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SBACO -1 OR ID: NC
<br />CERTIFICATE OF LIABILITY INSURANCE
<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 />DATE 0310 912 0 1 5Y)
<br />0 310 912 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 />PA 15222
<br />Pittsburggh, andrisco, III
<br />Clem J. Wess:
<br />CONTACT Clem J. Wandrisco
<br />NAME:
<br />PHONE 412- 261 -1842 nlc No;412- 261 -4149
<br />AIC No Ext:
<br />ADORI cjwandrisco hendersonbrothers . com
<br />GENERALLIABILITY
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />_
<br />INSURER A: Travelers Property Casualty Co
<br />j26674
<br />$ 900,000
<br />INSURED SBA Communications Corporation
<br />Thomas Hunt, Esquire
<br />5900 NW Broken Sound Parkway
<br />INSURER B: St Paul Fire & Marine Ins Co
<br />24767
<br />NsuRERC:lllinois Union Insurance Compa
<br />TJEXGL474M8138TIL15
<br />03/1512015
<br />0311512016
<br />Boca Raton, FL 33487
<br />INSURER D
<br />MED EXP (Any one person)
<br />INSURER E:
<br />CLAIMS -MADE � OCCUR
<br />INSURER F:
<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 />LTft
<br />TYPE OF INSURANCE
<br />L
<br />IN R
<br />UBRi
<br />D
<br />POLICY NUMBER
<br />PO IYLICY EFF
<br />MMIDDYYY
<br />POLICY EXP
<br />MMIDDIYYTV
<br />LIMITS
<br />GENERALLIABILITY
<br />EACH OCCURRENCE
<br />$ 900,000
<br />A
<br />X COMMERCIA GENERAL LIABILI Y
<br />X
<br />TJEXGL474M8138TIL15
<br />03/1512015
<br />0311512016
<br />ENTEU
<br />PREMISES Ea occurrence
<br />$ 900,00
<br />MED EXP (Any one person)
<br />$ NIA
<br />CLAIMS -MADE � OCCUR
<br />PERSONAL BADV V INJURY
<br />$ 900,000
<br />X $100,000 SIR
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMPIOP AGG
<br />$ 2,000,00
<br />$
<br />POLICY X PRO LOG
<br />JECT
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accitlent
<br />$ 1,060,006
<br />aooav INJURY (Per person)
<br />$
<br />A
<br />X ANY AUTO
<br />ALL OWNED SCHEDULED
<br />r— AUTOS AUTOS VNED
<br />X HIRED AUTOS X AUTOS
<br />TC2JCAP474M814ATIL15
<br />03115/2015
<br />03115/2016
<br />BODILY INJURY (Per accident)
<br />-PROPERTY
<br />PERACCIDENT
<br />$
<br />$
<br />X 100,000 DED -HCPD
<br />$
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 25,000,000
<br />AGGREGATE
<br />$ 25,000,000
<br />B
<br />EXCESS LIAB
<br />CLAMS-MADE
<br />ZUP15N3740515NF
<br />03/1512015
<br />0311512016
<br />r DED X RETENTION $ 10,006
<br />$
<br />•
<br />•
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTIVEY❑
<br />oFFICERry inN )ExcLUOeov
<br />(Mandatory NH) N
<br />NIA
<br />TC2JUB475M437815(ADS)
<br />TRJUB475M438A15
<br />03115120150311512016
<br />03115/2015
<br />0311517.016
<br />WC STATU- OTH-
<br />X TORY LIMITS 'ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,006
<br />E . DISEASE -EA EMPLOYE
<br />$ 1,666,666
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,666,66
<br />If yae, dascribo under
<br />DESCRIPTION OF OPERATIONS below
<br />C
<br />PROFESSIONAL
<br />COOG24541800005
<br />03115/2015
<br />0311512016
<br />CLAIM /AGG 5,000,000
<br />POLLUTION
<br />SIR 100,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
<br />Site CA45903 -A -0, Site Name: Salgado Center, 706 N. Newhope, Santa � by
<br />CA .
<br />� e J\e�je
<br />L' S
<br />. �aGueJ���•
<br />CA45903
<br />City of Santa Ana, Executive
<br />Director Parks, Rec. 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 />19BB -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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