|
<br />PRODUCER .
<br />Locktan Companies
<br />444 W. 47th Street, Suite 900
<br />Kansas Cily Mo 64112-1906
<br />(816) 960-9000
<br />
<br />'AC()RD~ CERTIFICATE OF LIABILITY INSURANCE 04/0112005 o;;~~~~;DO";)
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />SPRINT PCS ASSETS, LLC.
<br />6160 SPRINT PAPJ<!NA Y
<br />OVERlAND PARK KS 66251
<br />
<br />A-~oo4-138'
<br />A-20OLI- 13q
<br />A -;;l.ocl-f - \ 4D
<br />
<br />
<br />INSURED
<br />14966
<br />
<br />INSURERA, CONTINENTAL CASUALTY CO. A XV
<br />INSURER B' AMERICAN CASUALTY CO.ofReadin PA
<br />,TRANSPORTATION INSURANCE CO. A XV
<br />
<br />
<br />COVERAGES
<br />
<br />SPRCOOI
<br />
<br />DE
<br />
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />IIIN~: TYPE OF INSURANCE POLICY NUMBER ~~TMWJIf~E P~~M~J~pN liMITS
<br /> ~NERAL UA~UTY EACH OCCURRENCE , 2 000 000
<br />A X COMMERCIAL GENERAL LIABILITY GL 251929176 04/01/2002 04/01/2005 FIRE DAMAGE IAnv one fire\ , 500 000
<br /> I CLAIMS MADE ~ OCCUR MED EXP IAnv one """'onl , XXXXXXX
<br /> X CONTRACTUAL PERSONAL & ADV INJURY , 2 000 000
<br /> GENERAL AGGREGATE , 5 000 000
<br /> ~lAGG~En LIMIT APn PER: PRODUCTS - COMP/OP AGG , 3 000 000
<br /> X POLICY ~f8i LOC
<br /> ~TOMOBllE lIABILITY COMBINED SINGLE LIMIT , 2,000,000
<br />A .x. ANY AUTO BUA 251929193 04/01/2002 04/01/2005 (Ea accident)
<br /> - All OWNED AUTOS BODILY INJURY
<br /> , XXXXXXX
<br /> - SCHEDULED AUTOS (Per person)
<br /> - HIRED AUTOS BODILY INJURY XXXXXXX
<br /> ,
<br /> - NON-QWNED AUTOS (Pereccident)
<br /> APP ~OVRn A CO ~- PROPERTY DAMAGE , XXXXXXX
<br /> (Per accident)
<br /> RGE LIABIUTY SlCf;)jJ IJ> AUTO ONLY - EA ACCIDENT , XXXXXXX
<br /> ANY AUTO NOT APPLICABLE /' OTHER THAN EA ACC . XXXXXXX
<br /> , AUTO ONLY; AGG . XXXXXXX
<br /> OESS lIABILITY './ ,u';art heedy EACH OCCURRENCE , XXXXXXX
<br /> OCCUR 0 CLAIMS MADE NOT APPLICABLE ssistaDi ity Horney AGGREGATE , XXXXXXX
<br /> ,
<br /> . XXXXXXX
<br /> R 0 U....UA
<br /> DEDUCTIBLE FORM . XXXXXXX
<br /> RETENTION $ , XXXXXXX
<br />B WORKERS COMPENSATION AND WC 251929159 (AOS) 04/01/2002 04/01/2005 X IWC S~~!,y~^ I I~~H.
<br />C EMPLOYERS' lIABILITY WC 251929162 (AZ,OR,WI) 04/01/2002 04/0112005 j 000 000
<br /> E.L. EACH ACCIDENT ,
<br />B we 251907792 (CA) 04/01/2003 04/0112005 E.L. DISEASE - EA EMPLOYEE $ 1 000 000
<br />B N/A IN MONOPOLISTIC STATE E.l. DISEASE - POLICY LIMIT , I 000 000
<br /> OTHER
<br />DESCRIPTION OF OPERATIONSIlOCATlONSNEHICLESlEXCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS
<br />THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, REPRESENTATIVES, EMPLOYEES & VOLUNTEERS ARE ADDITIONAL INSUREDS, WHICH
<br />IS ON A PRIMARY BASIS, AND ALL OTHER INSURANCE SHALL BE NON-CONTRIBUTORY, AS REQUIRED IN THE CONTRACT AND INCLUDED
<br />IN THE POLICY FORM. RE: INSTALLATION, OPERATION & MAINTENANCE OF TELECOMMUNICATIONS EQUIPMENT AT VARIOUS LOCATIONS.
<br /> , ~~~ I I ADDITIONAL INSURED- INSURER LETIER: " 'T'~" IM318S11M58261'
<br /> 2227218 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br /> CITY OF SANTA ANA DATE THEREOF, THE ISSUING INSURER WILL [JIgU"OR TO MAlL..1.O...- DAYS WRITTEN
<br /> PARKS, RECREATION & COMMUNITY SERVICES
<br /> A TTN: DOLORES RAMOS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT,BUTF"llURETQ PQ gg EII"ll
<br /> 888 W. SANTA ANA BLVD, SUITE 200 1~.POgE tlQ 9BlIC"TIQ~1 QR ll.l'BIUTY or "tlY KltJO IlPOtl TIlE ItlSURER, ITi ACEtIn; QR
<br /> PO BOX 1988 M-23 R.EPREiEtIT"T1"Ei.
<br /> SANTA ANA CA 92702 AUTHORIZED REPRESENTATIVE ./~ U ~
<br />ACORD 25-S (7/97) Forqu,"otions regarding this certificate, conlactthe number llstlld In lhe 'Produ ce"Hctlon.boveilndsp.clfytheclienlcode'SPftCOO1.. ",ACORD CORpORATION 1988
<br />
|