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PROOF OF INSURANCE (2027)
INSURED T-Mobile US, Inc. 1359691 Its Subsidiaries and Affiliates 12920 SE 38th Street Bellevue WA 98006 --- .,. ,,,,,,,INSURER",AFFORDI.NG COVERAGE � NAIC # 1 INSURERA(111t1,11�T13� CBSU4t7 COr113T1V 20443 INSURER B The„Continental Insurance Company ,,, 35289 INSURER C TranSOrtatlOn Insurance COnTpany 20494 INSURER D INSURER E newtr'COAr_Cc f•CDTICIf•ATC WI IIIIIDCD• 112 /. A nt),71 MI-VISKIN NIIMFStK' X X X x x '% X THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ............ _ ............... -- ------ .� ......... INSR ...�.�. ADDL SUI'iR ,,,,'�- ... TYPE OF INSURANCE LTR INSD WVlr POLICYNUMBER POLICY E MMIDD/Y1/YY. MM D Y EXP DIYYYY - _ �. LIMITS .. CO MMERCIAL GENERAL LIABILITY A 1Y Y 7012343900 5/t/2026 5/t/2027 EACH OCCURRENCE $ 10 000 000 ������ s # CLAIMS -MADE "��„ OCCURR.F�MISES f�� (TyAMAh�"i(7ii1=NYSY7 (-Ea or„r'urrenr,�e) l..$ 10 000�0.00 MED EXP (Any, one person) $ 25 000 .,.... & 00 PERSONAL ADV INJURY $ 10 000 0, ..........�..,... .-.,.. _ GEN'L AGGREGATE LIMIT APPLIES PER: I ENERALAGGREGATE $ 20,QQ0,000 G 1 "_ POLICY »LIMP LI LOC PRODUCTS - COMP/OP,AGG � $ 20,.QQO,000 ._. . $ OTHER: A j AUTOMOBILE LIABILITY jvj.. N 7012343878 5/1/2026 5/1/2027 1 COMBINED SINGLE LIMIT $ Y!-Im .iden)) . m.. 5a000a000 . ANY AUTO i BODILY INJURY (Per person) ! $ XXXXXXX SCHEDULED BODILY INJURY (Per accident)$XXXXXXX AUTOS ONLY AUTOS HIRED [ NON -OWNED f Pr;OPr.RB'Y DAMAGE XXXXXXX I� �. AUTOS ONLYAUTOS ONLY j i.�:,..., c�uldrn$'1 ?$ XXXXXXX Hit X UMBRELLA LIAB ''; OCCUR N N 7014886953 5/1/2026 1/1/2027 .EACH OCCURRENCE $ 5,000 000 . ..a. ....... ...-.,. B 11 EXCESS LIAB SIR applies per policy CLAIMS MADE GATE AGGRE.....��,.„ $ 5,000,000 E, .... ...., ------ ,--_a- terms & Conditions ......... .,, ..... ................ OED PIEIE�N"GNON$ 11hQQQ f $ XXXXXXX S WORKERS COMPENSATION N 5/I/2026 5/1/2027 TH X�� R RS LIABILITY 1 7012443881 AZ MA WI NIA 7012347i42�.AOS)A]} 5/I/2026 5/1/2027 5/I/2026 5/1/2027 E EACH ACCIDENT $ 2�QQQ,Q00 , OFFICER/MEM ER EXCLUDED?ECUTIVE '...,ANDEMPLdatory Y As E.L DISE ....---. .,.,..E EA EMPLOYEE-$ 2mO00mQQ„Q,,,,,,,. If yes, describe under LIMIT I $ 2.001000 000 DESCRIPTION OF OPERATIONS below E,.L,. pISEASE -POLICY DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED., **SEE ATTACHED ENDORSEMENTS** LA84851A - 400 Lomita Street El Segundo, CA City of El Segundo and and its agents as additional insureds. C;tK I IFIUA It HULUtK wkm+ ,ct_Lpi 1 r+..al r ac. rarrw aterr a-rra 23609973 City of El Segundo 350 Main Street El Segundo CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT r 0)1988.2M%`AC0RD CORPORA 'I�N1. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Attachment Code: D590641 Master ID: 1359691, Certificate ID: 23609973 RRO�� City of El Segundo 350 Main Street El Segundo CA 90245 I1 I�)IR IIIIII ANT um uuum Dear Certificate Holder for T-Mobile and its subsidiaries (including Sprint): In our continued effort to provide timely certificate delivery, Lockton Companies is transitioning to paperless delivery of Certificates of Insurance going forward. To ensure future renewals of this certificate, we need your email address. Please contact us via one of the methods below, referencing Certificate ID 23609973 -Email: stl-edelivery@lockton.com -Phone: 314-872-3888 If we do not receive your email address via one of the above methods prior to the client's next renewal, we will assume ou no Ion er need the certificate. If you received this certificate through an internet link where the current certificate is viewable, we have your email and no further action is needed. The above inbox is for collecting email addresses for renewal electronic certificate delivery ONLY. You will not receive a response from this inbox. Thank you for your cooperation. Lockton Companies Lockton Companies 314-432-0500 lockton.com Attachrr7m � 8 Master ID: 1359691, Certificate [D: 23609973 f It is understood and agreed that: If the Named Insured has agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if the Insurer cancels a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificate holders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificate holder on file with the Agent of Record will be sufficient to prove notice. Any failure by the Insurer to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon the Insurer or the Agent of Record. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy. Form No: CNA75014XX (01-2015) Policy No: 7012343900 Endorsement Effective Date: 5/1/2026 Policy Effective Date: 5/1/2026 Endorsement No: Page: 1 of 1 Underwriting Company: Continental Casualty Company © Copyright CNA All Rights Reserved. Attachment Code: D559289 Master ID: 1359691, Certificate ID: 23609973 CNA . . ....... ... ON It is understood and agreed that: If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificateholders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificateholder on file with the Agent of Record will be sufficient to prove notice. Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon us or the Agent of Record. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy. Form No: CNA68021XX (02-2013) Policy No: 7012343878 Endorsement Effective Date: 5/1/2026 Policy Effective Date: 5/1/2026 Endorsement No: Policy Page: Underwriting Company: Continental Casualty Company © Copyright CNA All Rights Reserved.