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"� o CERTIFICATE OF LIABILITY <br />OATUMlMD2/YYY, <br />INSURANCE <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON BE 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 he endorsed. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Services Northeast, Inc. <br />New York NV Office <br />One Liberty Plaza <br />165 eraadrvay, Suite 3201 <br />New York NY 10006 USA <br />CONTACT <br />NAME: <br />HONE <br />(NC.No.Ext): (866) 283-7122 FM <br />III No (800) 363-0105 <br />E-MAL <br />ADDRESS: <br />INSURER(S) AFFORDING MERAGE <br />NAICN <br />LOURED <br />dbaLas Angeles wireSMSA LP <br />vAvenueerizon wireless <br />INSURERA: National Union Fire us Co of Pittsburgh <br />19445 <br />INSURER B: New Hampshire Insurance Company <br />23841 <br />109 <br />1095 Avenue of the Americas <br />New York NY 10036 USA <br />MsuRER c: Am insurance compalry <br />19399 <br />INSURER D: American Home Assurance Co. <br />19380 <br />INSURERS Illinois National Insurance Co <br />23817 <br />INSURER F: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAKED ABOVE FOR THE POUCY 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as reemeeted <br />LTR <br />TYPE OF MSURANCE <br />IN30 <br />WVD <br />POLICY NUMBER <br />M UIYYYY <br />MmmUse <br />LaMTS <br />A <br />% <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE E OCCUR <br />GL <br />EACHOCCURRENCE <br />$1,000,000 <br />PREMISES Ea occureer <br />$Z,000, 000 <br />X <br />MED EEP(Ary one Person) <br />ES0,000 <br />XCU Ciwmie is insured <br />PERSONAL S ADV INJURY <br />S110001000 <br />GENLAGGREGATE LDAITAPPUES PER. <br />PR0. <br />X POLICY JECT LOL <br />GENERILAGGREGATE <br />$S, O00, 000 <br />PROgitTS-CONPAJPAGG <br />$2,000, 000 <br />OTHER. <br />A <br />AUTOMOBILE LIABILITY <br />C, 299-19-14 <br />ADS <br />06/30/201906/30/2070 <br />COMBINED SINGLE LIMIT <br />Mae'inn <br />S2,0001000 <br />BODRYMJURY(Parpenan) <br />A <br />% ANY AUTO <br />CA 299-19-18 <br />06/30/2019 <br />06/30/2020 <br />A <br />A <br />OWNED SCHEDULED <br />AUTOSAUTOS NON-0WNED <br />ONLY AUTOS ONLY <br />MA <br />CA 299-19-1$ <br />VA <br />See Next Page <br />06/30/2019 <br />06/30/2019 <br />06/30/2020 <br />06/30/2020 <br />BOOILTMJURY (Peramtlen0 <br />PROPERTY DAMAGE <br />xamillnl <br />UMBRELLA LlAS <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />IDEDI <br />RETENTION <br />B <br />D <br />MRHOERSCOMPPEEINSAITION AND <br />EM <br />ANVPROPMEICRIPARTNER I EXECUTIVE YIN <br />OFFICERMEMsee EXCLUDED? <br />(manUxtirnin NH) <br />If yea, descdba under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />WC014649148 <br />ADS <br />WC014649146 <br />CA <br />O6 3 019 <br />06/30/2019 <br />0 ZO 0 <br />06/30/2020 <br />X. PER STATUTE OTH- <br />ER <br />EL. EACRALCIDENT <br />$1,000,000 <br />E.L DIEFASE-FA EMPLOYEE <br />$1,000,000 <br />EL. DISEASEPOLICYLIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Atldifi-esl Remarks Scimdule, new, he ."ached it mere space h required) <br />Licensor, its council members, officers, and employees are included as Additional Insured in accordance with the policy <br />provisions of the General Liability policy. where permitted by law, the Named Insured parties listed herein waive all rights <br />against the Licensor, its council members, officers, and employees listed herein for recovery of damages to the extent these <br />damages are covered by the above -referenced General Liability policy, and, as further limited by written contract between the <br />parties. The above -referenced General Liability policy shall cover the tort liability of the certificate Holder assumed under <br />the underlyin9 agreement between parties for which the certificate has been issued. Such insurance as is afforded by this <br />policy shall be primary, and any insurance carried by City shall he excess and noncontributory. <br />CERTIFICATE HOLDER <br />City Of Santa Ana <br />Risk Management Division <br />20 Civic center Plaza, 4th F1 <br />Santa Ana CA 92701 USA r <br />ACORD 25 (2016/03) <br />MANAGEMENT DIV�SIOIYOIAD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DEWERED IN ACCORDANCE WITH THE <br />le POLICY PROVISIONS. <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />0 <br />Z <br />C <br />C <br />U <br />