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AC "R "m CERTIFICATE OF LIABILITY INSURANCE
<br />�4� 4!'112017
<br />DATEIMMIDDiYYYY)
<br />1 33/21/2016
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate Molder is an ADDITIONAL INSURED,, the policy(ies) must be endorsed. If SUB'R'OGATION 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 LOCIEton Companies
<br />444 W. 47th Street, Suite 900
<br />Kansas City MO 64112 -1906
<br />(816) 960 -9000
<br />NAME;
<br />(A/C, N ®, Ext : Are, No
<br />EMAIL
<br />ADDRESS:.
<br />INSURER 5 AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A : Continental Casualty Company
<br />20443
<br />INSURED SPRINT PCS ASSETS, L.L.C.
<br />14966 6480 SPRINT PARKWAY
<br />OVERLAND PARK KS 66251
<br />,. f .s . 5 ^•'
<br />INSURER B : American Casualty Company ofReading, PA
<br />20427
<br />INSURER 0; Trans ortation Insurance Company
<br />20494
<br />INSURER D
<br />4/1/2014
<br />INSURER E,
<br />EACH OCCURRENCE
<br />INSURER F
<br />COVERAGES SPRC003 CERTIFICATE NUMBER: 2.551',1.9R RFVI..gl(,IrU Nl IMRFR: XXxx"x3a x
<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 />ADDL
<br />INSD
<br />SUER
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />fMMIDDIYYYY
<br />POLICY EXP
<br />IMMI DDIYYYY )
<br />LIMITS
<br />•
<br />X
<br />COMMERCIAL. GENERAL LIABILITY
<br />N
<br />N
<br />GL5082521363
<br />4/1/2014
<br />4/1/2017
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE S (Ea RENTED oorr noe
<br />250,000
<br />•
<br />MED EXP (Any one porson
<br />,;s,
<br />sXXXXXXX
<br />CONTRACTUAL LIAB,
<br />•
<br />- TE7N.A.NTSLEQALI,IAB
<br />PERSONAL & ADV INJURY
<br />52.000.000
<br />GENT AGGREGATE LIMIT APPLIES PER::
<br />POLICY JE o 7] LOC
<br />GENERAL AGGREGATE.
<br />$ 10,000,000
<br />PRODUCTS - COMPIOP AGG
<br />$ 3,000 000
<br />OTHER
<br />•
<br />AUTOMOBILE
<br />LIABILITY
<br />N
<br />N
<br />BIJA5092521329
<br />41112014
<br />411/2017
<br />aQaMacBcNEeDISINGLE LIMIT
<br />$ 2,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$ XXXXXXX
<br />ANY AUTO
<br />BODILY INJURY (Peraccident
<br />` XXXXXXX.
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />HIRED AUTOS .AUTOSVVNE.6
<br />PROPERTY ac identDAMAGE.
<br />S si'XXr X. .X.
<br />Gala ekee Cry
<br />$ Included
<br />UMBRELLA LIAB
<br />OCCUR.
<br />EACH OCCURRENCE
<br />$ XXXXXXX
<br />''... EXCESS LIAR
<br />CLAIMS -MADE
<br />NOT APPLICABLE
<br />AGGREGATE
<br />'.... $ XXXXXXX.
<br />DED RETENTION $
<br />$
<br />C
<br />B
<br />C
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIABILITY
<br />ANY PROPRIFTORIPARTNERIEXECUTIVE YIN
<br />OFF ICERIMEMCEREXCLUDED7
<br />(Man datoryinNH)
<br />U.0 SCRIPTION OF OPERATIONS below
<br />NIA
<br />N
<br />7
<br />ViC50I12521282(R.ETRO)
<br />\VC5'082521.296(DEDUC-TIBLE)
<br />WC5082521279(CA)
<br />SG1,5082521315 (STOP GAP)
<br />4/l./2016
<br />4/1,/2116
<br />411,12036
<br />4/1/2016
<br />4/1/2017
<br />4/1/2017
<br />4/1/2017
<br />4/1/2017
<br />...PER OTH-
<br />X STATUTE
<br />E.I. EACH ACCIDENT
<br />$ 1 000000
<br />FL DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />EL DISEASE - POLICY LiMI"d"
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />"FIRE DAMAGE IS INCLUDED IN BROADER TENANT'S LEGAL LIABILITY FORM WITH LIMITS OF $1,000.000 PER OCCURRENCE. THE
<br />CITY OF SANTA ANA, ITS OI'1 [CURS, AGENTS, REPRESENTATIVES, EMPLOYEES AND VOLUN U-,ERS ARE ADD[TIONAI, INSUREDS ON A
<br />PRIMARY BASIS AS REQUIRED BY CONTRACT AND SUBJECT TO POLICY TERMS AND CONDITIONS. RE: INSTALLA.I CON„ OPERATION &
<br />MAINTENANCE OF TELECOMMUNICATIONS EQUIPMENT.
<br />r )
<br />LEASED LOCATION:- Site ID: QGTRJiC299. 2915 1'4'. I.,A1 L ".RNG AVE. SANTA .RNA CA � I
<br />CITY OF SANTA ANA
<br />ATTN: CARLA MACK- THOMPKINS
<br />20 CIVIC CENTER PLAZA.
<br />SANTA ANA, CA 92702
<br />ACORD 25 (20141011
<br />I IVIY 0eA;,i.tLA.4lI.111VllL A 111,1..
<br />SHOULD ANY OF THE ABOVE DESCRIBED POI
<br />THE EXPIRATION DATE THEREOF, NOTICE W
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />M
<br />:,�
<br />ne,1 R -24)1A A ORr) rORPORGTION' All rinintc rocondort
<br />The ACORD name and logo are registered marks of ACORD
<br />
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