2019-092-E AMS - Motorola outdoor antenna

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DocuSign Envelope ID:283A3B52-C94B-489E-9B1D-4FD2FEF5E4AB `e DATE{MMIDDiYYYYI CERTIFICATE OF LIABILITY INSURANCE 612 112 01 8 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 endorsements). PRODUCER Stephens Insurance, LLC NAME:CONTACT Stephanie Jones 111 Center Street, Suite 100 PHONE FAX Little Rock, AR 72201 AIc No 501 377-3445 A1C No; 501 210-4627 ADDRESS: Ste hanie.Jones Ste hens.com INSURERS)AFFORDING COVERAGE NAIL 0 www.stephens.com INSURERA: Massachusetts Bay Insurance Company 22306 INSURED INSURER B. The Hanover Ins Uran Ce Company_ 22292 Mobile Communications America, Inc. INSURERC: Allmerica Financial Benefit Insurance Co 41640 & Subsidiaries 885 Cripple Creek INSURERO; _ Lawrenceville GA 30043 INSURERE: I N SURER F: COVERAGES CERTIFICATE NUMBER.- 43742355 REVISION NUMBER: 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, TFRM OR CONDITION ❑F 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 ADDL SUBR POLICYNUMBER MMIDaYIYYYY MM?D LTR DfYYYY LIMITS A V COMMERCIAL GENERAL LIABILITY TDT-D351274-01 8/23/2018 8/23/2019 EACH OCCURRENCE $1 000 000 CLAIMS-MADE 7 OCCUR PREMiS S Ea ocrurcanaa $100 000 MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY i 1 000 000 GERLAGGREGATELI MIT APPLIES PER: GENERAL AGGREGATE $2.000,000 POUCY[7]PI D- LOC PRODUCTS-COMPIOP AGG s2,000,000 OTHER' S A AUTOMOBILE LIABILITY ADT-D342535-01 8/23/2018 8/23/2019 COMSINQDISINGELIMIT s1040000 J ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) 3 AUTOS ONLYLAUTOSAUTO NON-OWNEO pROPERTYOAMAGE $ AUTOS ONLYAUTOS ONLY Per aoddentJ Gara ekes eal Llabilitv S B UMBRELLA LIAR V OCCUR UHT-0351276-01 8/23/2018 8/23/2019 EACH OCCURRENCE $10 000 000 EXCESS LIAa CLAIMS-MADE Commercial FOIOW AGGREGATE $10 000 000 DE❑ I -( RETENTIONSNil Form Policy $ C WORKERS COMPENSATION W2D-D343901-01 8/23/2018 8/23/2019 �/ I STATUTE I I ER AND EMPLOYERS'LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE YIN N 7A E.L.EACH ACCIDENT $1 00O 000 OFFICERIMEMSERIXCLUDE67 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION 0FOPERATIONS bebw E.L.DISEASE-POLICYLJMIT $1 ODO OOO B Professional Liability LHT-D351277-01 8/23/2018 8/23/2019 Each Claim Limit$2,000,000 Aggregate Limit$2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES[AC OR 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Orange County Emergency Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE PO Box 81 S 1 ACCORDANCE W THTHE POL CYPROVISION WILL BE DELIVERER IN 200 S Cameron Street Hillsborough INC 27278 AUTHORIZED REPRESENTATIVE Sian Payne ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and Toga are registered marks of AGOR❑ 43742355 I ]g119 Maa[er Certificate I Stephanie Jones 18/21/2618 5;3903 PM {CI]TI I Page 1 of 2