CLEAR CHANNEL OUTDOOR, INC. 1B - 2013

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i ® lc CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYYI 10/17/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1 -832- 476 -6000 Ann Risk Services Southwest, Inc. CONTACT NAME: PHONE FAX AIC INC, No: ADDRESS: 5555 San Felipe, Suite 1500 INSURERS AFFORDING COVERAGE NAIC# Houston, TX 77056 -3089 INSURERA: Insurance Cc of The State of PA 11/01/13 EACH OCCURRENCE INSURED INSURER B: New Hampshire Insurance Company X COMMERCIAL GENERAL LIABILITY Clear Channel Outdoor, Inc. INSURER C: INSURER D: c/o 200 East Eases Rd. INSURER E: San Antonio, TX 78209 yy \ V INSURER F: COVERAGES CERTIFICATE NUMBER:/29727297 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR War POLICY NUMBER MWDDYE MMIODY EI'Xl'Y LIMITS A GENERAL LIABILITY QL 9645165 11/01/1 11/01/13 EACH OCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Es occurrence $ 1,000,000 CLAIMS -MADE PE� OCCUR MEDEXP(Anyoneperson) $ Excluded PERSONAL& ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $2,000,000 $ POLICY PRO LOC A AUTOMOBILE LIABILITY CA 4982968 (ADS) 11/01/1 11/01/13 COMBINED SINGLE LIMIT Ea accident 2,000,000 BODILY INJURY (Par person) $ % ANYAUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS PROPERTY DAMAGE Peraocident $ X X NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAR H OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ECUTIVE YIN WC 018112349 (ADS) 11/01/1 11/01/13 % WCSLATI. CER E.L. EACH ACCIDENT $ 11000,000 OFFICERIMEMBEER EXCLUDED4 (Mandatory in NH) NIA E.L. DISEASE - EA EMPLOYEE $1,000,000 Ifyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) RE: Santa Ana Agreement - Bus Shelters and Bus Benches City of Santa Ana, Santa Ana City Council, its officers, agents and employees are additional insured on the GL and Auto policy, but only to the extent of the liability assumed under written contract. Workers' Compensation coverage is evidenced for employees of the Named Insured only. out of the acts or omissions of the Nerved Insured; or, to the extent of the liability assumed by the Named Insured unde written contract. Workers Compensation is evidenced for employees of the Named Insured Only. 4} City of Santa Ana Laura Stitt Sheedy ta 20 Civic Center Plaza - Ross An exSi(M -85 )City Attorney Santa Ana, CA 92701 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 00R2�aSo 4,t- @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Dholden 29727297