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,4coRO- CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YWY) <br />�� 4/1/2012 3/16/2011 <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 AMEN�DT EXTENID�IOR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />REPRESENTATIVE ORIPRODUCER,SAND THE CERTIFICATE HOLDEN {� Ati�`� T�/�T ¢�JW�Ef�(.�TF,IE ISSUING INSURER(S), AUTHORIZED <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be entloresd. If SUBROGATION IS WAIVED, sub)ect to <br />the terms and conditions of the policy, certain policies may requlrpp��4�}grldgraamenQ., A: ataEemgnt�op this certificate does not confer rights to the <br />certificate holder In Ileu of such endoreement(s). 1. ! 4 : � � - : + � '�< � � <br />PRODUCER Lockton Companies, LLC -1 Kansas City �.. -:'� -. - - .y I t- <br />444 W. 47th Street, Suite 900 A/ No Ezt : A/C No : <br />Kansas City MO 64112 -1906 E -MAIL <br />(816) 960 -9000 <br />INSURED SPRINT PCS ASSETS, L.L.C. INSURER e : American Casual Com an Of Readin PA 20421 <br />14966 6480 SPRINT PARKWAY INSURER C : Trans ortation Insurance Com an <br />OVERLAND PARK KS 66251 20494 <br />�- aoc�, -aoo__ _ <br />C�T)D !x!1!\9 ������ • _ _ _ _ _ _ _ _ _ _ <br />•ter -,v• •� ,� �-�u�,�. i_i_i�i� /� /1 <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 />IN R <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />A <br />GENERAL LIABILITY <br />N <br />N <br />GL4014104273 <br />4/1/2011 <br />4/1/2014 <br />EACH OCCURRENCE <br />2 000 000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMA E TO RENTED <br />XXXXXXX <br />CLAIMS -MADE � OCCUR <br />MED EXP An one raon <br />XXXXXXX <br />X CONTRACTUAL LIAB. <br />PERSONAL 8 ADV INJURY <br />$ 2 OOO OOO <br />X <br />*TENANTS LEGAL LIAB <br />GENERAL AGGREGATE <br />$ 1 O 000 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X P PRO- <br />PRODUCTS - COMP /OP AGG <br />$ 3 000 000 <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />N <br />N <br />BUA40141042$7 <br />4/1/2011 <br />4/1/2014 <br />COMBINED SINGLE LIMIT <br />$ 2 OOO OOO <br />X ANYpAUTO EE <br />AUTOS NED gUTOSULED <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />BODILY INJURY (Per aeeitlant <br />$ j{J{}[�{XXX <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPER? nDAMAGE <br />$ XXXXXXX <br />Cara ekee ers <br />$ Included <br />UMBRELLA LIAB <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />AGGREGATE <br />$ XXXXXXX <br />DED RETENTION $ <br />$ <br />C <br />B <br />B <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N <br />OFFICER/MEMBER E%CLUOEOT � <br />IMyandatory In NHI <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />N <br />WC4014104225SRETRO) <br />WC40I 41 04239 \DEDUCTIBLE <br />W(:4o 14104242 (CA) <br />N/A IN MONOP LI TIC STAT <br />4/1/2011 <br />4/1/2011 <br />Q /1/2011 <br />S <br />4/1/2012 <br />4/1/2012 <br />Q/1/2012 <br />W STATU- OTH- <br />X <br />E.L. EAGN ACCIDENT <br />'$ I OOO OOO <br />E.L. DISEASE - EA EMPLOYEE <br />I OOO OOO <br />E -L. DISEASE - POLICY LIMIT <br />I OOO OOO <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /(Attach ACORD 101, Additional RamerKS Schedule, If more space Is required) <br />*FIRE DAMAGE IS INCLUDED IN BROADER TENANT'S LEGAL LIABILITY FORM WITH LIMITS OF $1,000,000 PER OCCURRENCE. THE <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS, REPRESENTATIVES, EMPLOYEES AND VOLUNTEERS ARE ADDITIONAL INSUREDS ON A <br />PRIMARY BASIS AS REQUIRED BY CONTRACT AND SUBJECT TO POLICY TERMS AND CONDITIONS. RE: INSTALLATION, OPERATION 8c <br />MAINTENANCE OF TELECOMMUNICATIONS EQUIPMENT. <br />r �.�, �M <br />- 3 99 9 V V N A � ���� (.Jut � <br />p ter+ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />APPROV�I3 AS 1 O PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />DANCE WITH THE POLICY PROVISIONS. <br />255'1298 <br />CITY OF SANTA ANA Laur titt Speedy <br />ATTN: CARLA MACK- THOMPKINS <br />20 CIVIC CENTER PLAZA "A,ssist t City Attorn <br />SANTA ANA, CA 92702 <br />25 (20'10/05) <br />O AC4CD�ORPORATION. All rig <br />fhe ACORD name and logo are registered marks of ACORD <br />�� / <br />