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2019/06/01 AT&T Corp Certificate of Liability InsuranceiC_i , _� CERTIFICATE OF LIABILITY INSURANCE JUN 0 ' a5123/2019DnYYY► ,4cvRo 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 AFFORQE@I'f !dTHE 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). CONTACT US Centralized Services PRODUCER NAME; Marsh USA Inc 701 Market Street, Suite 1100 PHONE 866-966 4664 FAX No St. Louis, MO 63101 a MAIL AtLC9rtRequast@mnh.com Attu: ATT.CertRequest@marsh com INSURERS AFFORDING COVERAGE NAIC # CN 1 03150778-GAW-CRT-1 9-20 INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B : AT&T Corp. One AT&T Plaza INSURER C ,, 208 South Akard Street, INSURER D : Room 1830.06 Dallas, TX 75202 INSURERS: _ ^�MTIr_rr-n Tc r.urseoco. rut-nna7d7Ra7_n7 RFVISICIN NI IMRFR• V 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 B POLICY EFF POLICY EXP LIMITS L R TYPE OF INSURANCE INSD I V.IVD POLICY NUMBER /DD/YYYY MM1DDrYYY A X COMMERCIAL GENERAL LIABILITY MWZY 31363619 06/01/2019 06/01/2020 EACH OCCURRENCE $ 1,000.000 CLAIMS -MADE M OCCUR PREMISES Ea occur(encel $ 1,000,000 MED EXP (Any one person) $ N/A $ 1,000,000 PERSONAL & ADV INJURY $ 10,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: � GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X POLICY PRO- LOC JECT $ 1,000,000 OTHER: COMBINEDF $ AUTOMOBILE LIABILITY q5ae�SINGLELIMIT BODILY INJURY (Par person) ANY AUTO $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED $ PROPEfiTY DAMA13E Per accident AUTOS ONLY AUTOS ONLY F_ $ UMBRELLALIAB EACH OCCURRENCE $ _ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION PER TH- 7AT TE ER AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) NIA $ E L. DISEASE - POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS below $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Encroachment Permit application from the City of Menifee to allow AT&T to relocaate cable and conduit on Bradley road in Menifee, CA City of Menifee is/are included as Additional Insured under the General Liability policy but only with respect to the requirements of the contract between the Certificate Holder and the Insured. This insurance is primary with respect to the interest of the Additional Insured and any other insurance maintained by Additional Insured is excess and non-contributory with this insurance. LICKII1-14,AIC rIVLUCK City of Menifee 29714 Haun Road Menifee, CA 92586 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 REPRESENTATIVE of Marsh USA Inc. _M nu on ►.r .JAAC te_N%A^.a-ca.. V 7'Jtftf-LUIb AI.VKU IvVKYVKA I lvrv. rIu numb rGSCrvuu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD City of Menifee rity r.lerk IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY JUN 0 6 2019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. `'''Dived ADDITIONAL INSURED WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Paragraph 2. of SECTION II - WHO IS AN INSURED is amended to include any person or organization for whom you have agreed under contract or agreement to provide insurance. However, the insurance provided shall not exceed the scope of coverage or limits of this policy. Notwithstanding the foregoing sentence, in no event shall the insurance provided exceed the scope of coverage or limits required by said contract or agreement. Where required by contract, we will consider our policy to be primary under any other insurance maintained by the additional insured for injury or damage covered by this endorsement and that their policy will be noncontributing with this insurance. GL 739 006a 0609 MVVZY 313636 19 AT&T Inc. 06/01/2019 - 06/01/2020