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. 11I CERTIFICATE OF LIABILITY INSURANCE <br /> <br />?? 4/1/2013 <br />F 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 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 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 CONTACT <br />444 W. 47th Street, Suite 900 <br /> <br />K <br />C 1 AX <br />No EXt ; No <br />ansas <br />ity MO 64112-1906 <br />(816) 960-9000 E-MAIL <br /> <br />ADDRESS: <br /> <br />INSURER(S) <br />AFFORDING <br /> - - <br />INSURER A : Continental Casual COm an 20443 <br />INSURED SPRINT PCS ASSETS, L.L.C. ± 1 n L.CJ-Xtl V Vk-'?,S INSURER B : American Casual Company of Reading, PA 20427 <br />14966 6480 SPRINT PARKWAY <br />OVERLAND PARK KS 66251 ?Q GCS 1 INSURER C : Transportation Insurance Company 20494 <br />1t <br />k-1 Lli <br />c <br />i <br />i <br />-A p INSURER E, <br /> <br />COVERAGES SPR0003 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br />A GENERAL LIABILITY N N GL4014104273 4/1/2011 4/1/2014 EACH OCCURRENCE 2 000 OOO <br /> X COMMERCIAL GENERAL LIABILITY PREMI ES [F. To RENTED <br /> CLAIMS-MADE EK]OCCUR MED EXP An one person) XXXXXXX <br /> X CONTRACTUAL LIAB. PERSONAL & ADV INJURY s2,000,000 <br /> X -TENANTS LEGAL LIAB GENERAL AGGREGATE $ 10,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 <br /> X P LI Y E LO $ <br />A AUTOMOBILE LIABILITY N N BUA4014104287 4/1/2011 4/1/2014 COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2,000,000 <br /> X ANY AUTO BODILY INJURY (Per person) $ XXXXXXX <br /> AUTOWNED AUTOSULED BODILY INJURY (Per accident $ XXXXXXX <br /> HIRED AUTOS AUUTOSWNED Perr acEcidenDAMAGE $ XXXXXXX <br /> Gara ekee ers $ Included <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX <br /> EXCESS LIAB CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX <br /> DED RETENTION $ $ <br />C WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />Y/N <br />N <br />WC4014104225(RETRO) <br />4/1/2012 <br />4/1/2013 WC STATU- OTH- <br />X T CRY LIMITS[ I FR <br />B <br />B ANY <br />OFFICER/MEMEREXCLUDED? ECUTIVE ? NIA WC4014104239(DEDUCTIBLE <br />WC4014104242(CA) 4/1/2012 <br />4/1/2012 4/1/2013 <br />4/1/2013 E.L. EACH ACCIDENT $ 1000000 <br />B (Mandatory in NH) <br />If yes <br />describe under N/A IN MONOPOLISTIC STAT S E.L. DISEASE - EA EMPLOYEE 1,000,000 <br /> , <br />DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 000 000 <br /> <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 <br />000 <br />000 PER OCCURRENCE <br />THE <br />, <br />, <br />. <br />CITY OF SANTA ANA ITS OFFICERS, AGENTS, REPRESENTATIVES, EMPLOYEES & VOLUNTEERS ARE ADDITIONAL INSUREDS <br />WHICH <br />, <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 <br />OPERATION & MAINTENANCE OF TELECOMMUNICATIONS EQUIPMENT AT <br />, <br />VARIOUS LOCATIONS. <br />• x.11"' Y? (?. i ?, - -;. <br />???... <br />.1t;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 />All rights reserved <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 />f <br />The ACORD name and logo are registered marks of ACORD