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DocuSign Envelope ID:37AF196F-70A9-40BD-BDEO-4E0A39EC4A40 <br /> AGENCY CUSTOMER ID: 100129 <br /> LOC#: Morristown <br /> AC R D ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> MARSH USA,INC. SIEMENS INDUSTRY,INC. <br /> BUILDING TECHNOLOGIES <br /> POLICY NUMBER 1000 DEERFIELD PARKWAY <br /> BUFFALO GROVE,IL 60089 <br /> CARRIER NAIL 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;JOB NO.N/A <br /> COUNTY OF ORANGE:ASSET MANAGEMENT SERVICES IS INCLUDED AS ADDITIONAL INSURED UNDER THE ABOVE REFERENCED GENERAL LIABILITY AND <br /> AU FOMOBILE LIABILITY INSURANCE POLICIES AND THE COVERAGE AFFORDED THE ADDITIONAL INSURED UNDER THESE POLICIES SHALL BE PRIMARY AND NON- <br /> CONTRIBUTORY INSURANCE TO THE EXTENT THAT A CLAIM ARISES FROM THE NEGLIGENCE OF SIEMENS INDUSTRY,INC.OR ITS SUBCONTRACTORS WITH <br /> RESPECT TO ALL OPERATIONS OF THE INSURED BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED,SIEMENS <br /> INDUSTRY,INC FOR CERTIFICATE HOLDER UNDER CONTRACT. <br /> IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM,THE INSURER WILL DELIVER NOTICE OF CANCELLATION TO <br /> THE CERTIFICATE HOLDER UP TO 60 DAYS PRIOR TO THE CANCELLATION OR AS REQUIRED BY WRITTEN CONTRACT,WHICHEVER IS LESS. <br /> • <br /> ACORD 101 (2008101) ©2008 AGORA CORPORATION. All rights reserved, <br /> The ACORD name and logo are registered marks of ACORD <br />