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2 6) U ) 39 <br />rC <br />/� �-+ a + <br />A 4 O D. i ; �� F, <br />rE <br />�� I�/1,/,y) <br />08/24/30 <br />Aon Risk Insurance services west, Inc. E;C,i3O <br />PRODUCER (r+r (r�t'-'C—�&Ny: <br />ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />POa�ITiiECERTIFICATEHOLDER. TMSCERTIFICA"TE <br />Seattle wA Office <br />AND OR ALTER THE COVERAGE AFFORDED BY THE <br />1420 Fifth Avenue <br />ESBELOW. <br />suite 1200 Cl�� <br />ANIES AFFORDING COVERAGE <br />Seattle wA 98101-4030 USA <br />'i0tti anz Global Risks US Insurance <br />�" <br />PHONE. 206 749-4800 FAx. (206) 749-4860 <br />Co. <br />A <br />INSURED.. <br />COMPANY <br />• . <br />T-Mobile USA, Inc. <br />B <br />°' <br />and its Affiliates &subsidiaries <br />12920 SE 38th street <br />COMPANY <br />Bellevue wA 98006 USA <br />L <br />COMPANY <br />u <br />7 <br />D <br />T <br />COVERA ,s.S y, a- <br />TFIIS 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 SHO)X'N MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR <br />TYPE OF MURANCE <br />POUCYNUMBER <br />POLICY EFFECTIVE <br />POUCYEXPIRATIOP <br />COVERED PROPERTY <br />i.L�[I"[5 <br />DATE (MMIDDJYY) <br />DATE (MMiDD/YY) <br />A <br />X PROPERTY <br />CLP 011373 <br />05/01/10 <br />05/01/11 <br />BUILDING <br />CAUSES OF LOSS <br />PERSONAL PROPERTY <br />BASIC <br />BUSINESS INCOME <br />nor <br />BROAD <br />EXTRA EXPENSE <br />X SPECIAL <br />BLANKET BUILDING <br />N <br />FART HWAKE <br />BLANKET PERS PROP <br />S 5, 000, O <br />FLOOD <br />X <br />BLANKET SLOG & PP <br />rW <br />FOR <br />► <br />M <br />o <br />v, <br />TYPE <br />iNL.L�iD MARINE <br />OF POLICY <br />\ <br />/ _`� <br />-• <br />CAUSES <br />OF LOSS <br />E <br />NAMED PERILS <br />Z <br />OTHER <br />v <br />m <br />G <br />�. <br />CRIME <br />TYPE OF POLICY <br />G <br />(} <br />BOILER 3 MACHINERY <br />OTHER <br />LOCATION OF PREMISES I. DESCRIPTION OF PROPERTY <br />- <br />Site Number/Name: LA33897B, Site Address: 1817 W. 21st Street, Santa Ana, CA 92706. <br />SPECIAL. CONDITIONS 1 OTHER COVERAGES <br />All Risk of Direct Physical Loss or Damage; Includes Property, BPP, 81, EE, Flood & Earth Movement; <br />Replacement Cast - Property Damage; Actual Loss sustained - -rime Element. <br />SHOULD ANY OF THE ABOVE.. DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa Ana <br />EXPIRATION DATETHSREOF THE ISSUINGCOMPANY WILL, ENDEAVOR TO MAR <br />Attn: Clerk of the council <br />30 DAYS WRITTEN NOTICE To TM CERTIFICATE HOLDER NAMBD TOTIIE LEFT, <br />20 civic Center Plaza (M-30) <br />BUT FAILURE TO MAR SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY�S• <br />T <br />PO Box 1988 <br />Santa Ana CA 92702 USA <br />OF ANY KIND UPON THE COMPANY: ITS AGENTS OR REPRESENTATIVES: <br />AUTHORIZED REPRESENTATIVE <br />e2�is xniAF✓ eai�/ ,dfiM� <br />`�,..a„.....:,kY�� <br />