency,
State Administrative Agency (SAA) and City reserve a royalty -free; non-exclusive, and
irrevocable license to reproduce, publish or otherwise use, and to authorize others to use; for
federal government, SAA and/or City purpose:
(1) The copyright in any work developed through this Agreement; and
(2) Any rights of copyright to which the subcontractor purchases ownership with support
through this grant. The Federal government's, SAA's and City's rights identified
above must be conveyed to the publisher and the language of the publisher's release
form must ensure the preservation of these rights.
17. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature herein below has the power,
authority and right to bind their respective parties to each of the teens of this Agreement, and shall
indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set
forth in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
LIV'W MVI
MARI�A 1). HUIZAR
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney n
By: CAQ.u-'ro
Laura A. Rossini
Senior Assistant City Attorney
RECOMMENDED FOR APPROVAL:
CARLOS R
Chief of Police
CITY OF SANTA ANA
DAVID CAVAZOS_�
City Manager
SIEMENS INDUSTRY, INC.
(Name)
rua t ('Title)
EXHIBIT A
SCOPE OF SERVICES AND FEES
SIEMENS
August 09, 2016
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, California 92702-1988
Michael Dietsch
Enterprise Account Executive
Southern California
Reference: City of Santa Ana Security and Surveillance Maintenance Services
Agreement (June 1, 2016 through May 31, 2017)
Services Statement of o
1. Siemens shall provide the extension of its Maintenance, Monitoring, Repair and Support
Services (Siemens Service Program), at the City of Santa Ana, ,per this scope of services
document.
2. Term shall commence on August 1, 2016 and expire on July 31, 2017 and include systems at the
following locations (but not limited to):
a. Santa Ana City Hall, 20 Civic Center Plaza
K Ronald Reagan Federal Courthouse Building, 411 West 4th Street
c. Santa Ana Police Department, 60 Civic Center Plaza
d. Santa Ana Library, 26 Civic Center Plaza'
e. Santa Ana Civic Center Area, including street lights (7)
f. Orange County Courthouse 751 W. Santa'AAna Boulevard
g. Robert Thomas Building, 10 Civic Center Plaza
h. Everest College, 500 W Santa Ana Blvd
L State Building, 605.Santa Ana Blvd
j. Federal Building, ,34 Civic Center Plaza
3. Services agreement shall provide Software Maintenance Agreements for the following
applications:
a. Milestone XProtect Software Upgrade Program (SUP)
b. Sureview Immx Software Annual Support and Maintenance (ASM)
c. Hiperwall Software Maintenance Agreement (SMA)
4. Services agreement shall provide extended warranty"repair and replacement" coverage for the
followingsystems and components:
a. Milestone XProtect system
i. Servers (2)
b. Hiperwall Video Wall
i. Servers
ii. Workstations (5)
iii. Network switches (2)
iv. Monitors (10)
c. Sureview Immx
i. Server
SOW Page ( 1
SIEMENS Michael t ive
Enterprise Account Execec utive
Southern California
d. Cameras 0105 total cameras)
e. Power Supplies
f. Encoders
g. Siemens supplied network switches
I. Cisco
ii. HP
h. Communication Radios
L Ubiquiti
ii. Bridgewave
I. All connections and mist cabling provided by Siemens.
S. Services agreement shall provide preventative maintenance services on a quarterly, basis for
the following systems:
a. Test and Inspection
I. Cameras
ii. Encoders
iii. Radios
iv. Antennas
v. Power Supplies
vi. Network Equipment
vii. Servers
b. Cleaning
I. Cameras (105)
ii. Power supplies
iii. Antennas
Preventative Maintenance (Test and Inspect): Siemens shall provide quarterly inspections and
testing on all covered equipment. Based on any abnormal findings, Siemens technicians will be
authorized to replace parts or alter settings and programming to optimize the systems. All findings
shall be provided in a quarterlyreport to the client. Siemens shall maintain quarterly reports, as
part of client services program, portfolio, Siemens will provide all system software updates, as part
of annual preventative maintenance visits. All software updates are provided at no additional cost,
with the valid softwaremaintenance programs (included in this program). All items included in
this service shall be clearly delineated in the scope of work document.
Extended Warranty (Repair and Replace): Siemens shall ,provide added warranty coverage for the
identified components of the clients system. Repair and replacement of worn, failed and
malfunctioned equipment will be provided during normal business hours, with next day service
response coverage times. Should the component be of critical or of an emergency nature, Siemens
shall provide 4 hour response in diagnosing of issue and beginning of repair process. Siemens may
provide temporary replacement from back -stock, if available. Siemens does not include back -stock
equipment as part of this service. All afterhours and weekend services are covered under this
agreement, when required. Siemens reserves the right to determine between emergency and
urgent request nature of all calls, under this agreement.
Systems Integrity/ Compliance Monitoring and Diagnostic Reporting: Siemens to provide real-time
24/7 monitoring of system components (servers and storage, core network and edge network
SOW Page 12
Michael Dietsch
Enterprise Account Executive
Southern California
components). Health monitoring of system is critical to the maintenance of State mandated
archiving requirements. Siemens utilizes network monitoring to maintain reliability, uptime,
optimized configurations of hardware and software, and for diagnostic reporting that reduces life
cycle costs to the system.
Video Archiving Warranty: Siemens to provide required storage for maintaining compliance with
California Government Code 34090.6. Increase in storage will be managed by Siemens on project
by project basis. Diagnostic Reporting will provide data reports in support of storage calculations
on quarterly basis and will be presented to SAPD system manager.
• Siemens pricing assumes execution of preventative maintenance and cleaning services to be
performed during normal business hours.
• Siemens excludes all equipment not supplied and installed by Siemens, unless explicitly stated
in this scope of work. Such items may include (but not limited to) Cisco Network Switches
provided by others, Promise storage arrays, servers and workstations not included in coverage
material list. Siemens has extended warranty on Siemenssupplied equipment.
• Siemens' Integrity/ Compliance Monitoring and Diagnostic Reporting service is provided
utilizing Siemens' cloud -based services, All software and hardware is maintained by Siemens.
• Siemens excludes all foliage control, as may be required for radio communication.
• All permits and submittals to city, or local AHJ, are by others and excluded from this scope of
work.
• Siemens maintains HP OEM Partner status, Milestone Platinum Partner status and Cisco Gold
Certified status. Service and maintenance is executed by appropriately trained service
engineers.
• Siemens requires signed agreement or acceptable client Purchase Order, prior to all work
commencement, including parts acquisition or project mobilization.
City of Santa Ana Security and Surveillance Maintenance Services Agreement
(August 1, 2016 through July 31, 2017)....... ....................................... .......... ...............$174,914.00
SOW Page 13
►K CERTIFICATE OF LIABILITY INSURANCE �4'wy AND
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
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EELOVV. 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 unificafe holder IS an ADDITIONAL INSURED, the policy(Kw) most be endorsed. If SUBROGATION IS WAIVED, Subject to
the terms and coMiUons of the Policy, Certain MONTHS may require an endom emem, A statement On MIS a NUffeats does not caller rights to the
TertlRcats holder In ]too of such endomamenI
PRCn4CER
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CONTACT
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CERTIFICATE HOLDER CANCELLATION
®1988.2014 ADDING CORPORATION. All rights reserved.
ADDING 28 (2014011 The ACORO Cama and logo aro registered marks of ACORD
CITY OE SANTA ANA
SHOULD ANY OF THE A BOVEDESHM EDPOLI IIS BECANCELLED BEFORE
ATUSPURCMARNCbEPT
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
N CNIC CENTER PIMA
ACCORDANCE WITH THE POLICY PROVISIONS,
SANTA ANA CA 12701-4010
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ADDING 28 (2014011 The ACORO Cama and logo aro registered marks of ACORD
AGENCY CUSTOMER 10: 100129
LOCO: Morristown
ACS a ADDITIONAL REMARKS SCHEDULE Page 2 of 2
AmRgY
MARSH USA, INC.
NAYE0INSURER
EMENS MODEM INC.
BNINVNGTECHNOIWIES
IMMUEEMIELOPARBWAY
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RUFFALOGROVE.a SOI
4RPPIER �_��—�_�—
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THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACCRD FORM,
RE. d)RNO. WA
YHE OIY pF ShMAAfN.IT59FFICERS. EMFtOYEES. AGENTS. ANO REFREEENIIDIVES ARE INCLUL'EO AS AWIDONAL INEUREO UNDER ME ARGVE NEFENENCED GENER4I IABILRY ANU
AUTOMOBILE LIABILITY INSURANCE POLICIES AND THE COVERAfk AFFORDED riff ADDITIONAL INSOREUUNC£R (NESE POLICES SPALL SE PRIMARY AND NOWCONTRINTORY INSDNANCE TO
THE EXTENT THAT A CLAMA SSES FROM ME NE13,IGENCE CF SIEMENS NO)SrRY.INC ORIS SUBGONFMGTORS MM RESPEGi rp Alt OPEMTICNS 6 ME INSURED RUT ONLY WBE
RESPECTTOALI. WORK RRFUNMED BY AND ON BEN IF OF THE NAMED INSURED, SIEMENSINDUSTRY.INC .FOR CE.RDI'CATE HIWDER UNDER CDNMACI
CCM+LETED CEEMTIONS COVERAGE IS INCLUDED IN THE GENERAL UNDID TO POLICY.
IF MESE PDDOESME CANCELEU FOR AW RFABCN OMER MAN NON.PAYAENT OF PREMUM THE INSURER NIU. MU`vERNOTIOOC CANCElUTION 10THECERTIFICATEED.UERUVTOW
DAYS PRIOR TO THE CONGELATION WAS REQUIRED EU WRITTEN OWIRACT, WHICHEVER S FM
I no Acunu name and logo are rogfabred margo o/ ACCORD
HDI-GERLING AMERICA INSURANCE COMPANY
MANUSCRIPT ENDORSEMENT # 34
Potcy Number Named Insured
GLD11101-07 SIEMENS CORPORATION
Potty Period: Inception (M-D•Y) Erig ration (M•D•Y} Effective Date and
Time of Endorsement
1(}01.2015 1001-2016 10-01-2015 12:01 An Standard Time
at Address of the Instead.
This Endorsernant Changes The Policy, Please Read It Carefvly.
BLANKET ADDITIONAL INSURED
This endorsement modiftw insurance prodded under the following.
Commercial General Liability Coverage Form
Who is an insured is emended to include as an insured any person wham you are required to add as an additional
insured on this policy under a written agreem et. The insurance coverage provided to such additional insured applies
Only to the edeR required within the written agreement.
The insurance coverage provided to the additional insured person shall not provide any broader coverage than you
are rewired to provide to the additional insured person in the written agreemem and shall not provide pmts of
insurance that exceed the lower of the Limits of Insurance provided to you in this policy, a the limits of insurance you
are required to provide in the written agreement.
The insurance pmvided to the additional insured by this endorsement is excess c anyvalid and edlecuble Other
insurance, whether primary, excess, contingent. ar a, any other basis, that is available to the additional insured for a
loss wa cover under this endorsement. However, if the writton agreement specifically requires that this insurance
apply an a primary basis, this Insurance is primary. If the wrttan agreement specifically requires this insurance apply
On a prim ary 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 endowment shall prevail over additional insured endorsements that may apply under this policy unless required
ahermse in the written agreement,
"� � ✓.
Authorized Representative
All terms and conditions of the policy remain unchanged.
THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENTNMEN ISSUED AFTER THE POLICYIS
WRITTEN.
Page .
I
'N"ir C t
CERTIFICATE OF LIABILITY INSURANCE DAT"'ODfyyyy)
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 holder is an ADDITIONAL INSURED, the policy( ss) must be endorsed. 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 endorsernent(s).
PRODUCER
CONTAcr
N ALRE�1
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INDICATED N(DI'VOTHs,rANCING ANY REQUIREMENT, TERM OR I.",ONMflOIA OF ANY
CONTRACT OR OTHER OCCUMENT OTH RESPECT TO wHw,H
rHIIS
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EXCLUSIONS AND CONDffONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA0 CLAIMS
----- --- ---
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be altarhed ifinowe space, is required)
RE K,032C2'015 P4�()JEC'l 310070,138FIROJECF NAME 9CA,,ES, CI F'(QF SAIJA ANA PO1
IU: DEPT
S,'E"i: At AC" iED
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I T'fJi-"30� I A ANA M 93 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
20 �1,jfV(,,,�'E'V'ER PtAZ4 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
W
34,', MI(A (•A 1 ACCORDANCE WITH THE POLICY PROVISIONS,
AUrHORIZED REPRESENTArtlVE
of Marsh USA Inc
Manash� Mu0erjee
198,8-2014 ACORD CAlMtT7Aff-''rights —reserved.
ACORD 25 (2014/01) The ACORD name and Iogo are registered marks of ACOR�
U 7 0
AGENCY CUSTOMER lD: W0129
LOC #: fvfOrrlStOWrl
Page 2 �Of.-.2
AGENCY
NAMED INSURED
MAR ,"H Tj,3A N(:
3VAENS INCuSrR,r Ac
-
POLICY NUMBER
10(116 DEER l-.-,, PARK1h,"O'
K,FFA�.o ,ROVE q- �30089
CARRIER
NAIL GC1aE
I
=VIEVIVE DATE
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE; Certificate of babiliky Insurance
RE 91,%2Pf,,Y)7119G0 P093'2(rX)W5 PRQdEC T# W)(,'7C5�3 "R,0JE;17 NAW b(,'Ad 'SE'S C I 'Y QF SAW A ANA P(A ICE DEP F
cIr,f oir rA %NA i rrE ()F,CERG, EMPLOYEES. A(]EN F, AND VCLUIN"F�1-RS ARE IN( UXED AE ACA 1'10NAL IWijRED UNDER 1"HE A BOVF REP ERENC ED
I J'f A NO AUTOMOBILE ( ABIUTY I NSUPA�9,�' POIJ0ES A NID THE IOvERAArFt)RrEC r HE A D01"NONAL I NSUPkH) IJNDER ` HE POLQE5
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HA /F TU OF SI)CH INSW?ANCE HE,D BY THE OWNER, ASA RC]LICARY
CUMPLE I ED OPERA -IONS tS INCILL)CED N TI IF GET,0:RAL uABIUTY PCAUCY
IF TF, ESE `O[JCES ARE CMTfCEU ED -OR AN I REASON OTHER THAN 40", PA'MErV CF PREVIJM TI,E INSURER APT -i. DE PiER NOTNCOF _A Dtf rC,)
TFE CER, 'IF CA HDJOEP uP rC,-)C DAYS F�5JCR TO TI E CAWTLi-ATV,OIA A3, PE -Eu ,R,ED RYWR I 7EN . jN T5VG Ir NMjAC_dpj;7p SLJSa
ACORD 101 12008101) '� 2008 ACORD
The ACORD name and logo are registered marks of ACORD
M
MANUSCRIPT ENDORSEMENT # 32
Policy Number Named Insured
G LD 11101 -08 SIEMENS CORPORATION
Policy Period: Inception (M -D -Y) Expiration (M -0-Y) Effective Date and
Time of Endorsement
10-01-2016 10-01-2017 '10-01-2016 12V a.m. 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 additional insured any person whom you are required to add as an
additional insured on this policy under a written agreement, 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. 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 broadercoverage 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 endorsementis excess over any, valid and collectible other
insurance, whether primary, excess, contingent, cr 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 prima,ryto other insurance available to the additional insured and we VMI not
share, with thaitother insurance.
This endorsement shall prevail over additional insured endorsements that mayapply Linder this policy unless required
otherwise in the written agreement,
Authorized Representative
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
ENTBaED- `
BY:
POLiCYNIUMBER. GLD11101-08
This endorsement modifies insurance provided under the following,
COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
COM MERCIAL GENERAL LIABill-FrYCOVE "AGE PART
PRODUCT /COMPLETED OPERATIONS LIABILITY COVERAGE PART
6*01W- U091[14#
'ANY PERSON OR ORGANIZATION TO THE EXJEI`J REQUIRED BY WRI TTEN CONTRACT
I Information required,10.20m2iete this Schedule, If not shown above will be shown in the Declarations --i
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV — Conditions:
We waive any night of recovery we may have against
the person or organization shown in the Schedule,
above because of payments we snake for inp.�ry or
damage ansing out of your ongoing operations or
"your work" done under a contract with that person
or organization and included in the "products -
completed operations hazard", This waiver applies
only to the person or organization shown in the
Schedule atx.)ve
OCT 7 "1101I�'i
CG 24 04 05 09 0 insurarce Services Office Inc, 2008 BY
AM,
TRAVELERSJ WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
POLIO YNUMBER TC2JUB-7440L27-I-16
NTI-ALT14
V4 e have the right to recover our payments from anyone liable for an injury covered by thas pohcy- VVe 41 not
enforce our right against the person or organizzatiion named in the Sche&fle. (This agreement applies only to the
extent that you perform work under a wrftten contract that requires YOU to obtain this agreement from LIS
This agreement shall not Operate cfiredy or indirectl� to benefit any one not named in the Scheduit,
A.N'f PERSON OR ORGANIZATION FOR WHC A WAIVER OF
SUBROGATION IS REQUIRED BY CONTRACT OR AGREEMENT OR
PERMIT, BUT COVERAGE IS LIMITED TO THE SCOPE OF THE
WORX PERFORI*MD BY THE INSURED UNDER SUCH CONTRACT,
AGREEMENT OR PERMIT,
GATE OFISSUE og-oa-i6 ST ASSIGN,
E T, R E D
7 2 ]l F
fy
CERTIFICATE OF LIABILITY INSURANCE DAT "'ODYyy)
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 holder is an ADDITIONAL INSURED, the policy( ss) Imust be endorsed. 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 endorsernent(s).
PRODUCER
CONTAcr
N ALRE
0.11A
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INSURER A N)l Gbnalos,ar3ncc D139.3
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SEMENS !NDUS f Rr, K�
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PARKWA'�
INSURER D
BLFFALO GROI/E, 11. FQE81)
1(110 060
INSURER F
COVERAGES CERTIFICATE NUMBER, NYC -0I)72,9,)1309 REVISION NUMBER:
TMS IS TO CERTIFY THAT TH;E POLKAES ()F INSURANCE LISTED BELOW HAVE BEEN NSSUED To TIRE INSURED NAMED ASOVE FOR THE POLICY PEROD
INDICATED N()TV0THs,rAN0]NG ANY REQUIREMENT, TERM OR I.",ONMflOIN OF ANY
COwRACT OR OTHER OCCUMENT NTH RESPECT TO wHw,H rHIIS
CERTIFICATE MAY BE ISSUED OR MAY PERrANN THE INSURANCE AFFORDED BY THE POLIOES DESCIRMED HEREN IS SUBJECT TO ALL THE
TERMS,
EXCLUSIONS AND CONDffIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA0 CLAIMS
........... . ...
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RE 1 1,,032CO'015 P4()JEC'l 31AG 70,138FIR OJECF NAME 9CA6,,ES, CI F'< QF SAIJA ANA POl
IU: DEPT
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CERTIFICATE HOLDER
I T'rJi-"30� I A ANA M 93 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
20 �1,j9V(,,�'E'V'ER PtAZ4 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
W
34,', MIfA 1'•A 1 ACCORDANCE WITH THE POLICY PROVISIONS,
AUrHORIZED REPRESENTArtlVE
of Marsh USA Inc
Man shy Mu0erjee
@ 198,8-2014 ACORD CC$ZPCFfAMtT7Aff-''rights —reserved.
ACORD 25 (2014/01) The ACORD name and Iogo are registered marks of ACOR 7
e /4
AGENCY CUSTOMER lD: W0129
LOC #: fvfOrrlStOWrl
Page 2 of 2
AGENCY
NAMED INSURED
MAR ,H Tj,3A N(
3VAENS iNDvSTR,, Ac
EIJI! "'W" r"CHNO�.CGES
POLICY NUMSER
10(116 DEE Rf--,'E PARK1h,"O'
K,FFA�.o ,ROVE tI- �300)9
CARRIER
NAIL GC1aE
EFFECnVE DATE
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE; Certificate of babiliky Insurance
RE 91,T2Pf,,Y)7119G0 P093'2(rX)W5 "RQ( EC F# 9'I Q)(,'7C5�3 "R,0JE;17 NAW b(,'Ad 'SE'S C I 'Y QF SAW A ANA P(A ICE D&P F
c11,f oir rA %NA i rrE ()F,CERG, EMPLOYEES. A (]EN F, AND VCLUIN"F=1-RS ARE iNCUXED AE ADCA 1'10NAL INSURED UNDER 1"HE A BOVF REP ERIN(' ED
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MANUSCRIPT ENDORSEMENT # 32
Policy Number Named Insured
G LD 11101 -08 SIEMENS CORPORATION
Policy Period: Inception (M -D-Y) Expiration (M -0-Y) Effective Date and
Time of Endorsement
10-01-2016 '10-01-2016 12V a.m. 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 additional insured any person whom you are required to add as an
additional insured on this policy under a written agreement, 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. 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 broadercoverage 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 endorsementis excess over any, valid and collectible other
insurance, whether primary, excess, contingent, cr 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 prima,ryto other insurance available to the additional insured and we VMI not
share, with thatother insurance.
This endorsement shall prevail over additional insured endorsements that mayapply Linder this policy unless required
otherwise in the written agreement,
Authorized Representative
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
BY:-
POLiCYNIUMBER. GLD11101-08
This endorsement modifies insurance provided under the following,
COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
COM MERCIAL GENERAL LIABill-FrYCOVERAGE PART
PRODUCT /COMPLETED OPERATIONS LIABILITY COVERAGE PART
6*01:D- U091[14#
'ANY PERSON OR ORGANIZATION TO THE EXJEI`J REQUIRED BY WRi TTEI`,J CONTRACT
I Information required,10.20m2iete this Schedule, If not shown above will be shown in the Declarations --i
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV — Conditions:
We waive any night of recovery we may have against
the person or organization shown in the Schedule,
above because of payments we make for inp.�ry or
damage arising out of your ongoing operations or
"your work" done under a contract with that person
or organization and included in the "products -
completed operations hazard", This waiver applies
only to the person or organization shown in the
Schedule atx.)ve
()C T 7 "? 0 V i1i
CG 24 04 05 09 0 insurarce Services Office Iric, 2008 BY
AM,
TRAVELERSJ WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
POLIO "NUMBER TC2JUB-7440L27-I-16
NTI-ALT14
V4 e have the right to recover our payments from anyone liable for an injury covered by thas pohcy- VVe 41 not
enforce our right against the person or organizzatiion named in the Sche&fle. (This agreement applies Only to the
extent that you perform work under a wrftten contract that requires YOU to obtain this agreement from Lis
This agreement shall not operatt, cfiredy or indirectl� to benefit any one not named in the Scheduit,
AN'f PERSON OR ORGANIZATION FOR WHO A WAIVER OF
SUBROGATION IS REQUIRED BY CONTRACT OR AGREEMENT OR
PERMIT, BUT COVERAGE IS LIMITED TO THE SCOPE OF THE
WORX PERFORIblIED BY THE INSURED UNDER SUCH CONTRACT,
AGREEMENT OR PERMIT,
DATEOF ISSUE og-oa-i6 ST ASSIGN,
EN'FE RED
7 2u'li"
By;