Loading...
HomeMy WebLinkAboutCBS Outdoor InsuranceRE AC R0� CERTIFICATE OF LIABILITY INS RAt4lft 01 2017 DATE(MMIDD/YYYY) illhl_� 5/26/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS N T IC kTE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTS 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(les) must 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 Arthur J. Gallagher & Co. Insurance Brokers of CA, Inc. LIC #0726293 505 N. Brand Boulevard, Suite 600 Glendale CA 91203-3944 OUTFRONT Media Certificate Processing 818-539-2300 fair w,.,. 818-539-1801 NAIC # INSURER A: Greenwich Insurance Company /+ XV 22322 INSURED CBSOUTD-02 INSURER B:XLSpecialty Insurance Company 37885 Outfront Media Group LLC INSURERC: 3150 South 48th Street, Suite 200 Phoenix, AZ 85040 INSURER D: INSURER E INSURERF! r1r]11FR A r:FC r'1=QTIFIC ATC h1IikRCtr_P. 919171.riAAA Dr;%IIC Irl AI NIIIFLJqM0C- 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. TNSR ADDC!5U6R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD I WV0 POLICY NUMBER LMWDD/YYYYJ LMMIDD/YYYY LIMITS A BI X COMMERCIAL GENERAL LIABILITY `, i CLAIMS -MADE I� OCCUR RGD3001134 (USA) CA00004371LI16A(Canada) 6/1/2016 6/1/2016 6/1/2017 6/1/2017 EACH OCCURRENCE $2,000,000 fA_G%_W PREMISE Eftotadlireme $2,000,000 MED EXP (Any oneperson) $10,000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,00 0 PRO - X POLICY EI PRC ❑� LOC PRODUCTS - COMP/OP AGG $4,000,000 $ OTHER: A B AUTOMOBILE X LIABILITY ANY AUTO RAD9437795USA CA00004372AU16A(Canada) 6/1/2016 6/1/2016 6/1/2017 6/1/2017 $ EaaCCider7l�_ 2,000000 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ HIRED AUTOAUTOS S NON -OWNED AUTOS PROPERTY -MAGE$ Per wddenl Comp/Coll. Ded $500,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE RWD3001135 (AOS) RWR3001136 (WI) 6/1/2016 6/1/2016 6/1/2017 611/2017 X I PERTUTEOR E. L. EACH ACCIDENT $2,000,000 OFFICER/MEMBER EXCLUDED? NIA E.LDISEASE- EAEMPLOYE $2,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is deemed Additional Insured as required by written contract. Please refer to attached General Liability endorsement for scope of Additional Insured status. Lease number 905312 covering display number 000305 located on the West side of Highway 101, 1.1 miles South of Madonna Road, referred to the City of San Luis Obispo as the "Calle Joaquin Property". CERTIFICATE HOLDER CANCELLATION City of San Luis Obispo 990 Palm Street San Luis Obispo CA 93401 USA 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 ti r, r r. © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: RGD3001134 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization where required by written contract provided that such contract was executed prior to the date of loss. Information required to floto this Schedule, if not shown above. will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 GvI Y p CIL �u s City Administration 990 Palm Street, San Luis Obispo, CA 93401-3249 805.781 7114 om December 29, 2016 OUTFRONT Media Inc. 405 Lexington Ave New York, NY 10174 Subject: Expired Insurance Certificates for OUTFRONT Media Contract To Whom It May Concern: Our records indicate the following insurance coverage(s) will expire as of the referenced date below. According to the contract, you must maintain insurance coverage throughout the term of the contract. We would greatly appreciate your prompt attention to this matter. Umbrella Liability: Expiration date: 06/01/2016 For General Liability coverage, you will need to submit a binder or certificate of insurance with the "Additional Insured Endorsement" prior to the date of expiration. If you submit a binder, you will need to send the certificate of insurance and the "Additional Insured Endorsement" once it is issued. The documents may be emailed in advance to hgoodwinAslocity.org and then hard copies mailed. All documents should be sent to: City of San Luis Obispo Attn: City Clerk's Office 990 Palm Street San Luis Obispo, CA 93401 If you have any questions, please phone me at (805) 781-7103. Our fax number is (805) 781-7109. Sincere, Heather Goodwin Deputy City Clerk CERTIFICATE OF LIABILITY INSURANCE 5/DATE(M 6 D/YYYY) 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(les) must 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 Arthur J. Gallagher & Co. Insurance Brokers of CA, Inc. LIC #0726293 1505 N. Brand Boulevard, Suite 600 Glendale CA 91203-3944 INSURED OUTFRONT Media Inc. 405 Lexington Ave., 17th Floor New York, NY 10174 CBSOUTD-02 nlXgF., "' OUTFRONT Media Certificate Processing PWC, Nrr.�l $18-539-2300 FAXc l�ol, 818-539-1801 HONE -MAIL � �g' ADDRESS: q C.ertre UestS a com INSURERS) AFFORDING COVERAGE NAIC # INSURER A:_ Greenwich Insurance Company X 22322 INSURERB:XL Specialty Insurance Company v 37885 INSURERC:ACE Property & Casualty Insurance C A*+ xV 20699 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 364363520 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, 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 ADDL:SUBRPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MIDDIYYYYIMMiDD/YyYyI LIMITS A X COMMERCIAL GENERAL LIABILITY B CLAIMS -MADE I OCCUR RGD3001134 (USA) CA00004371LI16A(Canada) 6/1/2016 6/1/2016 6/1/2017 6/1/2017 EACH OCCURRENCE $2,000,000 DAMAGE PREMISESLEEk urrence; $2,000,000 MED EXP An oneperson) $10,000 PERSONAL & ADV INJURY l $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,090,000 X POLICY FI ja [I LOC PRODUCTS - COMP/OP AGG $4,000,000 $ OTHER: A B AUTOMOBILE LIABILITY X ANY AUTO RAD9437795 (USA) 6/1/2016 CA00004372AU 1 6A (Canada) 6/1/2016 6/1/2017 6/1/2017 (Eaaocidenl) IT $2,000,000 BODILY INJURY (Per person) $ AALL UTOS�ED AUTOSULED BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED AUTOS (Per accident) A $ Comp/Coll. Ded $500,000 C X UMBRELLA LIAB X OCCUR XOOG28122810 6/1/2016 6/1/2017 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAR _ CLAIMS -MADE $ DEQ I X I RETENTION $10.000 B B WORKERS COMPENSATION RWD3001135 (AOS) AND EMPLOYERS' LIABILITY YIN. RWR3001136 (WI) 6/1/2016 6/1/2016 6/1/2017 6/1/2017ANY X PER STATUTE ER PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $2,000,000 OFFICER/MEMBER EXCLUDED? F- N/A E.L. DISEASE -EA EMPLOYE $2,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT 1 $2,000,000 i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Lease Number: 02081.905312, Location address : Highway 101 West side, 1.1 mile South of Madonna Road. Certificate Holder is deemed Additional Insured as required by written contract. Please refer to attached General Liability endorsement for scope of Additional Insured status. MAY 25 CERTIFICATE HOLDER CANCELLATION City of San Luis Obispo Attn: Heather Goodwin 990 Palm Street San Luis Obispo CA 93401 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AU.TTHH-ORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: RGD3001134 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization where required by written contract provided that such contract was executed prior to the date of loss. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. J A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 City Administration 990 Palm Street, San Luis Obispo, CA 93401-3249 805,781.7114 -.0-1ty org April 8, 2016 OUTFRONT Media Inc. 405 Lexington Ave New York, NY 10174 Subject: Expired Insurance Certificates for OUTFRONT Media Contract To Whom It May Concern: Our records indicate the following insurance coverage(s) will expire as of the referenced date below. According to the contract, you must maintain insurance coverage throughout the term of the contract. We would greatly appreciate your prompt attention to this matter. Automobile Liability: General Liability: Worker's Comp/Empl Liabilty: Other: Expiration date: 06/01/2016 Expiration date: 06/01/2016 Expiration date: 06/01/2016 Expiration date: 06/01/2016 For General Liability coverage, you will need to submit a binder or certificate of insurance with the "Additional Insured Endorsement" prior to the date of expiration. If you submit a binder, you will need to send the certificate of insurance and the "Additional Insured Endorsement" once it is issued. The documents may be emailed in advance to hgoodwin@slocitv.org and then hard copies mailed. All documents should be sent to: City of San Luis Obispo Attn: City Clerk's Office 990 Palm Street San Luis Obispo, CA 93401 If you have any questions, please phone me at (805) 781-7103. Our fax number is (805) 781-7109. Sincerely, Heather Goodwin Deputy City Clerk CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 10/5/2015 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(les) must 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 CONTACT NAME: OUTFRONT Media Certificate Processing ,Arthur J. Gallagher & Co. PHONEFAx No. Ext): 818-539-2300 l t9fG Nu►, 818-539-1801 insurance Brokers of CA, Inc. LIC #0726293 505 N. Brand Boulevard, Suite 600 -iAIC, E-MAIL _ADDRE33 - Certre quests @a 19•com Glendale CA 91203-3944 INSU.RER(S)AFFORDING COVERAGE � NAIC# INSURERA:New Hampshire Insurance Company 23841 INSURED CBSOUTD-02 INSURER B.:AIG Insurance Company of Canada 1. OUTFRONT Media Inc. INSURER C:ACE Property & Casualty Insurance C , 0699 405 Lexington Ave New York, NY 10174 INSURERD:AIG Specialty Insurance Compan 12 26883 INSURER E :See Attached INSURER F: COVERAGES CERTIFICATE NUMBER: 755925376 REVISION N[IMRER- 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 --- -- ADDL•SUBR` POLICY'EFF POLICYaw L R TYPE OF INSURANCE IVSD WVD POLICY NUMBER MM/DD/YYYY MMIDDlWYY LIMITS A B� x COMMERCIAL GENERAL LIABILITY GL9575176(USA) RMGL9897565(Canada) 5/1/2015 5/1/2015 6/1/2016 6/1/2016 EACH OCCURRENCE $2,000,000 - WG�ffR8 CLAIMS -MADE I " I OCCUR PREMISES 1EsoccurreOO $2,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY i $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 X POLICY ❑ PRO LOC JECT PRODUCTS - COMP/OP AGG $4,000,000 $ OTHER: A B AUTOMOBILE X LIABILITY ANY AUTO CA5339581 (USA) RMBA12670802 (Canada) 5/1/2015 3/1/2015 5/1/2016 5/1/2016 COML 91RC15 $2,000,000 BODILY INJURY (Per person) $ ALLOWNED SCHEDULED AUTOS UT SSAO BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS AUTOS 'moi { I A. pgr-accld9iR! $ $ C X UMBRELLA LIAB X OCCUR XOOG27638557 3/1/2015 3/1/2016 EACH OCCURRENCE 1 $10,000,000 EXCESS LIAB CLAIMS -MADE ' AGGREGATE $10,000,000 '. DED ix RETENTION $ 10,000 $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN See Attached B/1/2015 3/1/2016 X PER O7t1- STATUTE ER ANY OFFICER/MEMBER EXCLUDED? FN (Mandatoryin NH) N/A--- EL L EACH ACCIDENT $2,000,000 EL DISEASE - EA EMPLOYEE $2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below ""— EL DISEASE - POLICY LIMIT $2,000,000 D! Auto Physical Damage i CA 6758489 3/1/2015 311/2016 Comp/Coll Ded $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Lease Number: 02081.905312, Location address: Highway 101 West side, 1.1 mile South of Madonna Road Certificate Holder is deemed Additional Insured as required by written contract. Please refer to attached General Liability endorsement for scope of Additional Insured status - LM a.i t l a L"11 a-47 UJ q F19.1 City of San Luis Obispo Attn: Heather Goodwin 990 Palm Street San Luis Obispo CA 93401 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 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT This endorsement, effective 12:01 A.M. 06/01/2015 forms a part of Policy No. GL 957-51-76 issued to OUTFRONT MEDIA INC. by NEW HAMPSHIRE INSURANCE COMPANY ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Section II - Who is an Insured, 1., is amended to add: f) Any person or organization to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of your operations or premises owned by or rented to you. However, 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. ALJTHf5R1ZEb REPRESENTATIVE 61712 (9/01) OUTFRONT Media Inc. Effective: 06/01/2015 to 06/01/2016 Worker's Compensation Policy Numbers States Insurance Company Policy Number Policy Term NAIC No. AOS New Hampshire Ins, Co. WC 021-94-2756 06/01/2015 to 06/01/2016 23841 FL New Hampshire Ins. Co WC 021-94-2757 06/01/2015 to 06/01/2016 23841 CA National Union Fire Ins. Co. WC 021-94-2758 06/01/2015 to 06/01/2016 19445 MA, ND, OH, WA, WI, WY Illinois National Ins. Co. WC 021-94-2759 06/01/2015 to 06/01/2016 23817 Goodwin, Heather From: Arthur J. Gallagher & Co. Insurance Brokers of CA., Inc. <Mail-Server@csr24.emaiI Sent: Monday, October 05, 2015 6:56 PM To: Goodwin, Heather Subject: OUTFRONT Media Inc. -City of San Luis Obispo Attachments: Certificate.pdf A.M. Best's Consumer Insurance Information Center Page 1 of 1 A.M. Best's Consumer Imitwancf� Cen£ef Member Center: Log InISign UD Need Coverage?How Does Your Insurer Rate? State Insurance Information Find insurers by state or coverage type Enter w Cttmp.3ny Nnml: I =l wttd a stats V Consumer Home Terms to Know I Why a Best's Rating is Important I Contact Us 0 Life & Retirement © Health & Disability 0 Car & Home () Other Life Events New Hampshire Insurance Company PBrit this pan (a member of American International Group) A M. Best* 02363 NAIC #: 23841 FEIN #: 02-0172170 Address: 175 Water Street Phone: 212-770-7000 18th Floor Fax: New York, NY 10038 Web: wWWk ict.opin} UNITED STATES Best's Ratings view Dehnihon Need More information? Financial Strength Rating: A Pur ase an insurer report, complete with Outlook: Stable rating history, market share and a list of competitive insurers for $ 9.95, Effective Date: February 27, 2015 (Affirmed) V fix Sample Report Financial Size Category: XV ($2 Billion or greater) Licensing: The company is licensed in the District of Columbia, Guam, Puerto Rico, U.S, Virgin Islands and all states. It is licensed in the Philippine Islands, Bermuda, Canada, Hong Kong, Indonesia, Mexico (reinsurance only), Northern Marianas Islands, Pakistan, Panama (reinsurance only), Thailand and the United Kingdom. Il also operates in a number of foreign countries through the American International Underwriters Overseas Association. Top Line(s) of Business (based upon Direct Premiums Written) 1 Workers' Compensation ivr- Dermftbo ) 2 Inland Marinetysnwo+n ru^) 3 Auto (Commercial) tv,n. Dnirriba 4 Commercial Multiple Peril rymwoglinamq ) 5 Other Liability (Occurrence) C/lewonfinkinn) Top State(s) of Business (based upon Direct Premiums written) z 1 New York 2 California 3 Texas 4 Massachusetts 5 Florida Visit our NewsRoom for the latest News and Press Refeases for this company and its A.M. Best Group. Terms of Use All information provided on the A.M. Best website, including but not limited to text, data, ratings, reports, images, photos, graphics, and charts is owned by or licensed to A.M. Best Company and is protected by United Slates copyright laws and international treaty provisions. A.M. Best and its licensors retain all copyright and other proprietary rights to the website content. Best's Credit Ratings, obtained through any source, may not be reproduced, distributed to Third Parties, or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the A.M. Best Company, All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited. By logging into Best's Member Center or accessing this site, you accept and agree to be bound by our complete Terms of Use. Cuslo nor Ba y1ePradtYcl Straaan I Memher Canter Canter Inm r r AbIXll A -M. Best 15O a Ma I Privacy PoNeT I Securilv I Terms W Uss I Leaal $ Lrcnnslnk Copyright ©2015 A.M Best Company, Inc ALL RIGHTS RESERVED. A, M. Best Worldwide Headquarters, Ambest Road, Oldwick, New Jersey, 08858, U.S A. http://www3.ambest.com/consumers/CompanyProfile.aspx?BL=36&ambnum=002363&P... 10/6/2015 A.M. Best's Consumer Insurance Information Center Page 1 of 1 A.M. Best's Consumer InsufawoCenter Member Center: Log InISign UD Need Coverage?=11How Does Your Insurer Rate? State Insurance Information Find Insurers by state or coverage type, Eu,"(MC nrnp.Yny Npthn l ,5r}?Jr� ,, Slate v Consumer Home I Terms to Know Wny a Best's Rating is Important I Contact Us 0 Life & Retirement © Health & Disability 0 Car & Home () Other Life Events AIG Insurance Company of Canada (a member ofAmencan International Group) AM Best #: 05727 AIIN #: AA1564107 Address: 145 Wellington Street West Toronto, ON M5J 1 H8 CANADA Best's Ratings VIeW DeflnlHon Financial Strength Rating: A Outlook: Stable Effective Date: February 27, 2016 (Affirmed ) Financial Size Category: XV ($2 Billion or greater) Licensing: The company is licensed in all provinces and territories. Top Line(s) of Business (based upon Direct PremiumsWnften) Information is not currently available. Phone: 416-596-3000 Fax: 416-596-3006 Web: www,aig.com Top State(s) of Business (based upon Direct Premiums Written) Information is not currently available. Visit our NewsRoom for the latest News and Press Releases for this company and its A.M. Best Group Vl Print this oane Terms of Use All information provided on the A M. Best website, including but not limited to text, data, ratings, reports, images, photos, graphics, and charts is owned by or licensed to A.M. Best Company and is protected by United States copyright laws and international treaty provisions. A.M. Best and its licensors retain all copyright and other proprietary rights to the website content Best's Credit Ratings, obtained through any source, may not be reproduced, distributed to Third Parties, or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the A.M Best Company. All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited, By logging into Best's Member Center or accessing this site, you accept and agree to be bound by our complete Terms of Use. Quslpmor Servene I Producl Stip, I Mgmtxlf Cenky I C.Qnlpgt IN i cwaffs About A.M. Bo. I Site Ma I Plivacr Poll cv I Security ralms *( Use I.Lonal & Lecr:nsllxl Copyright© 2015 A M. Best Company, Inc, ALL RIGHTS RESERVED A.M. Best Worldwide Headquarters, Ambesl Road, Oldwick, New Jersey, 08858, U. S A http://www3.ambest.com/consumers/CompanyProfile.aspx?BL=3 6&ambnum=085 727&P... 10/6/2015 A.M. Best's Consumer Insurance Information Center Page 1 of 1 A. M. Best's �n l Const;inier In'tiin anca'titonter - .on Member Center: Lop In I Sian Uo Need Coverage? How Foes Your Insurer Rate? State Insurance Information Find insurers by sl alo or coverage type IlEmer a campfi'ly Nnma I5Cleci n riitme v Consumer Home I Terms to Know I Why a Best's Rating is Important I Contact Us 0 Life & Retirement 0 Health & Disability Q Car & Home 110 Other Life Events ACE Property & Casualty Insurance Co (a member or ACE INA Group) AM. Eats! a! 01998 NAIC #; 20699 FEIN #: 06-0237620 Address: P.O, Box 1000 Philadelphia, PA 19106 UNITED STATES Best's Ratings Viewoyiinilian Financial Strength Rating: A++ u Implication: Negative Effective Date: July 02, 2015 (Under Review) Financial Size Category: XV ($2 Billion or greater) u Denotes Under Review Best's Ratings Licensing: The company is licensed in the District of Columbia, Puerto Rico and all slates, Top Line(s) of Business (based upon Direct Premiums Written) 1 Multiple Peril Crop (V!�wor!rjfI lnn> 2 Other Liability (Occurrence)"y mw Dudnlren) 3 Private Crop prow ppS j grl ) 4 Auto (Commercial) tVlew De inirl w� ) 5 Workers' Compensation (Vlaw Dallrdllon ) Top State(s) of Business (based upon Direct Premiums Written) 1 South Dakota 2 Texas 3 Missouri 4 Iowa 5. Nebraska Phone: 215-640-1000 Fax: Web: www-aceusa.com Visit our News Room for the latest News and Press ReIgM for this company and its A.M. Best Group, 9 Pont M10 page Need More information? Purchase an insurer report, complete with rating history, market share and a list of competitive insurers for $ 9,95. Vmw Sample Repor'i Terms of Use All information provided on the A.M. Best website, including but not limited to text, data, ratings, reports, images, photos, graphics, and charts is owned by or licensed to A.M, Best Company and is protected by United Slates copyright laws and international freely provisions. A.M. Best and its licensors retain all copyright and other proprietary rights to the website content. Best's Credit Ratings, obtained through any source, may not be reproduced, distributed to Third Parties, or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the A.M. Best Company, All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited. By logging into Best's Member Center or accessing this site, you accept and agree to be bound by our complete Terms of Use. Cuelore t Service I Producl Sunnart Member Cantor CrMl C1 Info I aeoere About A.M. BastI Site Main I Priya,V Po94y I Securil I 'rglmg 41 Use I Le id & Licenslna Copyright © 2015 A,M Best Company, Inc.. ALL RIGHTS RESERVED, A.M. Best Worldwide Headquarters, Ambest Road, Oldwick, New Jersey, 08858, U.S.A. http://www3 .ambest.com/consumers/CompanyProfile.aspx?BL=3 6&ambnum=001996&P... 10/6/2015 A.M. Best's Consumer Insurance Information Center Page 1 of 1 A.M. Best's 16 Member Center: Loo In I Stan Up Need Coverage? How Does Your Insurer Rate? State Insurance Information Find insurers by state or coverage typo 1°neer a Company Name �,�} :Select a Stale v Consumer Home I Terms to Know I Why a Best's Rating is Important I Contact Us © Life & Retirement O Health & Disability Q Car & Home © Other Life Events AIG Specialty Insurance Company (a member or American International Group) AM Beat #:03535 NAIC#:26883 FEIN#: 02-0309086 Address: 175 Water Street 18th Floor New York, NY 10038 UNITED STATES Best's Ratings Vtaw Defrrtlon Financial Strength Rating: A u Implication: Negative Effective Date: January 27, 2016 (Under Review) Financial Size Category: XV ($2 Billion or greater) u Denotes Under Review Best's Ratings Phone: 212-770-7000 Fax: Web: Www.alp.Com A Prrnl this ono Need More information? EuLcjMe an insurer report, complete with rating history, market share and a list of competitive insurers for $ 9 95. Vlaw 5amote Report Licensing: The company is licensed in Alaska and Illinois It also operates on a surplus lines or non -admitted basis in the District of Columbia, Puerto Rico, U.S. Virgin Islands, AL, AZ, AR, CA, CO, CT, DE, FL, GA, HI, ID, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI and WY Top Line(s) of Business (based upon Direct Premiums Wneen) 1 Other Liability (Claims -made) rviaw otLrjroan ) 2 Other Liability (Occurrence) eyiaw Denniltun ) 3 Auto (Commercial) view oannium ) 4 Homeowners Multiple Peril Niewoornitlan> 5 Burglary and Theft Im nr n ) Top State(s) of Business (based upon Direct Premiums Written) 1 California 2 Texas 3 New York 4 Florida 5 Pennsylvania Visit our NewsRoom for the latest News and Press Releases for this company and its A M Best Group Terms of Use All information provided on the A.M Best websile, including but not limited to text, data, ratings, reports, images, photos, graphics, and charts is owned by or licensed to A M Best Company and is protected by United States copyright laws and international treaty provisions A M Best and its licensors retain all copyright and other proprietary rights to the website content Best's Credit Ratings, obtained through any source, may not be reproduced, distributed to Third Parties, or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the A M Best Company All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited By logging into Best's Member Center or accessing this site, you accept and agree to be bound by our complete Terms of Use. Customer Sere ce Produel Sunoort Menrbar Center Confact Into 'Careers AWO A.M. Best I Site W I Privacy Palau Security I Terms of Use I Legal & Lleansipo Copyright © 2016 A M Best Company, Inc and/or its affiliates ALL RIGHTS RESERVED http : //www3 . ambe st. com/consumers/C ompanyPro file. aspx?B L=3 6& ambnum=003 5 3 5 &P... 3/24/2016