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OMNIPOINT (T-MOBILE)
INSURANCE NUT ON FILE MAYOR WORK MAY KT PRO, Miguel A. Pulido CLERK OF COUN( MAYOR PRO TEM Juan Villages DATE: WiR COUNCILMEMBERS Fop Cecilia Iglesias David Penaloza Roman Rayne t-ti dS� Vicente Sarmiento 'lI Jose Solorio CITY OF SANTA ANA CITY MANAGER'S OFFICE 20 Civic Center Plaza s P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.lo February 26,2019 Ms. Kellea Dawson, Processing Administrator SBA Communications Corporation 8051 Congress Avenue Boca Raton, FL 33487-1307 A-2009-030B ACTING CITY MANAGER Steven A. Mendoza CITY ATTORNEY Sonia R. Carvalho ACTING CLERK OF THE COUNCIL Norma Mitre -Ramirez Re: First Extension of Land Lease Agreement between City of Santa Ana and Omnipoint Communications, a Subsidiary of T-Mobile USA, Inc., (Thorton Park), No. A-2009-030A Dear Ms, Dawson: This letter is to acknowledge receipt of SBA Communications Corporation's written "Renewal Notice" of the above -referenced land lease agreement dated April 6, 2009 ("Agreement"). By this Notice attached as Exhibit A, SBA, as a successor -in -interest to T-Mobile USA, Inc., has exercised its option to extend the Agreement for the first five-year term, as permitted by Section 7 of the Agreement. Accordingly, the term of the Agreement is hereby extended for an additional five-year period, from October 1, 2019 to September 30, 2024. The insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect." Sincerely, ATTEST: Norma Mitre Acting Clerk of Council CITY OF SANTA ANA Steven Mendoza Acting City Manager [Signatures continue on next page] SANTA ANA CITY COUNCIL Miguel A. Pulido Juan Villages Vicente Sarmiento David Penaloza Jose Solorio Roman Rayne Cecilia Iglesias Mayor Mayor Pro Tem, Ward 5 Word Ward Ward3 Ward Ward m�ulitlo(o7sanlo-ana.om 'Nllenaensanle-ana.om vsarmientog),santa-ana oro tloenabza(aysan(aana org 'solorio(&danta-ena.oro rfeyna(Nsanla-ana ore cigesfas(r�sanla-ana ore SBA Communications Corporation 8051 Congress Avenue Boca Raton, FL 33487-1307 T,f 561995.7670 F + 561.995.7626 5bwitexom Via Certified Mail 9414 7266 9904 21331176 41 Deoember 18, 2018 City of Santa Ana Clerk of the Council 20 Civic Center Plaza (M•30) P.O. Box 1988 Santa Ana, CA 92702 Re: SBA Site Name; Carl Thornton Park SBA Site ID: CA40805-T-0 Renewal Notice of Land Lease Agreement dated April 6. 2009 (the "Aareement") Dear Lessor: This letter shall serve as written notice that SBA Monarch Towers III, LLC ("SBA") has elected its right to exercise its option to renew the above -noted Agreement for one (1) additional Five (5) year term as outlined in Section 7 of the Agreement. The next renewal term of the Agreement will run from October 1, 2019 through September 30, 2024, If you have any questions regarding what is stated herein, please feel free to contact me directly at (800) 487.7483 ext. 7956 or via email at kdawson@sbasite.com. SBA looks forward to a continued and pleasant working relationship with you. ( Sincerely, � n a L7ewson V1 Processing Administrator cc: Office of the City Attorney, 20 Civic Center Plaza (M-29), P.O. Box 1986, Santa Ana, CA 92702 cc: ATS Communications, Attn: Tony ingegnerl, 22651 Lambert Street, Suite 101A, Lake Forest, CA 92630 I i 2 ov 1-GG A - mMobile' ' Z T-Mobile West Corporation .. $ Imperial Promenade, Suite 1100 Santa Ana, CA 92707 September 30, 2009 o� City of Santa Ana _ 7Z1 ;r Clerk of the Council w 20 Civic Center Plaza (M-30) P.O. Sox 1988 Santa Ana, CA 92702 i 5a r Vj RE: T-Mobile Site Number: LA13160A T-Mobile Site Name: Carl Thornton Park Dear Landlord: Please accept this letter as notification that T-Mobile West Corporation, is commencing the Rooftop Lease with Option for the above -mentioned cell site with an effective date of October 01, 2009 You should receive a check within the next twenty (20) business days at. This amount represents payment for the period October 01, 2009 through October 31, 2009. Should you have any questions or concerns please contact Kira Stotelmeyer at (949) 395- 2724. Sincerely, Chris Keahey Property Coordinator — Independent Contractor Chris.Keaheyna T-Mobile.com T • •Mobile cc: Office of the City Attorney SBACOMM-01 NMONEII r ACORO' CERTIFICATE OF LIABILITY INSURANCE D03/15/2019Y) 03115/2019 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 CONTACT NAME: Henderson Brothers Inc Ext): (412) 261-1842 ! FAX No):(412) 261-4149 IaCC,,NN 920 Ft. Duquesne Blvd. , Pittsburgh, PA 15222 ADDARESS, infohendersonbrothers.com INS_URER(S)AFFORDING COVERAGE NAICN INSURER A: Travelers Property 8 Casua_lty 25674 INSURED INSURER B:St. Paul Fire & Marine A-.W9A 24767_ 25615 _ SBA Communications Corporation 1130 I INSURERC:The Charter Oak Fire Ins. Co. 19682 8051 Congress Ave. 4 ,;LW9-0,366INSURER D: Hartford Fire Insurance Company Payable Boca Raton, FL 33487 1 1 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 rypE OF INSURANCE ADDLSUBR' LTR IN D WVD POLICY NUMBER POLICVEFF MMIDOIYVVY POLICY EXP LIMITS NIWDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 900,000 CLAIMS -MADE X OCCUR X EXGL-474M8138 03/1512019 03/1512020 DAMAGE TO RENTED ggp,ppp PREMISES fEa occurrence $ X $100'000 SIR MED EXP An one erson I$- PERSONALBADVINJURY � 900,000 GEN'LAGGREGATE UMITAPPUESPER: GENERAL AGGREGATE $ 2,000,000 POLICY X _ PEBT LOC li PRODUCTS-COMP/OPAGG $ 2,D00;600 OTHER: $ A AUTOMOBILE- LIABILITY _ COMBINEDSINGLE LIMIT _��QQQ,QQQ Ee accident $ X ANY AUTO CAP-474M814A 03/15/2019 03/15/2020 BODILY INJURY Perperson) $ OPMED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ _ HIRTEOS ONLY AUTOS ONEDV Parr acclRoen�AMAGE -$ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 25,000,000 EXCESS LIAB CLAIMS -MADE ZUP-15N37405 03/15/2019 03/15/2020 AGGREGATE $ 26,000,000 DED X I RETENTION$ 10,000 $ C WORKERS COMPENSATION X STATUTE OTRH- ANDEMPLOYERS'LIABRm IUB-4L099102 YIN _ 03/1512019 03/15/2020 1,000,000 CUTIVE NIA EL EACH ACCIDENT $ gAgN�YPERIMEETOR(PARTNDED? (manEa%/MEn NHR EXCLUDED? rY ) E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes antler r 1 1QQg QQQ Endscnbe DRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT $ A Worker's Comp UB-31-884966 03/1512019 03/15/2020 Each Acc/Policy Lmt 1,000,000 D Prof/Poll (100k SIR) 40 CPI HA6405 03/1512019 03/15/2020 Claim/Agg 6,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES /ACORD I01, Additional Remarks Schedule, my be attached if more space is required) `1 Re: CA40805-T-0, Site Name: Carl Thornton Park V 1801 W. Segerstrom Ave., Santa Ana, CA 92704 City of Santa Ana, its officers, employees, agents and representatives are included as additional insureds for the G'enoncontributory basis when requiretl by written contract. CS�� Wr!m SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Clerk of the Council 20 Civic Center, Plaza (M-30), P.O. Box 1988 Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: SBACOMM-01 NMONEIL LOC #: 0 A� ADDITIONAL REMARKS SCHEDULE Page 1 of 2 AGENCY NAMED INSURED Henderson Brothers Inc SBA Communications Corporation 8051 Congress Ave. POLICY NUMBER Boca Raton, FL 33487 EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Named Insureds Cont'd: SBA Communications Corporation SBA Network Services, LLC Asset Development, LLC Guatemala Shareholder II, LLC Brazil Shareholder I, LLC MCM Acquisition 2017, LLC Brazil Shareholder It, LLC Memphis Towers, LLC Central America Equityholder, LLC Mercury Towers Acquisition 2013, LLC Chile Shareholder, LLC Municipal Acquisition 2015, LLC Collier Enterprises II LLC Nicaragua Shareholder 1, LLC Colombia Shareholder, LLC OFO LLC Costa Rica Quotaholder, LLC Panama Shareholder, LLC Datapath Development Towers, LLC Patriot Towers Acquisition 2017, LLC D.W. Holdings Acquisition 2014, LLC Quality Tower Developers, LLC Ecuador Shareholder, LLC Peru Shareholder I, LLC Ecuador Shareholder II, LLC Peru Shareholder 11, LLC El Salvador Shareholder I, LLC SBA 2012 TC Assets, LLC El Salvador Shareholder II, LLC SBA 2012 TC Assets Land, LLC Guatemala Shareholder I, LLC SBA 2012 TC Assets PR, LLC LOC Sites Infraestrutura Telefonica Ltda SBA 2012 TC Holdings, LLC SBA 2012 TC Land 11, LLC SBA Monarch Steel, LLC SBA 2014 PR, Inc. f/k/a Soluwise, Inc. SBA Land, LLC fka TCO Land LLC SBA BTS, LLC SBA Monarch Steel, LLC SBA DAS & Small Cells, LLC SBA Monarch Towers I, LLC SBA Depositor LLC SBA Monarch Towers III, LLC SBA GC Holdings, LLC SBA Network Management, Inc. SBA GC Parent I, LLC SBA New Builds, LLC SBA GC Parent II, LLC SBA Properties, LLC SBA GC Towers, LLC SBA RSA Holdings, LLC SBA Guarantor LLC SBA Puerto Rico, LLC SBA Holdings LLC SBA Senior Finance II LLC SBA Holdings a Participag6es Ltds. SBA Senior Finance, LLC. SBA HQ, LLC SBA Site Management, LLC SBA Infrastructure, LLC SBA Sites, LLC SBA Land, LLC fka TCO Land LLC SBA Steel LLC SBA Torres Argentina S.R.L. SBA Steel II, LLC SBA Structures, LLC SBA Towers III LLC SBA Telecommunications, LLC. SBA Towers IV, LLC SBA Towers II LLC SBA Towers IX, LLC SBA Torres Brasil, Limitada SBA Towers V, LLC SBA Torres Chile, Spa SBA Towers VI, LLC SBA Torres Colombia S.A.S SBA Towers VII, LLC SBA Torres Costa Rica, Limitada SBA Towers Vlll, LLC SBA Torres Ecuador SBAEC, S.A. SBA Towers USVI, Inc. SBA Torres El Salvador, S.A. De C.V. SBA Towers, LLC SBA Torres Guatemala, Limitada SBA TRS Holdco, LLC SBA Torres Nicaragua, S.A. SIQUE SUIT LOCAL, ES LTDA SBA Torres Nicaragua 11, LLC Southern Towers SRL SBA Torres Panama, S.A. SBA Nicaragua IV y Cis Ltda. SBA Torres Peru, S.A. Tower Funding II, LLC SlteExcell Ventures, LLC Torres Ecuatorians Torresec, S.A. e'�e6vi - < P� ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: SBACOMM-01 LOC #: 0 AC40R O® ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Henderson Brothers Inc SBA Communications Corporation '8051 Congress Ave. POLICY NUMBER Boca Raton, FL 33487 EEPAGEI CARRIER NAIC CODEi EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 26 FORM TITLE: Certificate of Liability Insurance STC Towers Acquistion 2016, LLC Torres Tocales, S.A. Tower Funding, LLC Torres Andinas S.A. Torresec Peru, S.A.C. SBA Nicaragua III Y Cis Ltda. TV6 Holdings LLC BTC Participacces E Portfolio de Torres I LTDA Torres Andinas S.A. SBA Torres Guatemala 11, S.A. f/k/a Vialux, S.A. SBA Torres Guatemala 11, S.A. f/k/a Vialux, S.A. SBA 2016 TC USVI, LLC f/k/a TowerCo 2013 USVI LLC MAA Desarrollo E Inversiones Immobiliarias, S.A.C. Highline Do Brasil Infraestrutura De Telecom unicacoes S.A Higline Negocios Imobiliarios Ltda. ea . PEGS NMONEIL Page 2 of 2 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED - (Section II) is amended to include any person or organization that you agree in a "written -contract requiring insurance" to include as an additional insured on this Cover- age Part, but: a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b) If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract -requiring-insurance"-applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the additional insured by this endorsement is limited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the in- surance provided to the additional insured shall be limited to the limits of liability re- quired by that "written contract requiring in- surance". This endorsement shall not in- crease the limits of insurance described in Section III - Limits Of Insurance. b) The insurance provided to the additional in- sured does not apply to "bodily injury", "prop- erty damage" or "personal injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or sur- veying services, including: i. The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or failing to prepare or ap- prove, drawings and specifications; and ii. Supervisory, inspection, architectural or engineering activities. c) The insurance provided to the additional in- sured does not apply to "bodily injury" or „property -damage" -caused by_"your work" — and included in the "products -completed op- erations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that oc- curs before the end of the period of time for which the "written contract requiring insur- ance'�equires you fo provide such coverage or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the "written contract requiring insurance" specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis, this insurance is primary to "other insurance" available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other in- surance", whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured when that person or organization is an additional insured under such "other insur- ance". A'61- , / 4. As a condit-iio,n,``' additional inid� a) The additional notice as soot rence" or auo the a us written flan "occur - result in a such notice CG D2 46 08 05 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY I. How, when and where the "occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and III. The nature and location of any injury or damage arising out of the "occurrence" or offense. b) If a claim is made or "suit" is brought against the additional insured, the additional insured must: i. Immediately record the specifics of the claim or "suit" and the date received: and ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c) The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim -or defense -against the_"suit% and otherwise comply with all policy conditions. d) The additional insured must tender the de- fense and indemnity of any claim or "suit" to any provider of "other insurance" which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to "other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. — DEFINITIONS: "written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 0 2005 The St. Paul Travelers Companies, Inc. CG D2 46 08 O5