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DocuSign Envelope ID: C9BD830D-9399-4949-A8DC-52FA23465CE6 <br /> DocuSign Envelope ID:3CB53A1D-CO4F-4B51-913A-A5ED432F87BC <br /> AGENCY CUSTOMER ID: 100129 <br /> _ LOC#: Morristown <br /> AC" ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> MARSH USA,INC. SIEMENS INDUSTRY,INC.INCLUDING <br /> BUILDING TECHNOLOGIES DIVISION <br /> POLICY NUMBER 1000 DEERFIELD PARKWAY <br /> BUFFALO GROVE,IL 6008 513 <br /> CARRIER NA1C CODE <br /> EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br /> RE:306 NO.NIA <br /> COUNTY OF ORANGE;ASSET MANAGEMENT SERVICES IS INCLUDED AS ADDITIONAL INSURED UNDER THE ABOVE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY INSURANCE <br /> 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 <br /> FROM THE NEGLIGENCE OF SIEMENS INDUSTRY,INC,OR ITS SUBCONTRACTORS WITH RESPECT TO ALL OPERATIONS OF THE INSURED BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY <br /> AND ON BEHALF OF THE NAMED INSURED,SIEMENS INDUSTRY,INC.FOR CERTIFICATE HOLDER UNDER CONTRACT. <br /> IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NON-PAYMENT OF PREMIUM,THE INSURER WILL DELIVER NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER UP TO 60 <br /> DAYS PRIOR TO THE CANCELLATION OR AS REQUIRED BY WRITTEN CONTRACT,WHICHEVER IS LESS. <br /> I <br /> ACORD 101 (2008101) 02008 ACORD CORPORATION, All rights reserved, <br /> The ACORD name and logo are registered marks of ACORD <br />