LOS ANGELES SMSA LIMITED PARTNERSHIP (61)

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rrarlane K. Francine R. Villareal D11120.09.02 Villareal 10:18:53-07'00' `� �` CERTIFICATE OF LIABILITY INSURANCE DATE(MNIDDIYYYY) Der3vzON 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. sub Ilvlur1 rs aD PUPLe I I VNAL INauKtO, me policy lies) must nave 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 m certificate does not confer rights to the certificate holder in lieu of such endorsement(s). � PRODUCER CONTACT N AOn Risk services Northeast, Inc. NAME: 'O PH NE (866) 293-7122 New York NV Office INC. No. Exq: FM No)- (800) 363-0105 N One Liberty Plaza E-MAIL L 165 Broadway, Suite 3201 ADDRESS: _ New York NY 10006 USA INSURER(S) AFFORDING COVERAGE I NAICif Los Angeles dba Verizon SMSA LP Wireless INSURERA: National Union Fire Ins CO of Pittsburgh 19445 INSURER B: AIU Insurance Company 19399 1095 Avenue New York NY of the Americas 10036 USA INSURER C: American Nome Assurance Co. 19380 INSURER D: New Hampshire Insurance Company 23841 INSURER E: INSURER F: COVFRAriFS 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. Limits shown are as requested LTR TYPE OF INSURANCE INSE WVD POLICY NUMBER L MOIC YYYY POLIO YYYY LIMBS A X COMMERCIAL GENERAL LWBILITY CLAIMS-MAOE JE OCCUR Y Y GL EACH OCCURRENCE $2,000,005 DAMAGE —TORtNI$2, PREMISES Ea occurrence 000, 000 X MED EXP (Any one person) $10, 000 XCU Coverage is IncWtletl PERSONAL B ADV INJURY $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRO X POLICY JECT LOG GENERALAGGREGATE 15,0001000 PRODUCTS-COMPIOPAGG $5,000,000 OTHER: A AUTOMOBILE LIABILITY CA 4594298 A05 06/30/202006/30/2021 COMBINED SINGLE LIMIT Ea accident $1,000, 000 BODILY INJURY(Perperson) A ANY AUTO CA 4594299 06/30/202006/30/2021 AAUTOS OWNED SCHEDULED ONLY AUTOS HIREDAUTOR NON -OWNED ONLY AUTOS ONLY I MA CA 4594300 VA 06/30/2020 06/30/2021 BODILY INJURY(Perawidebt) PROPERTY DAMAGE Per accident A See Next Page 06/30/2020 06/30/2021 UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE DEO RETENTION B D WORKERS COMPENSATION AND EMPLOYERS-LIAIILITY YIN ANYPROPRIETORI PARTNER I EXEUI IVE OFFICERVEMBER EXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below NIA WC045886576 ADS wC045886575 CA 06/30/2020 06/30/202006/30/2021 06 30/2021 X PER STATUTE OTH- ER EL EACH ACCIDENT $1,DOD,000 E.L. DISEASE -EA EMPLOYEE $1,000,00C EL DISEASE -POLICY LIMIT $11000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached a more space is required) The above -referenced General Liability policy shall cover the tort liability of the Certificate Holder assumed under the i underlying agreement between parties for which the certificate has been issued. City of Santa Ana, its council members, I officers and employees are included as Additional Insured with respect to the General Liability policy. The General Liability policy shall apply as Primary and Non -Contributory Insurance to each Additional Insured listed herein. where permitted by law, the Named Insured parties listed herein waive all rights against City of Santa Ana, its council members, officers and employees . listed herein for recovery of damages to the extent these damages are covered by the above -referenced General Liability policy and, as further limited by written contract between the parties. N mm r m Co r uP Z m u t: M U L!=KI IMUAIE MULDER CANCELLATION Eyll SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Risk Management Division _ 20 Civic Center Plaza, 4th Floor aQ 9'rtl eleGa// Santa Ana en 92701 USA Riak Mulagenent DiNsion ©1988-2015 ACORD CO'^0 fi APPRovm Br: ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Rlsk Manager re d Analysl