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<br /> <br />PRODUCER . . <br />ADn R1Sk servlces,Inc of washington <br />1420 Fifth Avenue <br />suite 1200 <br />Seattle WA 98101-4030 USA <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />CONFERS NO RIGHTS uPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />. COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />FAX. 206 749-4860 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />. PHONE. 206 749-4800 <br /> <br />INSURBR A:. <br />INSURBR B: <br /> <br />Gree~ch Insurance company <br /> <br />National union Fire Ins Co of pittsburgh. <br /> <br />XL specialty Insurance Co <br /> <br />INSURED . <br />T-Mobile USA, Inc. <br />its subsidiaries and Affiliates <br />12920 SE 38th Street <br />Bellevue WA 98006 USA <br /> <br />INSURBR C: <br /> <br />NAIC # <br /> <br />22322 <br />19445 <br />37885 <br /> <br />.. <br />t <br />, <br />;S <br />t <br />'a <br />'0 <br />= <br /> <br />INSURBR D: <br />INSURBR B: <br /> <br /> <br />TIm POUClES OF INSURANCE LIS11ID BFLOW HAVE BEEN ISSUED TO 11IB INSURED NAMED ABOVE FOR 11IB POUCY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDmON OF ANY CONTRACT OR 011IBR DOCUMENT WlTII RPSPECT TO WlDCH 1HIS CER11FICATE MAY BB ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POUClES DBSCRIBBD HERBIN IS SUBJECr TO AIL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POUClES. <br />AGGREGATE IlMlTS SHOWN MAY HAVE BEEN REDUCED BY PAID a.AIMS. <br /> <br />~ TYPE OF INSVRANCE POLICY NUMBER LIMITS <br /> <br />A <br /> <br />~LlABWTY RGD5000064 01 <br />X COMMI!RCIAL OBNBRALUAIlIU'IY <br /> <br />CLAIMS MADB [!] OCCUR <br />X COntractual Liability Incl. <br /> <br /> <br />GBN'LAOORI!OATE UMIT APPLIES PER: <br />~ POUCY D ~ D LOC <br /> <br /> <br />$1,000,000 <br />$1,000,000 <br />$1,000,000 on <br />.... <br /> \0 <br />$2,000,000 co <br />" <br /> .... <br />$2,000,000 N <br />N <br /> 8 <br /> " <br /> on <br />$1,000,000 ~ <br /> i <br /> ~ <br /> <br /> <br />$1,000,000 _ <br />$1,000,000 :I <br />$1,000,000 iii <br />~ <br />iE <br /> <br />.- <br /> <br /> <br />EACH OCCIJRREN'CB <br /> <br />DAMAGE 10 RBNTBD <br />PRBMISBS (l!a 0CClIreIlCe) <br />ODe DeISOD <br /> <br />PERSONAL & ADV INJURY <br />OBNBRAL AOORI!OATE <br /> <br />CE TERVILLE MN <br /> <br />PRooucrs -COMPIOP AOO <br /> <br />DBSCRIPI10N OPOPBRATlONSILOCATlONSlVBHlc.JlSlllXCUJSIONS ADDED BY BNOORSBMIlNTISPI!CIAL PROVISIONS <br />AS RESPECTS SITE LEASE AGREEMENT DATED BETWEEN THE CITY OF CENTERVILLE AND APT MINNEAPOLIS, INC. LOCATION: 1875 <br />FOX RUN, CENTERVILLE, ANOKA COUNTY, MINNESOTA (SITE #:A1N004, SITE NAME: CENTERVILLE WT) FOR: SPACE, PERSONAL <br />PROPERTY AND TELECOMMUNICATIONS EQUIPMENT <br /> <br />A <br /> <br />05/01/07 <br />05/01/07 <br /> <br />COMBINBDSINOLB UMIT <br />(l!a aa:Ident) <br /> <br />05/01/08 <br />05/01/08 <br /> <br />RAD 5000066 01 <br />AOS <br />RAD 5000067 01 <br />IlIA <br /> <br />AuroMOBILE LlABWTY <br />ANY AUfO <br />AU.OWNllD Auros <br />SCHBDULBD Auros <br />HIRBD Auros <br />NON OWNllD AUI"OS <br /> <br />A <br /> <br /> <br />05/01/07 <br /> <br />BACH OCCIJRREN'CB <br />AGORBOATE <br /> <br />BODn.yINJURY <br />(PerpelllOll) <br /> <br />BODn.yINJURY <br />(Per aa:Ident) <br /> <br />PROPERTY DAMAGE <br />(Per aa:Ident) <br /> <br />AUTO ONLY - EA Aa:IDI!NT <br /> <br />ANY AUfO <br /> <br />OTIIBR TIlAN <br />AUfOONLY: <br /> <br />EAACJ:. <br />AOO <br /> <br />B <br /> <br />EXCESSIllMBRELLA LIABWTY <br />[!] OCCUR D CLAIMS MADB <br /> <br />9834866 <br /> <br />~DEDUCl1BLB <br />DRBTBNrION $25,000 <br /> <br />c <br /> <br /> <br />RWD <br />WORKERS COMPENSATION AND <br />EMPLOYERS'LlABWTY AOS <br />RWR5ooo124 <br />ANYPROPRlBTOR/PARTNBR/BXIlC\JTIVB AZ IlIA OR WI <br />OFflCBRIMBMBBR EXCLUDED? '" <br />If,.., describe UDder SPIlCIAL PROVISIONS <br />beJow <br /> <br />X <br /> <br />05/01/07 <br /> <br />05/01/OS <br /> <br />B.L BACH ACCIDIlNI' <br />B.L DISBASB-EA BMPLOYIlB <br />B.L DISBASB-POUCY UMIT <br /> <br />c <br /> <br />0'l1IER <br /> <br />CENTERVILLE, CITY OF <br />1880 MAIN STREET <br />CENTERVILLE MN 55038 USA <br /> <br />SHOULD ANY OPTIIB ABOVE DESCRIBBD POUCIBS BB CANCBLLBD BJlIIOlU! TIIB EXPIRATION <br />DATE THIlIUlOP, TIIB ISSUING INSURIlR WJU. ENDEAVOR 10 MAn. <br />30 DAYS WRl1TI!N NOTICB 10 TIIB CERTIFICATE HOLDER NAMBD10 TIIB LI!FI'. <br />Bur PAILllRIl 10 DO SO SHALLIMPOSB NO OBUGATlON OR UAIlIU'IY <br />OP ANY KIND UPON TIIB INSURER, ITS AGENTS OR RIlPIU!SBNTATIVIlS. <br /> <br />AurHORIZBD Rl!PRl!SI!NTATIVB <br /> <br />..h~'17~ <br />