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ACbRbP CERTIFICATE OF LIABILITY INSURANCE
<br />DATE
<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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
<br />PRODUCER 1-832-476-6000
<br />Aon Risk Service$ Southwest, Inc.
<br />5555 San Felipe, Suite 1500
<br />N MNTACT
<br />E:
<br />-
<br />PHPNE AX Extl, INC, Non:
<br />ADDRESS,
<br />INSURERS AFFORDING COVERAGE NAIL#_
<br />INSURER A: GREENWICH INS CO 22322
<br />Houston, TX 77056-3089
<br />INSURED
<br />Clear Channel Outdoor, Inc.
<br />INSURER B: XL INS AFRICA INC / XL SPECIALTY INS O
<br />EACHOCCURRENCE $ 5,000,000
<br />INSURER C:
<br />INSURER D:
<br />C/o 200 East Besse Rd.
<br />INSURER E:
<br />INSURER F:
<br />San Antonio, TX 78209
<br />COVERAGES CERTIFICATE NUMBER: 51140258 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 />CTR
<br />TYPE OF INSURANCE
<br />ADD
<br />INED
<br />9 BR
<br />MD
<br />POLICY NUMBER
<br />MIN�OYEFF
<br />Y EXP
<br />MMIDDNYY
<br />LIMITS
<br />A
<br />X I COMMERCIAL GENERAL LABILITY
<br />RGD300052802
<br />11/01/16
<br />11/01/17
<br />EACHOCCURRENCE $ 5,000,000
<br />CLAIMS -MADE OCCUR
<br />-DAWTUEYT� O REN EO
<br />PREMISES Ea aciurrence $ 1,000,000
<br />MED EXP lAny oneperson) $ Excluded
<br />PERSONAL &AOV INJURY $ 5,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $ 5,000,000
<br />POLICY C PRO-
<br />JECT El LOC
<br />PRODUCTS - COMPIOP AGO $ 5,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />RAD943770902
<br />11/01/16
<br />11/01/17
<br />COMBINED SINGLE LIMIT Ea accident $ 2,000,000
<br />_
<br />BODILY INJURY (Par person) $
<br />X
<br />ANYAUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident) $
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTYDAMAGE $
<br />Per accident
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE $
<br />AGGREGATE $
<br />EXCESS LIAS
<br />CLAIMS -MADE
<br />DED I I RETENTION $
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AN D EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETORIPARTNEWEXECUTIVEF7NIA
<br />OFFICER/MEMBERE%CLUDED4
<br />(Mandatory In NH)
<br />RBPD300052902/RWR3O02
<br />11/O1/16
<br />11/01/17
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />000
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000400
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />REVIEWED BY, EUNICE HEREDIA (PG 1 OF2-1
<br />DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space la required)
<br />RE: LEASE It 38847 AT 1221 E 3RD ST, SANTA ANA, CA 92701; LAX999058, LAX9990051, LAX9990055, LAX9990056
<br />Certificate Holder, its officers, employees, agents, volunteers and representatives as additional insured(s) on the
<br />liability policies, and such insurance is primary and non-contributory, but only to the extent of the liability assumed
<br />by the Named Insured under written contract.
<br />Workers Compensation is evidenced for employees of the Named Insured Only.
<br />30 days notice of cancellation as agreed by written contract.
<br />CERTIFICATE HOLDER CANCELLATION
<br />©1988-2095 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />newrequest
<br />51140258
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />CITY OF SANTA ANA, N-93
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 CIVIC CENTER PLAZA
<br />AUTHORIZED REPRESENTATIVE
<br />SANTA ANA, CA 92701
<br />(j^„/�W�Jp
<br />�4Y`C'
<br />USA
<br />©1988-2095 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />newrequest
<br />51140258
<br />
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