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. 11I CERTIFICATE OF LIABILITY INSURANCE <br />�� 4/1/2013 <br />DATE 3 /29 /DD/YYYY) <br />3/29/2012 <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 INSURERS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER Lockton Companies, LLC -1 Kansas City <br />444 W. 47th Street, Suite 900 <br />Kansas City MO 64112 -1906 <br />(816) 960 -9000 <br />CONTACT <br />1 No EXt ; AX A/C, No <br />E -MAIL <br />AFFORDING <br />POLICY EFF <br />INSURER A: Continental Casualty Comyany <br />20443 <br />INSURED SPRINT PCS ASSETS, L.L.C. ± 1 n l <br />14966 6480 SPRINT PARKWAY <br />OVERLAND PARK KS 66251 1t� Q GCS 1 � � � <br />-A pci <br />INSURER B: American Casualty Company of Reading, PA <br />20427 <br />INSURER C: Transportation Insurance Company <br />20494 <br />4/1/2011 <br />4/1/2014 <br />INSURER E, <br />2 000 OOO <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE EK] OCCUR <br />COVERAGES SPRC003 DE CERTIFICATE NUMBER. 222721 R 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 />MSR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />• <br />GENERAL LIABILITY <br />N <br />N <br />GL4014104273 <br />4/1/2011 <br />4/1/2014 <br />EACH OCCURRENCE <br />2 000 OOO <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE EK] OCCUR <br />PREMG ES [ RENTED <br />cccc nce <br />XXXXXXX <br />MED EXP (Any one person) <br />XXXXXXX <br />PERSONAL & ADV INJURY <br />s2,000,000 <br />X CONTRACTUAL LIAB. <br />X <br />I *TENANTS LEGAL LIAB <br />GENERAL AGGREGATE <br />$ 10,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ 3,000,000 <br />X POLICY E LO <br />$ <br />• <br />AUTOMOBILE LIABILITY <br />N <br />N <br />BUA4014104287 <br />4/1/2011 <br />4/1/2014 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2,000,000 <br />X ANY AUTO <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />AUT OWNED SCHEDULED <br />BODILY INJURY (Per accident <br />$ XXXXXXX <br />NON-OWNED <br />HIRED AUTOS <br />PROPERTY acEcidenDAMAGE <br />$ XXXXXXX <br />Gara ekee ers <br />$ Included <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ XXXXXXX <br />EXCESS LIAB <br />CLAIMS -MADE <br />NOT APPLICABLE <br />AGGREGATE <br />$ XXXXXXX <br />DED I RETENTION $ <br />$ <br />C <br />B <br />B <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />(Mandatory in ER EXCLUDED? ECUTIVE � <br />If yes, describe antler <br />if in and <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />N <br />WC4014104225(RETRO) <br />WC4014104239(DEDUCTIBLE <br />WC4014104242 (CA) <br />N/A IN MONOPOLISTIC STAT <br />4/1/2012 <br />4/1/2012 <br />4/1/2012 <br />S <br />4/1/2013 <br />4/1/2013 <br />4/1/2013 <br />WC STATU- OT <br />X T H- <br />CRY LIMIT <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />1000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks 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 & VOLUNTEERS ARE ADDITIONAL INSUREDS, WHICH <br />IS ON A PRIMARY BASIS, AND ALL OTHER INSURANCE SHALL BE NON - CONTRIBUTORY, AS REQUIRED IN THE CONTRACT AND <br />INCLUDED IN THE POLICY FORM. RE: INSTALLATION, OPERATION & MAINTENANCE OF TELECOMMUNICATIONS EQUIPMENT AT <br />VARIOUS LOCATIONS. <br />• x.11"' Y� (�. i �, - -;. <br />���... <br />3t;a�. 11,. <br />2227218 <br />CITY OF SANTA ANA <br />PARKS, RECREATION & COMMUNITY SERVICES <br />ATTN: DOLORES RAMOS <br />888 W. SANTA ANA BLVD, SUITE 200 <br />PO BOX 1988 M -23 <br />SANTA ANA CA 92702 <br />ACORD 25 (2010/05) <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 />The ACORD name and logo are registered marks of ACORD <br />All rights reserved <br />f <br />