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?? <br />'`1C°RO? CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />?? 4n/2o7z 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 A1??/D, ?T??ED?.?R TER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CON?ffrtU'FJ(:<.L.?C?Iif-R/1? BC3CNI?J THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the eertiflcate holder is an ADDITIONAL INSIq; Wa pollcy(1eg) (r)t4sY? be Brlgorsed. If SUBROGATION IS WAIVED, subject to <br />the farms and condNfons of the policy, certain policies may P 4ndorseMentG /A s ton this ceRlflcate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). LL , , ? 1 A' <br />PRODUCER Lockton Companies, LLC-1 Kansas City <br />444 W. 47th Street, Suite 900 a No E:t . we No <br />Kansas Cit MO 64'1'12-1906 <br />(6'16) 960-000 E-MAIL <br />NSURED SPRINT PCS ASSETS, L.L.C. <br />4966 6480 SPRINT PARKWAY <br />OVERLAND PARK KS 66251 <br />IPr - oZ ?? - L G-F? <br />COVERAGES SPR C(7O'i 77F CFRTIFICATF NIIMFiFR• ')SG 7'705 <br />ov?ncr?u u? uaeve. vvvvvvv <br />THIS tS 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER LICY EFF POLICY EXP LIMITS <br />,4 GENERAL LIABILITY ?j Tj GL4014104273 4/1/2011 4/1/2014 EACH OCCURRENCE 2 000 000 <br /> X COMMERCIAL GENERAL LIABILITY <br />PDAMAGE TO RENTED <br />XXXXXXX <br /> CLAIMS-MADE ? OCCUR MED EXP An one rson XXXXXXX <br /> X CONTRACTUAL LIAB. PERSONAL 8 ADV INJURY $ 2 OOO OOO <br /> X "'TENANTS LEGAL LIAB GENERAL AGGREGATE $ I O OOO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 3 OOO OOO <br /> X <br />PRO- <br /> I Y S <br />A AUTOMOBILE LIABILITY N N BUA4014704287 4/1/2011 4/1/2014 COMBINED SINGLE LIMIT <br /> X ANY <br />AUTO BODILY INJURY (Per parson) $ XXXXXXX <br /> p <br />AUTOS NED gUTOS ULED BODILY INJURY (Per eceitlant $ XXXXXXX <br /> HIRED AUTOS ANUTN?OWNED <br />3 PROPERTY DAMAGE $ XXXXXXX <br /> Cara ekee ers $ Included <br /> UMBRELLA LUiB OCCUR EACH OCCURRENCE $ XXXXXXX <br /> EXCESS LIAR CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX <br /> <br /> DED RETENTION $ $ <br />C <br /> <br />B WO <br />AND RKERS COMPENSATION <br />EMPLOYERS' LIABILITY <br />Y / N <br />N <br />WC4014104225((RETRO) <br />4/1/207 1 <br />4/1/2012 WC STATU- OTH- <br />X I <br /> <br />B ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEM6ER EXCLUDED9 ? <br />N/A WC40 1 4 1 0423 9(DEDUCTIBLE <br />WC40 1 4 1 04242 (CA) 4/1/207 7 <br />4/1/20]7 4/1/2012 <br />4/1/20]2 E.L. ec.cl-1 ACCIDENT <br />$ 1 000000 <br />B IMyenOatory IR NH) N/A IN MONOP LI TIC STAT S E.L. DISEASE - Fl EMPLOYEE 1 OOO OOO <br /> DESORIPTION OF OPERATIONS below E L DISEASE -POLICY LIMIT 1 OOO OOO <br /> <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /(Attach ACORD 101, Adtlitlonal RamarKS Schedule, If more apace Is required) <br />'FIRE DAMAGE IS INCLUDED IN BROADER TENANT'S LEGAL LIABILITY FORM WITH LIMITS OF $7,000,000 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 G?ONTRACT AND SUBJECT TO POLICY TERMS AND CONDITIONS. RE: INSTALLATION, OPERATION 8c <br />MAINTENANCE OF TELECOMMUNICATIONS EQUIPMENT. <br />Dom-,. ?/? <br />I - 54 43 4 ? l W ?`-- <br />CERTIFICATE HOLDER CANCELLATION See Attachment <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE pErX?PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />APPRC? V ?" ly q.? 1 4{?y "DANCE WITH THE POLICY PROVISIONS. <br />255'1295 <br />CITY OF SANTA ANA _ - / <br />ATTN: CARLA MACK-THOMPKINS [,aura St- t t <br />20 CIVIC CENTER PLAZA ; ., I .?; ty At <br />SANTA ANA, CA 92702 ' "' ` <br />ACORD 25 (20'10/05) © 9 8-20'1 O ACCT <br />The ACORD name and logo are registered marks of ACORD