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