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SBACO -1 OP ID: NC
<br />CERTIFICATE OF LIABILITY INSURANCE DA06120ID2015
<br />05!20!2015
<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(les) 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 />PRODUCER
<br />em an r sco
<br />CERTIFICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
<br />Henderson Brothers, Inc.
<br />920 Ft Duquesne Blvd
<br />_NAME
<br />PHONE ExI1.412-261-1842 �AI1NOp 412 - 261.4149
<br />- - -- -
<br />Pittsburgh, PA 16222
<br />E-MAIL
<br />ADDRESS. cjwandrisco@hendersonbrothers.com
<br />POLICY Epp T+a I
<br />MMIDDI MM10ClYYYY LIMITS
<br />Clem J. Wandrisco, III
<br />I.
<br />EACH OCCURRENCE 5
<br />900,00
<br />IN SURER($} AFFORDING COVERAGE
<br />( NATO IF
<br />... 900,00
<br />NsURERA:TraV$Iers Prop" Casualty Co
<br />'266_74_
<br />__ _
<br />INSURED SBA Communicafions Cor OratlOn
<br />P
<br />_
<br />INSURER e:t PBU! Fire T Manna Ins { 4
<br />24767
<br />Thomas Hunt, Esquire
<br />8061 Congress Ave.
<br />— —
<br />INSURERe.Illinois Union Insurance Compa
<br />PERSONAL &ADV INJURY I s
<br />Boca Raton, FL 33487
<br />INSURER D
<br />GENERAL AGGREGATE $
<br />2,000,00
<br />INSURER E
<br />PROOUCTS- COMPIOPAGG $
<br />rOVFRA GFR CFRTIFICATF NLIMRFR- RFVI.SIrIN NIIMRFR-
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 1'O 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 SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
<br />TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR TYPE OF INSURANCE IN R '4 POLICY NUMBER
<br />POLICY Epp T+a I
<br />MMIDDI MM10ClYYYY LIMITS
<br />`GENERAL LIABILITY j
<br />EACH OCCURRENCE 5
<br />900,00
<br />A ( X!_ COMMERCIAL GENERAL LIABILITY - X `I T'JEXGL474M81387IL15
<br />= 0311512016! 03116/2016 DAMAGETO _RENTED 1
<br />S
<br />... 900,00
<br />PREMISES {Ea a^curreneeZ
<br />� CLAIMS-MADE X;OCCUR
<br />I MED ESE (Any one person) %'m
<br />NIA
<br />1 X 3$100,000 SIR
<br />PERSONAL &ADV INJURY I s
<br />900,000
<br />GENERAL AGGREGATE $
<br />2,000,00
<br />GEN'L AGGREGATE LIMIT APPLIES PER -
<br />PROOUCTS- COMPIOPAGG $
<br />2,000,000
<br />PRO-
<br />POLICY '.. X �. LOC
<br />-- —
<br />� $
<br />AUTOMOBILE LIABILITY
<br />1 COMBINED SINGLE LIMIT
<br />Ee accitlenl
<br />1,000,000
<br />A X TC2JCAP474M814ATIL15
<br />i
<br />BODILY INJURY Per arson $
<br />�. 03/15/2015(( 03/15/2016 (Per
<br />� nilTOSwNED _ —, SCHEDULED
<br />AUTOS
<br />BODILY INJURY Per accltlent S
<br />— -
<br />X 1 HIREDAUTOS X AUTOS
<br />-__
<br />-
<br />PROPERTY DAMAGE
<br />IPER ACCIDENT)
<br />X 100,000 :DED -HCPD
<br />X k X OOGUR I ?
<br />X UMBREUA LIAB
<br />f EACH OCCURRENCE $
<br />25,000,00
<br />B j EXCESS Una cLAiMS -AwDE' 'ZUP15N3740515NF
<br />: 03116120151 0 311612016 `AGGREGATE S
<br />25,000,00
<br />DED :XETENT4ONS 1O,ODDi
<br />! $
<br />WORKERS COMPENSATION j
<br />'NC STATlI OTH
<br />x' TORY LIMITS (_ €R I.
<br />AND EMPLOYERS' LiABROW y,t N
<br />A ANY PROPRETORIPARTNEWEXECUTIVE I ITC2JUB47SM437815(AOS)
<br />'NIA
<br />03115/2016 0311612016 EL EACH ACCIDENT t$
<br />1,000,00
<br />OFFICO MEMBER EXCLUDED? N ,
<br />A (Mandatory In NH) I,. TRJUB475M438A15
<br />-
<br />03/16/2015' 03/15/2016 EL DISEASE -EA EMPLDYet3 $
<br />— —
<br />1,000,000
<br />If yyes, desullbe under
<br />DESCRIP170NOF OPERATIONS below
<br />- "I-
<br />E.L. DISEASE - POLICY LIMIT I$
<br />_
<br />1,000,000
<br />C (PROFESSIONAL 1 COOG24641800005'.
<br />III
<br />0311512015 0311512016 i.CLAIM /AGG
<br />5,000,000
<br />IIPOLLUTION
<br />'', '(SIR
<br />100,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaaeh ACORD 101, Additional Remarks Schedule, if more space Is required) ..1 L'+y .
<br />4�
<br />Site Number: CA45888 -A -0, Site Name: Windsor Park,
<br />e
<br />Site Address: 2915 W LA Verne Ave., Santa Ana, CA
<br />QeV�e t�
<br />C`
<br />uevas
<br />Silvia
<br />CA45888
<br />City of Santa Ana
<br />Attn: PRCSA
<br />26 Civic Center Plaza, M -75
<br />Santa Ana, CA 92701
<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 />AUTHORIZED REPRESENTATIVE
<br />©1988 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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