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2021/03/15 SBA Communications Corporation
SBACOMM-01 NMONEI .�co►z"d° CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 4/13/2021 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). PRODUCER TACT Henderson Brothers Inc PHONE FAX 920 Ft. Duquesne Blvd. (A/C, No, Ext): (412) 261-1842 C No -. 412 261-4149 Pittsburgh, PA 15222 M". sbacertsAM1893.com INSURER A: Travelers Propeq Casual!y Company of America 25674 INSURED INSURER B : The Charter Oak Fire Ins. Co. 25615 SBA Communications Corporation INSURER C : Navigators Specialty Insurance 36056 8051 Congress Ave. INSURER D : Hartford Fire Insurance Company Payable 19682 Boca Raton, FL 33487 INSURER E : INSURER F : rr)VFF?ArZPC !':FF7TICIf"ATC e11iRNs2�D. o�..io�r.r.� �ii�aao�o. 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. ILTR NSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 0 OCCUR y250,00D SIR EXGL-474M8138 3/15/2021 3/15/2022 EACH OCCURRENCE $ 750,000 DAMAGETQRENTED $ 750,000 X MED EXP (Any oneperson) PERSONAL ADV INJURY $ 750,000 GENT AGOREGGATIE LIMIT APPLIES PER: POLICY PRO- JECT El LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP GG 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X BODILY INJURY Per erson $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS CAP-474M814A 3/15/2021 3/15/2022 BRODIL�Y INJURY Per acrid Pe�a�nt AMAGE pp AUTOS ONLY AUT M A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ZUP-15N37405 3/15/2021 3/15/2022 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 DED I X I RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIEB R/PXCLUDE/EXECUTIVE QQ��FICER/MEMBER EXCLUDED? ❑ (nnandatery in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N ! A UB-4L099102/UB-3L884966 3/15/2021 3/15/2022 OTH. E.L EACH ACCIDENT 1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Excess Liability IPH21EXR8061481C 3/15/2021 3115/2022 Each Occ/Agg 10,000,000 D Prof/Poll (100k SIR) 40 CPI HA6405 3115/2021 3/15/2022 Claim/Agg 5,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached 0 more space is required) If required by written Contract, cetilcate holder will be included as additional insured on a primary and noncontributory basis per forms CGD2460419, CAT4740216, and E00001071 S. If required by written contract, a waiver of subrogation will be provided for certificate holder per forms CG24040509, CAT3400215, E000010716 and WC000313(00), where applicable bylaw. 30 day notice of cancellation provided for certificate holder performs ILT4050311, ILT4050519, and WC990SR300 when required by written contract. The insurance provided will not exceed the lesser of: 1. The coverage and/or limits of this policy, or 2. The coverage and/or limits required by said contract or agreement. k.:t_K I II-lk A I tz MULE) LK CANCELLATION City of Menifee 29844 Haun Road SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN -C/o Finance Department ACCORDANCE WITH THE POLICY PROVISIONS. Menifee, CA 92586 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD