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J! lO �� CERTIFICATE OF LIABILITY INSURANCE
<br />10/i3i2017
<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(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 1-832-416-6000
<br />Aon Risk Services Southwest, Inc.
<br />CONTACT
<br />1JAMEiPHONE
<br />FAX
<br />AC No:
<br />5555 San Felipe, suite 1500
<br />MAIL"
<br />DD SS;_.
<br />_ INSURER(S) AFFORDING COVERAGE NAIC0
<br />INSURERA: GREENWICH INS CO 22322
<br />Houston, TX 77056-3089
<br />INSURED
<br />Clear Channel Outdoor, Inc.
<br />INSURER B: XL INS AMERICA INC / XL SPECIALTY INS C
<br />EACH OCCURRENCE $ 5,000,000
<br />INSURER C:
<br />D
<br />c/o 200 East Hasse Rd.INSURER
<br />INSURERE:
<br />INSURER F:
<br />San Antonio, TX 78209
<br />I:UVtIlAGtb GEHrrIFIGATE NUMBER: b119U2b8 RFVIAIr1N kUnUF;FR-
<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 />[NSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICYEXP
<br />MM D
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE T OCCUR
<br />RGD300052802
<br />11/01/16
<br />11/01/17
<br />EACH OCCURRENCE $ 5,000,000
<br />DAMAGE TO RE 1,000,000
<br />PREMISES a occurrence $
<br />MED EXP(Any one person) $ Excluded
<br />-_
<br />PERSONAL&ADV INJURY $ 5,000,00_0
<br />AGGREGATE LIMIT APPLIES PER
<br />POLICY LOC
<br />GENERAL AGGREGATE` $ 5,000,000'
<br />GEN'L
<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 IM $ 2,000,000
<br />Ea accident
<br />BODILY INJURY (Per person) $
<br />X
<br />ANYAUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />i
<br />Per accident)
<br />BODILY INJURY ( ) $
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS
<br />AUTOS ONLY AUTOS ONLY
<br />-
<br />PROPERTY DAMAGE
<br />Per accident -f
<br />LIAB
<br />OCCUR
<br />EACH OCCURRENCE $
<br />AGGREGATE $
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />OED RETENTION$
<br />$
<br />B
<br />WORKERS COMPENSATION YIN
<br />AND EMPLOYERS' LIABILITY
<br />ANYPROPRIETONPARTNER/EXECUTIVEF7
<br />OFFICERIMEMBER EXCLUDED?
<br />N/A
<br />RWD300052902/RWR3002
<br />11/01/16
<br />11/01/17
<br />X STATUTE ETH
<br />EL. EACH ACCIDENT $ 1,000,000
<br />EL. DISEASE - EA EMPLOYEE $ 1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE- POLICY LIMIT $ 1,000,000
<br />REVIEiED BY; EUNICE HEREDIA (PG I OF
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />RE: LEASE (i 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 />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />CITY OF SANTA ANA, N-93 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 />1 U8A Lwn'W,ve�nuLUa�o �'M1C.
<br />©1988.2015
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />newrequest
<br />51140258
<br />reserved.
<br />
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