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PROOF OF INSURANCE (2018) CLOSED DATE(MM/DD/YYYY) ACS "' CERTIFICATE OF LIABILITY INSURANCE r 4/1/2018 6/16/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). p CONTACT PRODUCER Lockton Companies NAME; 444 W.47th Street,Suite 900 PHONE I FAX /C,N%Ext); d 9..N.gI........................ Kansas City MO 64112-1906 EMAIL (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Continental Casualty Company 20443 INSURED SPRINT PCS ASSETS,L.L.C. INSURER 8:American Casualty COmpanv Of Reading,PA 20427 14971 6480 SPRINT PARKWAY INSURER C:Transportation Insurance Company 20494„ OVERLAND PARK KS 66251 INSURER D:Starr Indemnity&Liability Company 38318 INSURER E INSURER F COVERAGES SPRC003 CERTIFICATE NUMBER: 14691052 REVISION NUMBER: xxxxxX' 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 'OLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTR TYPE OF INSURANCE �''t uak POLICY'EFF POLICY'EXP' LIMITS WVD POLICY NUMBER 6MM IDMYYYYB IMMIDWYY'YY) A COMMERCIAL GENERAL LIABILITY Y N GL5082521363 4/1/2017 4/1/2018 s 2,000,000 I EACH OCCURRENCE „ tC E C � R SE((Ea cccuro,t nre) S 2S0O0O { C ONTRACTUAL LIAB. MED EXPAny one person) S XXXxXX XX X *TENANTS LEGAL LIAB PERSONAL&ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s 1 0,000,000 rX POLICY �I JE� LOC PRODUCTS-COMP/OP AGG $ 3 0,00,000 07 HER $ A AUTOMOBILE LIABILITY N N BUA5082521329 4/1/2017 4/1/2018 (E�'l�'ra.¢"��;�gSINGLI3"WMI $ 2,000,000 ^'x ANY AUTO BODILY INJURY(Per person) s XXXXXXX OWNED SCHEDULED AUTOS ONLY AUTOS s XXXXXXX BROPERIYDAM PeracadeN) ,s XXXXXXX HIRED NON-OWNED PH4:,.1T°�,h'''"E"d C1�IaM�°a(";iF. ' AUTOS ONLY AUTOS ONLY (Per al".t'ident) Garaeekeeners ! s Included D X UMBRELLA LIAB �^-- CLAIMS-MADE _AGGREGATE s 10 X- OCCUR N N 1000706013171 4/1/2017 4/1/2018 EACH OCCURRENCE s 10,,000x000 EXCESS ff f I ,000x000 .. DED RETENTIONS V S XXXXXXX I PER WORKERS COMPENSATION Y WC508252l28M It.l':"I"Itt l,p 4/1/20117 4/1/2018 X STATUTE ERH C AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WCS(982'.�,"c 9291ro 1' EI')1Jt'.TIBLE) 4/1/2017 4/l/2018 E L EACH ACCIDENT s 1,000,000 C (Man atoryi NH) NIA GAP,50'2"s 2131.5(S0�O GAP 4/1/2097 4/1/2018 EL DISEASE-EAEMPLOYEEI s 1,000000,,, If OFFICER/MEMBER EXCLUDED N z (Mandatory in NH) GAP�fI'8'7S'�13 9,�( ) DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S L000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be 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 *FIRE DAMAGE IS INCLUDED IN BROADER TENANTS LEGAL LIABILITY FORM WITH LIMITS OF$1,000,000 PER OCCURRENCE° City of El Segundo is an additional insured where required by contract and subject to policy terms and conditions Re installation,operation&maintenance of telecommunications equipment ('.EASED LOCATION:-Site ID:LA25XC361-400 Lomita Street El Segundo CA CERTIFICATE HOLDER CANCELLATION See Attachments 14691052 City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3SO Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN El Segundo CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIV. ©19881 015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL GENERAL LIABILITY GL5082521363 CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location(s)Of Or organization(s): ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED TO PROVIDE SUCH COVERAGE UNDER THE TERMS OF A WRITTEN CONTRACT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for"bodily injury", "property damage"or"personal and advertising injury"caused, in whole or in part, by: 1.Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. E. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to"bodily injury"or"property damage"occurring after: 1.All work, including materials, parts or equipment furnished in connection with such work, on the project(other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of"your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 ISO Properties, Inc„2004 Attachment Code:D461205 Certificate ID: 14691052 SHOULD ANY OF THE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL WRITTEN NOTICE IN ACCORDANCE WITH THE POLICY PROVISIONS TO THE CERTIFICATE HOLDER NAMED WITHIN THE STATED TIME FRAMES OF 30 DAYS, EXCEPT FOR REASON OF NON-PAYMENT OF PREMIUM AT 10 DAYS. FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Miscellaneous Attachment:M463964 Master ID: 14971,Certificate ID: 14691052 CNA G-1 9160-A Policy#WC5082521279 (CA) (Ed. 01/93) WORKERS'COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS This endorsement changes the policy to which it is attached. It is agreed that Part One-Workers'Compensation Insurance G. Recovery From Others and Part Two-Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - 5% of the total standard premium for California exposure. Sprint Corporation G-19160-A Page 1 of 1 (Ed. 01/93) Attachment Code:D463108 Certificate ID: 14691052