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2020/03/15 SBA Communications Corporation
SBACOMM-01 ❑ .4C>iJRO CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DD/YYW) 3/1712020 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 endorsementfsl. PRODUCER Henderson Brothers Inc 920 Ft. Duquesne Blvd. Pittsburgh, PA 15222 INSURED SBA Communications Corporation 8051 Congress Ave. Boca Raton, FL 33487 we"; No Ext: (412) 261-1842 �iv"C, Ne):(412) 261-4149 aA' qn. infoftendersonbrothers.com Travelers Pronertv Casualtv Comoanv of America INSURER a: The Charter F: COVERAGES CERTIFICATE NUMBER: REVISION NIJMRr-R- 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 TYPE OF INSURANCE ADOL SUBR INVO POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR $250,000 SIR IEXGL-474M8138 3/15/2020 3/15/2021 EACH OCCURRENCE 750,000 DAMAGE O RENTED $ 750,000 MED EXP (Any one arson PERSONAL & ADV INJURY S 75U,DOU GEN'L AGGREGATE LIMIT APPLIES PER: POLICY O wLOC GENERAL AGGREGATE S 21000,000 PR UCTS-COMPIOPAGG $ 2,000,000 OTHER A AUTOMOBILE X _ �.—.� LIABILITY ANY AUTO AUTEOSONLY AUTOS AUTOS ONLY ALIT RT CAP-474M814A 3/15/2020 3M5/2021 COMBINED iSINGLE LIMIT S 1,000,000 BODILY INJURY Per Bison BODILY BODILY INJURY Per accident P e�81 I AMAGE A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 1UP-15N37405 3/15/2020 3/15/2021 EACH OCCURRENCE 5 25,000,000 AGGR rE 25,000,000 DED I X I RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EX YIN OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) yes, describe under D DESCRIPTION OF OPERATIONS below N � A UB-4L099102 3/15/2020 3/15/2021 X I PER I OTH- FI EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE S 1,000,000 E.L DISEASE -POLICY LIMIT $ 1,000,000 A Worker's Comp UB-31_884966 1/15/2020 3/15/2021 Each Acc/Policy Lmt 1,000,000 C Prof/Poll (100k SIR) 40 CPI HA6405 3/15/2020 3/15/2021 Claim/Agg 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached Tf more space is required) If required by written contract, certificate holder will be included as additional insured on a primary and noncontributory basis per forms CGD2460805, CAT4740216, and E000010716. 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 ILT4001209 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. City of Menifee City o MeniHaun 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