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ACOK®® CERTIFICATE OF LIABILITY INSURANCE 1.� 41l/2018 -GATE 9/13/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCkton Companies W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816)960-9000 CONTACT NAME444 PHONE FO AX N Exit A C No EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Continental Casualty Company 20443 INSURED SPRINT/UNITED MANAGEMENT COMPANY 14971 6480 SPRINT PARKWAY INSURERS: American CasamIty Company of Reading, PA 20427 INSURER C : Transportation Insurance Compativ 20494 INSURER D : Starr Indemnity & Liability Company 38318 OVERLAND PARK KS 66251 INSURER E INSURER F : COVERAGES SPRC003 CERTIFICATE NUMBER: 14943581 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL NSD SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F7X OCCUR Y NI GL5082521363 4/1/2017 4/1/2018 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED — PREMISES Ea occurrence $ 250000 X MED EXP (Any one person) $ XXXXXXX CONTRACTUAL LIAB. X *TENANTS LEGAL LIAB PERSONAL x ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY l jE� LOC GENERAL AGGREGATE $ 10000000 PRODUCTS ASS $ 31000,000 $ OTHER: A AUTOMOBILE LIABILITY IN NT BUA5082521329 4/1/2017 4/1/2018 COMBINED SINGLE LIMIT Ea ecclrlant $ 2,000,000 _1 BODILY INJURY(Per person) $ jfX'X'X'X'XX ANY AUTO I OWNED ATOSONLY AUTOSULED BODILY INJURY (Per accident)' $ XXXXXXX HIRED AUTOS ONLY AUUTOS ONL� Porrasiders) GE SXXXXXXX Ganarrekeepers s Included D X UMBRELLA LIAB X' OCCUR N N 1000706013171 4/1/2017 4/1/2018 EACH OCCURRENCE S 10,000,000 I AGGREGATE _ S 10,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ XXXXXXX C B B C WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? ❑N (Mandatory in NH) If yes describe under DESCRIPTION OFOPERATIONS below NIA N WC50825212$2 RETRD WC5082521296DEDD TIBLE) WC5082521279(CA) GAP5082521315 (STOP GAP) 4/1/2017 4/1/2017 4/1/2017 4/1/2017 4/1/261$ 4/1/201$ 4/1/2018 4/1/2018 ! X PER OTH- STATUTE ER _ ELEACHACCIDENT $ 1000000 E.L.DISEASE-EA EMPLOYEE 11000Q00 E.L. DISEASE -POLICY LIMIT $ 1000QQQ I y�'yy d !U d•. t3 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space' [1i& ed) *FIRE DAMAGE IS INCLUDED IN BROADER TENANT'S LEGAL LIABILITY FORM WITH LIMITS OF� ® 00 PER OCCURREN ,. THE CLI'Y OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVE ARE ADDITIONAL ItMBURED WHERE,REQyd BY CONTRACT AND SUBJECT TO POLICY TERMS AND CONDITIONS. �r�Jo SP1PC� LEASED LOCATION:- Site ID: 3611 3611 S. BRISTOL ST B SANTA ANA CA 9-G CERTIFICATE HOLDER CANCELLATION See Attachment 14943581 CITY OF SANTA ANA, ITS OFFICERS, AGENTS, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE AND EMPLOYEES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA CA 92701 AUTHORIZED REPRESENTATIV I r� ©19884015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD