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AC R CERTIFICATE OF PROPERTY INSURANCE DATE ' <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 BELOW. <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />If this certificate is being prepared for a party who has an insurable interest in the property, do not use this form. Use ACORD 27 or ACORD 28. <br />PRODUCER -- - <br />Aon Risk insurance Services west, Inc. <br />Seattle WA office <br />1420 Fifth Avenue <br />suite 1200 <br />Seattle WA 98101 -4030 USA <br />I(Z'xNo.Exn: (206) 749 -4800 I F' (206) 749 -4860 <br />10616550 <br />INSURED INSURERA: Al1TanZ Global Risks —US Insurance Co <br />T- Mobile USA, Inc. INSURER B: <br />and its Affiliates & Subsidiaries INSURER C: <br />12920 SE 38th Street <br />Bellevue wA 98006 USA INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570040831768 REVISION NUMBER <br />LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, H more apace is required) <br />Site Number: LA33835A, site Name: Adams Park, Site Address: 2302 S. Raitt Street, Santa Ana, CA 92704 <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO POLICY <br />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 POLICY EFFECTIVE POLICY EXPIRATION <br />LTR POLICY NUMBER DATE (MWDD/YYYY) DATE (MM /DD COVERED PROPERTY LIMITS <br />A X PROPERTY CLP 5 1 6'— ---Z-57Uj-11Srj= <br />BUILDING <br />CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY <br />BASIC BUILDING BUSINESS INCOME <br />w/o Extra Ex ense <br />L <br />v <br />G: <br />c <br />v <br />"O <br />I� <br />V <br />x <br />00 <br />kD <br />r. <br />00 <br />O <br />O <br />O <br />n <br />Lr1 <br />J INLAND MARINE <br />CAUSES OF LOSS <br />7 NAMED PERILS <br />J CRIME <br />TYPE OF POLICY <br />BOILER & MACHINERY/ <br />EQUIPMENT BREAKDOWN <br />TYPE OF POLICY <br />POLICY NUMBER <br />W <br />U <br />aF _. <br />SPECIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) <br />All Risk of Direct Physical LOSS Or Damage; Includes Property, BPP, BI, EE, Flood & Earth Movement; Replacement Cost - Property <br />Damage; Actual LOSS Sustained - Time Element. <br />'r <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />City of Santa Ana POLICY PROVISIONS. <br />Attn: Clerk of the Council <br />20 Civic Center Plaza (M -30) AUTHORIZED REPRESENTATIVEa <br />Po Box 1988 �,�y/n /�( „ /�� e"4iw 7 <br />Santa Ana CA 92702 USA t�40/ lvJ�lume;� ✓j�fJllG cJf' / /fff�,J(( <br />©1995 -2009 ACORD CORPORATION. All rights reserved. <br />ACORD 24 (2009/09) The ACORD name and logo are registered marks of ACORD <br />BROAD <br />`� � <br />p <br />EXTRA <br />CONTENTS <br />- <br />, <br />EXPENSE <br />m <br />X <br />SPECIAL <br />p y'� 7 �� <br />%x,.'t <br />RENTAL VALUE <br />EARTHQUAKE <br />v it <br />BLANKET BUILDING <br />Z <br />BLANKET PERS PROP <br />W <br />WIND <br />��„�• -^ <br />lU L l.. �rL j i' -�' <br />... , <br />BLANKET BLDG & PP <br />FLOOD <br />X <br />$5,000,000 <br />_. <br />r <br />LL <br />� <br />BIM B &PP Ded <br />�g <br />lSlBili <br />fY <br />J INLAND MARINE <br />CAUSES OF LOSS <br />7 NAMED PERILS <br />J CRIME <br />TYPE OF POLICY <br />BOILER & MACHINERY/ <br />EQUIPMENT BREAKDOWN <br />TYPE OF POLICY <br />POLICY NUMBER <br />W <br />U <br />aF _. <br />SPECIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) <br />All Risk of Direct Physical LOSS Or Damage; Includes Property, BPP, BI, EE, Flood & Earth Movement; Replacement Cost - Property <br />Damage; Actual LOSS Sustained - Time Element. <br />'r <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />City of Santa Ana POLICY PROVISIONS. <br />Attn: Clerk of the Council <br />20 Civic Center Plaza (M -30) AUTHORIZED REPRESENTATIVEa <br />Po Box 1988 �,�y/n /�( „ /�� e"4iw 7 <br />Santa Ana CA 92702 USA t�40/ lvJ�lume;� ✓j�fJllG cJf' / /fff�,J(( <br />©1995 -2009 ACORD CORPORATION. All rights reserved. <br />ACORD 24 (2009/09) The ACORD name and logo are registered marks of ACORD <br />