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A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 5/1/2025 10/23/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE 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 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 Lockton Companies,LLC NCONTACT
<br /> AME:
<br /> Three City Place Drive,Suite 900 HOO.E EXI): FAX
<br /> P No):
<br /> St.Louis MO 63141-7081 E-MAIL
<br /> (314)432-0500 ADDRESS:
<br /> midwestcertificates@lockton.com INSURER(S)AFFORDING COVERAGE NAIC f!
<br /> ___ INSURER A:Continental Casualty Company 20443
<br /> INSURED T-Mobile US,Inc. INSURER B:The Continental Insurance Company 35289
<br /> 1358772 Its Subsidiaries and Affiliates INSURER C:Transportation Insurance Company 20494
<br /> 12920 SE 38th Street INSURER D:
<br /> Bellevue WA 98006
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 20183932 REVISION NUMBER: XXXXXXX
<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 /> TNSR ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSO WVD I l POLICY NUMBER
<br /> (MMfDDlYYYY) IMMIDDlYYYY) LIMITS
<br /> A x COMMERCIAL GENERAL LIABILITY Y Y 7012343900 5/1/2024 5/I/2025 EACH OCCURRENCE S 10,000,000
<br /> DAMAGE rb RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) _ S 1 0,000,000
<br /> MED EXP(Any one person) S 25,000
<br /> PERSONAL&ADV INJURY $ 10,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 20,000,000
<br /> 1 POLICY !In X LOC
<br /> PRODUCTS-COMP/OP AGG S 20,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY y y 7012343878 5/1/2024 5/1/2025 COMBINED NGLE LIMIT s(Ea accident)SI 5,000,000
<br /> x ANY AUTO BODILY INJURY(Per person) S XXXXXXX
<br /> OWNED SCHEDULED —
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) S XXXXXXX
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY _ AUTOS ONLY (Per accident) SXXXXXXX
<br /> SXXXXXXX
<br /> B }( UMBRELLA LIAR X OCCUR N N 7014886953 5/1/2024 5/1/2025 EACH OCCURRENCE S 5,000,000
<br /> 13 EXCESS LIAB CLAIMS-MADE SIR applies per policy `
<br /> AGGREGATE S 5,000,000
<br /> DED X RETENTIONS 10,000 S XXXXXXX
<br /> WORKERS COMPENSATION _ —
<br /> B AND EMPLOYERS'LIABILITY N 7012343895(AOS) 5/1/2024 5/1/2025 X 1 STATUTE I ERH
<br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE Y!N 7012343881(CA) 5/1/2024 5/1/2025
<br /> C OFFICERJMEMBEREXCLUDED? N N/A 7012447142 AZ,MA,OR,W1) 5/1/2024 5/1/2025 E.L.EACH ACCIDENT $ 2�00,000
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 2,000,000
<br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S)REFERENCED.
<br /> The Certificate Holder and other entities defined by written contract,statute,permit application or written agreement are additional insureds on a primary and non-contributory
<br /> basis under general liability and are additional insured under automobile liability as required by written contract.Waiver of Subrogation applies under general liability and
<br /> automobile liability as required by written contract.**Sec Attached Endorsements** LA33845C-1850 3/4 MacArthur Blvd. Santa Ana,CA
<br /> CERTIFICATE HOLDER CANCELLATION See Attachments
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 201 20183932 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> CityRisk Management Division
<br /> 20 Civic Center Plaza, 4th Floor AUTHORIZED REPRESENTA
<br /> Santa Ana CA 92701op
<br /> 1
<br /> ©1988-2 CORDC�ORPORATI N. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD7
<br /> /D/346/
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