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HomeMy WebLinkAboutCrown Castle InternationalPage 1 of l ACC> ff 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, 03/28/2019 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 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 NAMEA T Willie of Pennsylvania, Inc, c/o 26 CenturyBlvd -- - --- - -- ----. -..-- _.,.__ 'H NE 1-877-945-7378 - FAX 1 888 467-2378 _ AM�l U IA/C Nu) Ap ILS certificates@willis.com P.O. Box 305191 Nashville, TN 372305191 USA INSURER(S)_AFFORDINq COVERAGE NAIL # INSURERA: Federal Insurance Company 20281 INSURED Crown Castle International INSURERS National Union Fire insurance Company of P .----- ----- __,._._..___._.__._--------- _ ..._ _ .___._.._ 19445 ._--- -____.-.___ Attached Insured list _._..__,.ERC: Berkshire Hathaway Specialty Insurance Com 22276 1220Augusta AuDr. Suite 600 4 New Ham INSURERD: p shire Insurance Company 23841 Ruston, TX 77057 i INSURER E INSURER F: ,,,, _,__1,000,000 $ 10, 000 THIS IS ro CERTIFY THAT THE POLICIES Or INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION Or 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. Al1pL $ i _........_.___._..._...._.._ _,_._ ___.._-_ ..__ �._..._,. ,..._, [le _ POLICYNUMSER MM! /YYYY /DD/YYYY LIMIT9V~__._.._.._.—_....__ LT TYPE OP INSURANCE POLICY EFF POL�ICY EXP _ .,..____, __. _._,.. _ _,...._LI X COMMERCIAL GENERAL LIABILITY — EAGHOCCURRENCE$ 1,000,000 CLAIMS -MADE f OCCUR b"tiMAGE 1 C"fit€NTEtS _ ... t _P[LEfy11C5„(0_oV1Cad1SP)_ $ A i MED CXP (Any one i�t�rson) ,,,, _,__1,000,000 $ 10, 000 — _.... 3605-3335 04/01/2019 04/01/2020 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER; I GENERALAGGREGATE$ 2 000,000 1 x Il ..._ _.._ ..___..._...__.,,...._.__. , POLICY JECOT LOC OTHER; PRODUCTS COMPlOP AGG $ 2,0 00, 000 $ AUTOMOBILE LIABILITYd_M 1 ESDSI OLLE LIMIT 000, 000 X ANYAUTO BODILY INJURY(Porpoison) $ B OWNED SCHEDULED _ AUTOS ONLY AUTOS CA 4993141 04/01/2019 04/01/2020 BODILY INJURY(Peiaccidant) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PRC7PERTYD 11v1A(7E (pnr.tkcoldpn.ta..,. $ $ C X _. UMBRELLALIAB X OCCUR___._... ( EAGH OGGl1RRENt E 5,000,000 EXCESS LIAB CLAIMS -MADE _.._._._.._... -DED I 47-UMO-303445-03 04/01/2019 04/01/2020 AGGREGATE $ 5,000,0- 1-1 X ON • 25, 000 RETENTI ... .._. .__.._..._ $ WORKERS COMPENSATION OTbI AND EMPLOYERS' LIABILITY Y / N U ANYPROPRIETORlPARTNER/EXECUTIVE No OFFICER/MEM DER EXCLUDED? N / A WC 012717225 04/01/2019 04/01/2020 E I..,.EAChI ACCIDENT _ _._. $ 1, 000 000 - (Mandatory in NH) If yyes. describe undsr E.L. D)SCASE - EA EMPLOYEE -. $ 1 000 000 - ID RIPTI N OF CSPERATI NS glow E.L. DISEASE • POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space Is required) BU #856576 w 26379 WEEN FREMONT BOULEVARD, LOS ALTOS, CA 94022 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Los Altos Bi11e AUTHORIZED REPRESENTATIVE 26379 FREMONT RD LOS ALTOS HILLS, CA 94022 01988.2016 ACORD CORPORATInN all rinlife vaeapirn'I ACCORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sR ID: 17721177 BATCH: 1129876 2 of 3 20399 Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds 24/7 Chesapeake Holdings, LLC Crown Castle Internationral Corp. Crown Castle International Corp, tie 2417 Mid -Atlantic Network of Virginia, LLC puerto Rico 24/7 Mid -Atlantic Network, LLC Crown Castle International LLC Access Fiber Group Holdings LLC: Crown Castle Investment Corp. Access Fiber Group, Inc. Crown Castle Investment IT Corp. AirComm of Avon, L.L.C, Crown Castle MM Holding Corp, Atlantic Coast Coi nnunications LLC Crown Castle MM Holding LLC CA - CLEC LLC Crown Critic MU LLC CC Castle International LLC Crown Castle MUPA LLC CC Edge LLC Crown Castle NO Atlantic LLC CC Edge Solutions LLC Crown Castle NG Central LLC CC Finance LLC Crown Castle NG East LLC CC FN Holdings LLC Crown Castle NG Networks LLC CC Holdings GS V LLC Crown Castle NG West LLC CC Site Acquisitions II LLC Crown Castle Operating Couripany CC Suncsys Fiber Networks LLC Crown Castle Operating LLC CC TM PA LLC Crown Castle Orlando Corp. CC Towers Guarantor LLC Crown Cantle PR LLC CC Towers Holding LLC Crown Castle PR Solutions LLC CC TS LLC Crown Castle PT Inc. CCATT Holdings LLC Crown Castle Puerto Rico Corp. CCATT LCC Crown Castle Services LLC: CCATT PR LLC Crown Castle Solutions LLC COGS Holdings Corp. Crown Castle South LLC CCPE Acquisitions LLC Crown Castle TDC LLC CCPR VI Tower Newco LLC Crown Castle TLA LLC CCS & E LLC Clown Castle Towers OS LLC. C1CT2 Holdings LLC Crown Castle Towers 06-2 LLC CCTM I-Toldings LLC Crown Castle Towers 09 LLC CCTM l LLC Crown Castle Towers LLC CCTM2 LLC Crown Castle USA Inc, CCTMO LLC Crown Communication LLC Chesapeake Fiber, LLC Crown Cornnrunication New York, Inc. Coastal Antennas LLC Crown Mobile Systems, Inc. Conisite Venture, Inc. DAS Development Corporation Coverage Plus Antenna Systems LLC Fiber Technologies Networks, L.L.C. Cross Connect Solutions, Inc. (PA) Fibernet Direct Florida LLC Crown Atlantic Company LLC Fibernet Direct Holdings LLC Crown Castle AS LLC Fibernet Direct TEL LLC Crown Castle Atlantic LLC Fibernet Direct Texas LLC Crown Castle Augusta LLC Fibcrtech Facilities Corp. (NY) Crown Castle BP ATT LLC; Fibertech Holdings Corp, Crown Castle CA Corp. Fibcrtech Networks, LLC Crown Castle Fiber LLC i%k/a Lightower Freedom Telecommunications, LL,C Fiber Networks Il, LLC Crown Castle GS III Corp. Global. Signal Acquisitions Il LLC Crown Castle GT Company LLC Global Signal Acquisitions III LLC Crown Castle GT Corp. Global Signal Acquisitions IV LLC Crown Castle GT Holding Sub LLC Global Signal Acquisitions LLC Global Signal GP LLC Global Signal Holdings ILI LLC Global Signal Holdings IV LLC Global Signal Operating Partnership, L.P. Global Signal Services LLC GoldenState Towers, LLC GS Savings Inc. GSPN Intangibles LLC High Point Management Co. LLC ICB Towers, LLC InfraSource FI, LLC InSITE Fiber of Virginia LLC InSTTE- Solutions LLC Interstate Tower ConmUnieations LLC Intracoastal City Towers LLC IX2 Center, LLC IX2 Wilshire, LLC JBCM Towers LLC Light Tower Clearinghouse LLC Light Tower Fiber New York, Inc. (NY) Light Tower Holdings LLC. Light Tower Management, Inc. Light Tower Metro Fiber LLC Lightower Fiber Infrastructure Corp. Lightower Fiber Networks I, LLC Lightower Fiber Networks 11, LLC n/k/a Crown Cantle Fiber LLC LTS Buyer LLC LTS Group Holdings LLC LTS Intermediate Holdings A LLC LTS Intermediate I-Ioldings B LLC LTS Intermediate Holdings C LLC Md7 Capitol One, LLC Mobile Media California LLC Mobile Media National LLC Modeo LLC MW Cell REIT I LLC MW Cell TRS I LLC NEONTranscour, Inc. NewPath Networks Holding LLC NewPath Networks LLC NY - CLEC LLC OP 2 LLC OP LLC P3 CHB -1, LLC P3 Holdings 2014 LLC P3 OASA-I, LLC P3 PBA -1, LLC PA - CLEC LLC Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds Pinnacle Sail Antonio L.L.C. Pinnacle St, Louis LLC Pinnacle Towers Acquisition Holdings LLC Pinnacle Towers Acquisition LLC Pinnacle Towers Asset Holding LLC - Pinnacle Towers Canada, Inc. Pinnacle Towers 1.11 LLC Pinnacle Towers Limited Pinnacle Towers LLC Pinnacle Towers V Inc. PR Site Development Corporation PR TDC Corporation Princeton Ancillary Services 11 LLC Princeton Ancillary Services III LLC Radio Station WGLD LLC RCP Tower Group, LLC Shaffer & Associates, Inc. Sidera Networks UK Limited (UK) Sidera, Networks, Inc. Sierra Towers, Inc. Suncsys Enterprise LLC Sunesys of Massachusetts, LLC Sunesys of Virginia, Inc, Sunesys, LLC Thunder Towers LLC Tower Development Corporation Tower Systems LLC Tower Technology Company or Jacksonville LLC Tower Ventures 141, LLC Towel -One 2012, LLC TowerOnc Allentown 001, LLC TowerOne Bethlehem 00.1, LLC Towel -One Doylestown, LI.0 TowerOne East Rockhill 001, LLC TowerOne Marple, LLC TowerOne. Middletown 001, LLC TowerOnc Middletown 002, LLC TowcrOnc Middletown 003, LLC TowcrOnc North Coventry, LLC TowerOne Partners, LLC TowerOne Richland, LLC TowerOne Upper Pottsgrove 002, LLC TowerOne Upper Pottsgrove, LLC TowerOne Warminster 001, LLC TowerOile Wai-rington 002, LLC Towers Finco 11 LLC Towers Finco III LLC Towers Finco LLC TriStar Investors LLC TVHT, LLC WA - CLrC LLC WCP Wireless Lease Subsidiary, LLC WCP Wireless Site Funding LLC WCP Wireless Site Holdco LLC WCP Wireless Site Non -RE Funding LLC WCP Wireless Site Non -RE Holdco LLC WCP Wireless Site RE Funding LLC WCP Wireless, Site RE Holdco LLC Wilcon Holdings LLC Wi Icon Operations LLC Wilshire Connection, LLC Wilshire Services, LLC Wireless Funding, LLC Wireless Realty Holdings 11, LLC Wireless Revenue Properties, LLC Yankee Metro Parent, Inc. 3 of 3 20399 WILLIS TOWERS WATSON 26 CENTURY BLVD. 6TH FL NASHVILLE, TN 37214 20399 1 AB 0,409 1111111111111111111 Jill 11111111 TOWN OF LOS ALTOS HILLS 20399 26379 W FREMONT RD LOS ALTOS HILLS, CA 94022-2624 NOTICE In order to expedite distribution of certificates to Certificate Holders, we would like to begin using electronic distribution for future issuances. Also, we would like to remove any certificates that are no longer needed. If you would like to receive electronic copies in the future or no longer require a certificate for this Insured, please note as such below. Please complete this form and submit with a copy of your current certificate to the contact information below: Do you wish to receive renewal certificates: Yes No Require a hard copy be mailed: Yes No Email Address or Fax Number: SR ID: 17721177 If you require additional information or have further questions, please feel free to contact: Willis Towers Watson Global Certificate Center Email: EDPCERTS@willistowerswatson.com Fax: 888-467-2378 Phone: 877-945-7378 Please note that it is your responsibility to provide up-to-date contact information to assure correct distribution of any future renewal certificates. 1 of 3 20399