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ACGP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD2WY)
<br /> 5/1/2025 10/23/2024
<br /> 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(les)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 NAME:
<br /> Three City Place Drive,Suite 900 PHONE FAX
<br /> St.Louis MO 63141-7081 IA/C.No.Extl: (A/C,No):
<br /> E-MAIL
<br /> (314)432-0500 ADDRESS:
<br /> midwestcertificates@lockton.com INSURER(S)AFFORDING COVERAGE NAIC!I _
<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: 18576359 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 /> INSR ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INS) WVD, POLICY NUMBER
<br /> (MM/DD/YYYY) I MM/DD/YYYY} LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY y y 7012343900 5/1/2024 5/1/2025 EACH OCCURRENCE $ 10,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $ 10,000,000
<br /> MED EXP(Any one person) $ 25,000
<br /> PERSONAL 8.ADV INJURY $ 10,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 20,000,000
<br /> POLICY I JEC X LOC
<br /> PRODUCTS-COMP/OP AGO S 20,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY y y 7012343878 5/1/2024 5/1/2025 COMBINED SINGLE LIMIT
<br /> (Ea eceldenll $ 5,000,000
<br /> x ANY AUTO BODILY INJURY(Per person) S XXX30Ca
<br /> OWNED SCHEDULED _
<br /> AUTOS ONLY _AUTOS BODILY INJURY(Per accident) $ XXXXXXX
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY (Per accident) S XXXXXXX
<br /> S XXXXXXX
<br /> B X UMBRELLA LIAR X OCCUR N N 7014886953 5/1/2024 5/1/2025 EACH OCCURRENCE $ 5,000,000
<br /> B EXCESS LIAR SIR appliesper policy
<br /> B CLAIMS-MADE pp p y AGGREGATE E 5,000,000
<br /> terms&conditions
<br /> DED X RETENTIONS 10,000 $ XXXXXXX
<br /> B WORKERS COMPENSATION X PERTUTE ER
<br /> AND EMPLOYERS'LIABILITY Y/N N 7012343895 AOS) 5/1/2024 5/1/2025
<br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE 7012343881 CA) 5/1/2024 5/1/2025 E.L.EACH ACCIDENT $ 2,000,000 _
<br /> C OFFICER/MEMBEREXCLUDED? n N/A 7012447142 AZ,MA,OR,WI) 5/1/2024 5/1/2025
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE_$ 2,000,000
<br /> Ryes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I 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**See Attached Endorsements** LA33000C-3820 3/4 Kent Ave.Santa Ana,CA 92704
<br /> CERTIFICATE HOLDER CANCELLATION See Attachments
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 18576359 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Division
<br /> 20 Civic Center Plaza,4th Floor AUTHORIZED REPRESENTATI
<br /> Santa Ana CA 92701op
<br /> 1
<br /> ©1988.2 CORD CORPORATI N. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 4,
<br /> i0/ /Zif
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