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<br />SBACO -1 OP ID: RJH
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />03113/2016
<br />/1312x16
<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 />CONTACT E
<br />NAME _Clem J Wandnsca ..III
<br />.....
<br />920 Ft Duquesne Blvd
<br />A /C_No, Ext 412- 261 -1842 FyAx 4,12 - 261 -4149
<br />I 1 �_(A/C Na l
<br />Pittsburgh, PA 15222
<br />Clem J. Wandrisco, III
<br />—
<br />E -MAIL
<br />AopREss cjwandrisco@hendersonbrothers.com
<br />031151201'6
<br />INSURER(S) AFFORD ING COVERAGE NAIC Oi
<br />............. _
<br />INSURER A Travelers Property & Casualty 25674
<br />INSURED SBA Communications Corporation
<br />-- - -._.. - ._— . ........
<br />INSURER B: The Charter Oak Fire Ins. Co. 125615
<br />8051 Congress Ave.
<br />- .._... _
<br />Baca Ratan, FL 33487
<br />INSURER c; St Paul Fire & Marine Ins Co - 'i24767........_.
<br />dEN
<br />INSURER D: Illinois Union Insurance Compa 27960
<br />INSURER E. ;
<br />INSURER F;:
<br />COVERAGES CERTIFICATE NUMBER' Dr-WICIAKI All InnDCD.
<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 />EXCLUSION'S AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />POLICY EFF PQLICY �XF..... —..... ,,.__ .. -..... .._.....
<br />LTR TYPE OF INSURANCE IiN D I VD POLICY NUMBER' MMlDD1YYYY (MM)DE LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X CQMMERCIAL,.._.._
<br />EACH OCCURRENCE
<br />$ 900,000
<br />CLAIMS MADE � X �� gGCUR
<br />X
<br />TJEXGL474M'B138TIL16
<br />031151201'6
<br />03115/20'17
<br />PREE SES ante
<br />900,000
<br />X $100,000 SIR
<br />dEN
<br />MED EXP (:Any one person)
<br />r $ N/
<br />i
<br />f _
<br />PERSONAL & ADV INJURY
<br />i $ 900,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />0 GENERAL AGGREGATE
<br />$ 2,000,000
<br />F—]
<br />POLCY PRO- �
<br />LOC
<br />,
<br />- °.
<br />. „„ dEOT
<br />I
<br />PRODUCTS - COMP/OP AGG
<br />.._
<br />$ 2,000,000
<br />OTHER:
<br />f_....
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />�
<br />1
<br />COMBINED SINGLE LIMIT
<br />(Ep accudeni
<br />$ 1,000,000
<br />ANY AUTO
<br />ALLOWNED - '.... SCHEDULED
<br />TC2JCAP474M814ATIL16
<br />03/15/2018103/15
<br />/2017
<br />BODILY INJURY {Perperson)
<br />$
<br />jX
<br />AUTOS UT OS
<br />BODILY INJURY Per accident
<br />( I
<br />$
<br />X - - -- AVJTS PEED
<br />HIRED AUTOS LYED
<br />- Pe is c tlent} AMAGE
<br />$_ . , __ ___ -. -
<br />X
<br />G
<br />(100,000
<br />i
<br />$
<br />X
<br />X
<br />UMBRELLA LIAR �.. .. OCCUR
<br />EACH OCCURRENCE �
<br />$ 25 000,000
<br />C
<br />EXCESS LIAR CLAIMS MaDE
<br />03115/2016
<br />03!1512017
<br />AGGREGATE
<br />.- ...._,.
<br />$ 25,000,000
<br />DED X [RETENTIONS 10,000
<br />$
<br />AND EMPLOYERS” LIABILITY
<br />f
<br />PER OTH-
<br />X I STATUTE
<br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN
<br />OFFICER/MEMBER EXCLUDED? �
<br />NIA
<br />TC20UB475M437816 AOS
<br />( )
<br />0 3/1 512 01 6
<br />03f15/2017
<br />.I_ER
<br />� ----- .,.....
<br />E L. EACH ACCIDENT' $ 1 000,000
<br />A (Mandatary in NH) H)
<br />TRJUB475M438A16
<br />03/1512016
<br />03/1512017
<br />._ ... _
<br />E.L. DISEASE- EAEMPLOYEEI 1,000,000
<br />yes, _�.,..n.,e under
<br />$
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT j $ 1,000,000
<br />D PROFESSIONAL
<br />COOG24541800006
<br />0311512016
<br />03115/2017
<br />CLAIM /AGG 5,000 „000
<br />POLLUTION'
<br />SIR 100,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 111, Additional Remarks Schedule, may be attached if more space is required,)
<br />Site Number: CA45888 -A-0, Site Name: Windsor Park,
<br />Site Address: 2915 W LA Verne Ave., Santa Ana, CA
<br />e6”
<br />CA45888 "*
<br />s�
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Attn: PRCSA ACCORDANCE WITH THE POLICY PROVISIONS.
<br />26 Civic Center Plaza, M -75
<br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE
<br />1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered (marks of ACORD
<br />
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