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SBACO -1 OP ID: NC
<br />ncoRO' CERTIFICATE OF LIABILITY INSURANCE
<br />DATE /0912015)
<br />0 3/0 912 01 5
<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
<br />Henderson Brothers, Inc.
<br />920 Ft Duquesne Blvd
<br />Pittsburgh, PA 15222
<br />Clem J. Wandrisco, III
<br />CONTACT NAME: Clem J. Wandrisco
<br />_
<br />PHONE 412 - 261 -1842 plc, NO: 412. 261.4149
<br />AIC No Eat:
<br />ADORIe ss: cjwandrisco@hendersonbrothers.com
<br />INSURERS) AFFORDING COVERAGE
<br />NAIC id
<br />INSURER A: Travelers Property Casualty CO
<br />25674
<br />INSURED SBA Communications Corporation
<br />Thomas Hunt, Esquire
<br />5900 NW Broken Sound Parkway
<br />Boca Raton, FL 33487
<br />INSURER B: St Paul Fire & Marine Ins Co
<br />24767
<br />INSURER C:Illinois Union Insurance Compa
<br />INSURER D:
<br />INSURER E:
<br />$ 900,00
<br />INSURER F:
<br />_
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />DDL
<br />UBR
<br />POLICY NUMBER
<br />MNIIDDIYYYY �MMIOOY
<br />/YYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 900,00
<br />•
<br />X I COMMERCIAL GENERAL LIABILITY
<br />X
<br />TIEXGL474M8138TIL15
<br />03115/2015
<br />0311512016
<br />A TORENTED
<br />PREMISES Ea occurrence
<br />$ 900,000
<br />MED EXP (Any one person)
<br />$ NIA
<br />CLAIMS -MADE ❑X OCCUR
<br />PERSONAL BADV INJURY
<br />$ 900,00
<br />X $100,000 SIR
<br />GENERAL AGGREGATE
<br />$ 2,000,00
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGG
<br />$ 2,000,00
<br />POLICY X PERO LOC
<br />$
<br />AUTOMOBILE LIABILITY
<br />Ea accI dent) SINGLE LIMIT
<br />$ 1,000,00
<br />BODILY INJURY (Per person)
<br />$
<br />•
<br />X ANY AUTO
<br />TC2JCAP474M814ATIL15
<br />03115/2015
<br />0311512016
<br />ALL OWNED SCHEDULED
<br />AUTOS
<br />X HIRED AUTOS I X NON-OMED
<br />BODILY INJURY (Per accident.
<br />$
<br />(PER ACCIDENTAGE
<br />$
<br />$
<br />X 100,000 DED -HCPD
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 25,000,00
<br />AGGREGATE
<br />$ 25,000,000
<br />B
<br />EXCESS LIAB
<br />CLAIMS -MADEI
<br />ZUPISN3740516NF
<br />0311512015
<br />0311512016
<br />DED I X I RETENTION$ 10,000
<br />$
<br />WORKERS COMPENSATION
<br />- VJC STATU- OTH-
<br />X (TORY LIMITS ER
<br />A
<br />A
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPA RTNERIEXECUTIVE Y/N
<br />OFFICERIMEMBER EXCLUDED? fZN
<br />(Mandatory in NH)
<br />N /AI
<br />TC2JUB475M437815(ADS),
<br />TRJU6475M438A15
<br />0311512015
<br />03116/2015
<br />03/15/2016
<br />03/1612016
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E. L. DISEASE-EA. EMPLOYEES
<br />1,000,00
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />K yes, describe under
<br />DESCRIPTION OF OPERATIONS be low
<br />C
<br />PROFESSIONAL
<br />COOG24641800005
<br />'0311512015
<br />0311512016
<br />�CLAIMIAGG 5,000,00
<br />POLLUTION
<br />SIR 100,00
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) ,,I e
<br />ille
<br />Site Number: CA45892 -A -0, Site Name: Heritage 2, CA, 4815 W. Cam Street�ev�e`14 �t1
<br />Santa Ana, CA
<br />cu0-60'\
<br />GgP
<br />CA46892
<br />City of Santa Ana, Executive
<br />Director Parks, Ree. and
<br />Community Services (M -23)
<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 />ACORD CORPORATION. All riehts reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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