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OMNIPOINT (T-MOBLIE) - 2008
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OMNIPOINT (T-MOBLIE) - 2008
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Entry Properties
Last modified
1/9/2019 10:21:53 AM
Creation date
3/24/2009 12:34:21 PM
Metadata
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Template:
Contracts
Company Name
OMNIPOINT
Contract #
A-2008-290
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
11/17/2008
Expiration Date
11/17/2018
Insurance Exp Date
4/1/2019
Destruction Year
2023
Notes
includes consent for modification letters dated 2/4/15; 12/17/15
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A`� D® CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 <br />031129/2018' <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement <br />on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME <br />Willie of Pennsylvania, Inc. <br />c/o 26 Century Blvd. <br />P. O. Box 305191 <br />Nashville, IN 37230-5191 <br />PHONE 877-945-7378 FAX 888-467-2378 <br />NoMAILEXT) <br />-IC <br />AGGRPqA certificates@willis.COm <br />INSURER(S)AFFORDING COVERAGE NAICa <br />INSURERA: Federal Insurance Company 20281-005 <br />Y <br />INSURED <br />Crown Castle International OL Q`GGr(/ <br />INSURER B: Travelers Property Casualty Cc of Amer 25674-001 <br />See Attached Named Insured List <br />INSURERC: Berkshire Hathaway Specialty Insurance Cc 22276-001 <br />1220 Augusta Dr. Suite 600 <br />Houston, TX 77057 <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 26194691 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRI TR <br />TYPEOFINSURANCEDDL <br />SUB <br />POLICY NUMBER <br />POLICYEFF <br />POIJCY UP <br />LIMITS <br />A <br />X COMMERCIALGENERALUABILITY <br />CLAIMS -MADE X OCCUR <br />y <br />Y <br />7021-02-28 <br />4/1/2018 <br />4/1/2019 <br />EACHOCCURRENCE $ 1,000,000 <br />�; F ORa aCCTurence) <br />RAN@H (t $ 1,000,000 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL& ADV INJURY $ 11000,000 <br />GEN'L AGGREGATE LIMIT APPLI ES PER: <br />X POLICY F:] PRP JECT [:]LOC <br />GENERALAGGREGATE $ 2,000,000 <br />PRODUCTS-COMPIOPAGG$ 2,000,000 <br />$ <br />OTHER' <br />B <br />AUTOMOBILE LmBILITY <br />y <br />Y <br />TC2JCAP-474H9749TIL18 <br />4/1/2018 <br />4/1/2019 <br />WMBtleD�INGLE LIMIT $ 1,000,000 <br />BODILY INJURY(Per person) S <br />X ANYAUTO <br />OWNED SCHEDULED <br />AUTOSONLY AUTOS <br />1 <br />BODILY INJURY(Peracodem) S <br />HIRED NON -OWNED <br />AUTOSONLY AUTOSONLY <br />R DANA E <br />(Per accident) S <br />C <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />y <br />y <br />47-UNO-303445-02 <br />4/1/2018 <br />4/1/2019 <br />EACH OCCURRENCE $ 5,000,000 <br />AGGREGATE $ 51000,000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED X RETENTION$ 25,00 <br />$ <br />B <br />B <br />WORNERSCOMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVEY <br />OFFICEREMBER EXCLUDED? <br />IM <br />IMandaWry,in NH) <br />f desc!oe un r <br />NIA <br />Y <br />TRXUB-474M970-1-18 <br />TC2JUB-474M969-4-18 <br />4/l/2018 <br />4/1/2018 <br />4/1/2019 <br />4/1/2019 <br />X PER <br />E.L. EACHACCIDENT $ 1,000,000 <br />E.L. DISEASE -EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />yes, <br />DESCRIPTIONOF OPERATIONS below <br />y <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addiffonal Remarks Schedule, maybe aaached if more space Is mquimd) <br />BU #828440 - TM3009 El Salvador Park <br />See attached: <br />w(-,S <br />City of Santa Ana <br />Attn: Insurance Compliance <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />:2208919 Cert:26194691 ©1988-2015 ACORD CORPORATION.AII rights reserved <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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