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CERTIFICATE OF LIABILITY INSURANCE <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(fes) must be endorsed. It SUBROGATION I$ WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an andorsement. A statement on this certificate does not confer rights to the <br />Three City Place Drive, Suite 900 <br />St. Louis NIO 63141-7081 <br />(314) 4320500 <br />INSURER A <br />1358772 T -Mobile US, Inc. <br />Its Subsidiaries and ANiliates <br />12920 SE 38th Street <br />Bellevue WA 98006 <br />COVERAGES TMORI CERTIFICATE NUMBER: 129011X97 REVISION tatIMRER• Mvvvvvv <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS FED 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 NTH 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 />AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />ggEXCLUSIONS <br />IIL <br />TYPE OF INSURANCE <br />AD <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />D <br />XRAL . COMMERCIAL GENELIABILITY <br />CIAIMSMADE11 OCCUR <br />X <br />Y <br />Y <br />RGDS000239.04 <br />`, <br />e��7, <br />V <br />eva5 <br />5/1/2015 <br />5/1/2016 <br />nn �� <br />wlall <br />_ <br />DAMAGETORENTED <br />PflEMI5E5(Eaoccurrence S 1,000,000 <br />SQ <br />PERSONAL &ADV INJURY § 1,000,,0_0 0 <br />CEtrLAOORCAELIMIT APPLIES PER <br />—Al. <br />POI.ICY _.._ j r X. LOC <br />01 HER: <br />CENCRAI. AGGREGATE 5 <br />PRODUCTS• COMWOP AEG 2 2,000,000,__ <br />0 <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL AUTOS NPD AUTQB LEO <br />HIkEb AUt'OS nUT �YMED <br />Y <br />Y <br />RADS Joh _IPV` <br />�.1 <br />�r^.� <br />P VV <br />5/1/2015 <br />5/1/2016 <br />(Ea § � <br />6ecldan) QQQ,000 <br />BODILY INJURY (P., person) § XXXXXXX <br />BODILY INJURY Paraccldem <br />PROPERTY DAMAGE § XXXXXXX <br />S XXXXXXX <br />C <br />C <br />C <br />X UMaRe4LAL1Aa <br />EXCESS LIAE <br />X <br />OCCUR <br />CLAIMS MADE <br />Y <br />N <br />19961923 <br />Sgt applies par policy <br />terms $ condition,, <br />5/1/2013 <br />9112016 <br />EACHOCCURRENCE § 5 000 000 <br />AGGREGATE S <br />DED X I RETENTION a 25,000 <br />§ <br />'A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIA61LIV <br />ANY PROPRIETOWPARTNEWERECUTIVE YIN <br />OFFICEReaEMBER EXCLUDED9FN7 <br />(Mandatory III NHl <br />II yo% dwr tae Under <br />DF_SCRIP RON OF OPERATIONS below <br />NIA <br />N <br />RWDS00�p301-03 AGS <br />RWR5001/302,03 WI <br />511/2015 <br />5/1/2015 <br />$71/2010 <br />511/201Fi <br />X STATUTE f7 <br />E.L. EACHACCIOENT $ <br />E.L. DISEASE- EA EMPLOYEE1 5 1 muoo <br />E.L. DISEASE- POLICY LIMIT 16 1,000,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS I V9111CL98 (ACORD 101, Additional Ramarha Schedule, may be attached it inure spice ]& reauaedl <br />THIS C'ERTIFICA'TE SUPERSEDES ALL PREVIOUSLY ISSUED CKKTIFICAA ES FOKTHIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TRRMISI REFERPNCEn <br />The Certificate holder and uthar entities defined are additional insureds on a prinlary and nowconu ibunny basis under general liability and are additional <br />insured under autantoldle liability as required by written Contract. Waiver of Sabrogation applies under general liabili.V and automobile liability as refired by <br />wduen cnntrasL a"Sea Attached Endorsements'# RE: SPECIAL EVEN`f, CINCO DE MAYO FESTIVAL IN SANTA A ANA 513/2015. SEPARATION OF <br />INSUREDS AM INCLUDED UNDER UENERAL LIABILITY, <br />12800087 <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <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 />All dents <br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD <br />