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Al Il1IP VIIJILCIIry �IyIICIA
<br />ACORo® CERTIFICATE OF LIABILITY INSURA .CE' _ Dynwe (MM/DD/YYYY)
<br />Ac vedO6/7/2022
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RI R E HOLDER. THIS
<br />CERTIF.,ICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AirFORRr'THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEd THE isst. G INSHRAQ0PZAHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. V , ,
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL IbS`sURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Arthur J. Gallagher & Co.
<br />Insurance Brokers of CA, Inc. LIC #0726293
<br />505 N. Brand Boulevard, Suite 600
<br />Glendale CA 91203-3944
<br />NAME: OUTFRONT Media Certificate Processin
<br />PNONE Fax
<br />Ac � 818-539-2300 A/c Na:818-539-1801
<br />nooEs: Certre uests a' .com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURERA: ACE American Insurance Company
<br />22667
<br />INSURED CBSOUTD-02
<br />UTFRONT Media Inc.
<br />405 Lexington Ave., 17th Floor
<br />INSURER B: Chubb Insurance Company of Canada
<br />INSURERC: Indemnity Insurance Company of N A
<br />43575
<br />INSURER D: ACE Property & Casualty Insurance Cc
<br />20699
<br />New York, NY 10174
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 1043323955 REVISION NUMBER -
<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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICYNUMBER
<br />POLICY EFF
<br />MMDDIYYYY1
<br />POLICY E%P
<br />(MMIDOMYYI
<br />LIMITS
<br />AB
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE I —XI OCCUR
<br />Y
<br />Y
<br />HDO G72491051
<br />CGL 327310
<br />6/1/2022
<br />6/1/2022
<br />6/1/2023
<br />6/l/2023
<br />EACH OCCURRENCE
<br />$2,000,000
<br />GET —RENTED
<br />PREMISES Ea occurrence
<br />$2,000,000
<br />MED EXP (Any one person)
<br />$10,000
<br />PERSONAL &ADV INJURY
<br />$2,000,000
<br />GEN'L
<br />X
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY PECTRO- ❑ LOG
<br />J
<br />GENERAL AGGREGATE
<br />$4,000,000
<br />PRODUCTS- COMPIOPAGG
<br />$4,000,000
<br />$
<br />OTHER:
<br />AB
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO -
<br />ISA H2556523A
<br />CAC426594
<br />6/1/2022
<br />6/1/2022
<br />6/1/2023
<br />6/1/2023
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$2,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTVDAMAGE
<br />Per accident
<br />$
<br />Com !Coll. Ded
<br />$500,000
<br />e
<br />X
<br />UMBRELLALIAB
<br />EXCESS LIAR
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />XEUG28122810007
<br />XBC327396
<br />6/1/2022
<br />6/112022
<br />6/1/2023
<br />6/1/2023
<br />EACH OCCURRENCE
<br />$5,000,000
<br />AGGREGATE
<br />$6,000,000
<br />DED X RETENTION$
<br />$
<br />C
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETORIPARTNEWEXECUTIVE
<br />OFFICER/MEMBEREXCLUDE07
<br />NIA
<br />WLR C68926841(ADS)
<br />WLR C68926804 (AZ, MA)
<br />6/l/2022
<br />6/1/2D22
<br />6/1/2023
<br />6/1/2023
<br />X PERT OTH-
<br />STUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 2,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$ 2,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE- POLICY LIMIT
<br />1 $ 2,000.000
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />RE: City of Santa Ana Digital Billboard Contract
<br />City of Santa Ana, its officers, officials, employees, and volunteers are additional insureds for General Liability on a primary and non-contributory basis as
<br />respects the Named Insureds operations, if the Named Insured has agreed, prior to loss, to provide such coverage. Rights of Subrogation have been waived
<br />with respects to General Liability as required by written contract executed prior to loss and only as respects to operations of the Named Insured.
<br />City of Santa Ana
<br />Attn: Christy Kindig
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTH RIZED REPRESENTATIVE
<br />7"� �
<br />1988-2015 ACORD
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />�
<br />18akMm1rgtlnentUldalon
<br />REVIEWED&APPROVEJBY:.
<br />Risk Management 4pectFNlst
<br />
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