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acoRo°CERTIFICATE OF LIABILITY INSURANCE 4/1/20173 <br />3/21/2001616 DAI <br />/21/ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 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(iss) must be endorsed. If SUBROGATION 15 WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s), <br />PRODUCER Lockton Companies <br />444 W. 47th Street, Suite 900 <br />Kansas City MO 64112-1906 <br />(816)960-9000 <br />_ <br />NAME <br />a,TFAaIXc, No— <br />MAIL —�'—^— <br />00 ESS: <br />_. _...— <br />INSURER(S) AFFORDING COVERAGE NAICA <br />_ <br />INSURERA Continental Casualty Company 20443 <br />INSURED SPRINT PCS ASSETS, L.L.C. <br />14966 6480 SPRINT PARKWAY <br />OVERLAND PARK KS 6625120494 <br />INSURER B: American CasimftZ Coln an' ofReading, PA 20427 <br />INSURER c: Trans ortationlnsurance Company <br />INSURER D: <br />Isu - <br />S ERF: <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 />EXCLUSIONS AND CON017IONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />IINS <br />TYPE OF INSURANCE <br />A00L <br />0 <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />QMMIDDIYYYYI <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />N <br />N <br />GL5082521363 <br />4/1/2014 <br />4/1/2017 <br />EACH OCCURRENCE 2000000 <br />CLAIMS -MADE OCCUR <br />X <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence 42550,000 <br />MED EXP (Any oneperson) 5 XXXXXXX <br />CON'I'RACTUALLIAR, <br />X 'TENANTS LEGAL LIAR <br />PERSONAL BAOVINJURY $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY JEO F-1 LOC <br />GENERAL AGGREGATE $ 10000,000 <br />PRODUCTS - COMPIOPAGO $ 3,000A0 <br />OTHER <br />A <br />AUTOMOBILE <br />LIABILITY <br />N <br />N <br />BUA5082521329! <br />4/1/2014 <br />4/1/2017 <br />COMBINEDSINGLE LIMIT <br />Ea acaltlem $ 2,000,000 <br />X <br />ANY AUTO <br />AUTOWNED AUTOS ED <br />BODILY INJURY (Per person) S XXXXXX'}( <br />BODILY INJURY (Per accident $ XXXXXXX <br />HIRED AUTOS AUTOOSWNED <br />(PPO'c da DAMAGE 5 XXXXXXX <br />GaraeekeeBers S Included <br />UMBRELLALIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />NOT APPLICABLE <br />EACH OCCURRENCE $ XXXXXXX <br />AGGREGATE $ <br />DED I I RETENTION $ <br />_XXXXXXX <br />$ <br />C <br />g <br />B <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABIURY YIN <br />CNOEWMFMBER ECLUDEov ecunvE ❑N <br />IMaadetn, m Nut <br />umdescribeorder <br />OESCRIpTION OF OPERATIONS beIOw <br />NIA <br />N <br />WC5082521292(RETRO) <br />WC5082521296(DEDUCTIBLE) <br />WC5082521279(CA) <br />SGL5082521315(STOP GAP) <br />4/1/2016 <br />4/1/2016 <br />4/1/2016 <br />4/1/2016 <br />4/1/2017 <br />411/2017 <br />4/t/2017 <br />4/1/2017 <br />X STATUTE OTH- <br />EL. EACH acaoervT T $ 1,000,000 <br />E.L. DISEASE -EA EMPLoree $ 1000000 <br />E L. DISEASE � POLICY LIMIT 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be atfachad if more space Is required) <br />*FIRE, DAMAGE IS INCLUDED IN BROADER TENANT'S LEGAL LIABILITY FORM WITH LIMITS OF $1,000,000 PER OCCURRENCE". THE <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS, REPRESENTATIVES, EMPLOYEES AND VOLUNTEERS ARE ADDITIONAL INSUREDS ON A <br />PRIMARY BASIS AS REQUIRED BY CONTRACT AND SUBJECT TO POLICY 'PERMS AND CONDITIONS. RE: INSTALLATION, OPERATION Fc <br />MAINTENANCE OF TELECOMMUNICATIONS EQUIPMENT. <br />LEASED I OCATT N:, Si e UY OG38XC199 1915 W LAVERNJE AVE. SANTA ANj l y� "" � L.S✓I le"_" <br />2551298 <br />CITY OF SANTA ANA <br />ATTN: CARLA MACK-THOMPKINS <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POI, <br />THE EXPIRATION DATE THEREOF, NOTICE W1 <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />'.. z xv <br />The ACORD name and logo are registered marks of ACORD <br />