HomeMy WebLinkAboutCrown Castle International (2)Page I of 1
;e 1 ►"CERTIFI1C;ATE OF LIABILITY IN�"ilJt�lANCE
Q03/311/2021
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($), 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 il;eu of such endorsements .
PRODUCERME
Willis Towers Watson Northeast, Inc'.
c/o 26 Century Blvd
P.O. Box 305191
TACT Crown Castle International
PHONE TTpAR---
(A/C. No. EXI): (A/C NO}:
Ap' I g CO2RecRyeatocrownnastle.com
Nashville, TN 372306191 USA
INSURs}APPORDINGCOVERAGE—NAICk__
INSURERA: Federal Insurance Company
20201
INSURED
Crown castle rntern&tional
See Attached Named insured List
INSURERS; National union Fire insurance Company of P
- --
19445
------
INSURERC: National Fire & Marina insurance Company
20079
INSURER D: AIu Insurance Company
INSURER E
19399
1220 Augusta Dr. Suite 600
Houston, TX 77057
_I?R,MIfi,S_{RIM I IM Ea
..........
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 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.
LTR TYPE OPINSURANCE pOLICYN MRER MMdD/YY MMD/ YX�Y_..__.__W__,._.. LIMITS___._ _.._._.. .•_,...._.
X
COMMERCIAL GENERAL LIABILITY
EACHOCGURIRENOE
$ 1,000, 000
CLAIMS -MADE OCCUR
_I?R,MIfi,S_{RIM I IM Ea
1,000,000
A
MED EXP (Any one person)
$10,000
PERSONAL & ADV INJURY_-
$ ` �. 1, 000,000
3605-33-35 LTO
04/01/2021
04/01/2022
.. GEN'L AGGREGATE LIMIT APPLIES PER:
�!
GENERAL AGGfiEOATL
2,000,000
� POLICY j( Pli j �
1 JELvT 1 i LOC
PRODUCTS - COMP/OP AGO
$ 2,000,000
$
OTHER:
I
AUTOMOBILE
LIABILITY
i
CO BINED SINGLE IMIT
$ 1,000,000
ANY AUTO
BODILY INJURY (Per persar,)_
>9
OWNED SCHEDULED
AUTOS ONLY AUTOS
I
CA 7030894
04/01/2021
04/01/2022
BODILY INJURY (Poracoidanl)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE_
(ner;Octidogl)„-_,.
$
$
C
X
UMBRELLA LIAB X OCCUR
EACHOCCURRENCE
$ 5,000,000
�
AGGREGATE
� T-��--
$ 5,000,000
EXCESS LIAB _
CLAIMS•MAC7G
47-UMO-303445-07
04/01/2021
04/01/2022
DED X RETENTION$ 25 000WORKERS
$
I
X SER
AfUTE ERR
AND EMPLOYOERS' L ABILOITY YIN
I
E.L. EACH ACCIDENT _
$ ^ i, 000, 000
-. ._.._....
D
ANYPROPRIETOR/PAR'rNEIR/EXECUTIVE
OrFICER/MEMBER EXCLUDED? No
NIA
WC 016393106
104/01/2021
04/01/2022
(Mandatory in NH)
I
C.L. DISEASE - EA EMPLOYEE
$ 1,000,000
It Fos, describe under
-
- _-
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1, 000, 000
DESCRIPTION OP OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
OU #1856576 w 26379 WEST” FREMON"T BOULEVARD, LOS ALTOS, CA 94022
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SIE CANCELLED BEFORE
THE EXPIRATION MATE THEREOP, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
TOWN OF LOS ALTOS HILLS AUTHORIZED REPRESENTATIVE
26379 FREMONT RD C`�n �pll+aw
LOS ALTOS HILLS, CA 94022
01988.2016 ACORD CORPORATION. All ririhtc raQar%fad
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
sir XD; 20920331 BATCH: 2040505
2 of 3 29268
Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds
2417 Chesapeake Holdings, LLC
Crown Castle GT Corp.
24/7 Mid -Atlantic Network of Virginia, LLC
Crown Castle GT Holding Sub LLC
2417 Mid -Atlantic Network, LLC
Crown Castle International Corp.
Access Fiber Group Holdings LLC
Crown Castle International Corp. de Puerto Rico
Access Fiber Group,. Inc.
Crown Castle International LLC
AirComm of Avon, L.L.C.
Crown Castle Investment Corp.
Atlantic Coast Communications LLC
Crown Castle Investment 11 Corp.
CA - CLEC: LLC
Crown Castle MM Holding Corp.
CC Castle International LLC
Crown Castle MM Holding LLC
CC Edge LLC
Crown Castle MU LLC
CC Edge Solutions LLC
Crown Castle MUPA LLC
CC Finance LLC
Crown Castle NG Atlantic LLC
CC FN Holdings LLC
Crown Castle NG Central LLC
CC Holdings GS, V LLC
Crown Castle NG East LLC
CC Site Acquisitions II LLC
Crown Castle NG Networks LLC
CC Sunesys Fiber Networks LLC
Crown Castle NG West LLC
CC TM PA LLC
Crown Castle Operating Company
CC Towers Guarantor LLC
Crown Castle Operating LLC
CC Towers Holding LLC
Crown Castle Orlando Corp,
00 TS LLC
Crown Castle PR LLC
COATT Holdings LLC
Crown Castle PIR Solutions LLC
CCATT LLC
Crown Castle PT Inc,
OCATT PR LLC
Crown Castle Puerto Rico Corp.
COGS Holdings Corp.
Crown Castle Services LLC
COPE Acquisitions LLC
Crown Castle Solutions LLC
CCPR VI Tower Newco LLC
Crown Castle South LLC:
CCS & E LLC
Crown Castle TDC LLC
CCT2 Holdings LLC
Crown Castle TLA LLC
CCTM Holdings LLC
Crown Castle Towers 05 LLC
COW LLC
Crown Castle Towers 06-2 LLC
CCTM2 LLC
Crown Castle Towers 09 LLC
CCTMO LLC
Crown Castle Towers LLC
Chesapeake Fiber, LLC
Crown Castle USA Inc.
Coastal Antennas LLC
Crown Communication LLC
ComSIte Venture, Inc.
Crown Communication New York, Inc.
Coverage Plus Antenna Systems LLC:
Crown Mobile Systems, Inc.
Cross Connect Solutions, Inc. (PA)
DAS Development Corporation
Crown Atlantic Company LLC
Fiber Technologies Networks, L.L.C. (NY)
Crown Castle AS LLC:
Fibernet Direct Florida LLC
Crown Castle Atlantic LLC
Fibernet Direct Holdings LLC
Crown Castle Augusta LLC
Fibernet Direct TEL LLC
Crown Castle BP ATT LLC
Fibernet Direct Texas LLC
Crown Castle CA Corp.
Fibertech Facilities Corp. (NY)
Crown Castle Fiber Holdings Corp. (formerly LTS Group Holdings LLC)
Fibertech Holdings Corp.
Crown Castle Fiber Enterprise LLC (formerly Sunesys Enterprise LLC)
Fibertech Networks, LLC
Crown Castle Fiber LLC fllqa Lightower Fiber Networks 1.1, LLC
Freedom Telecommunications, LLC
Crown Castle GS III Corp.
Global Signal Acquisitions 11 LLC
Crown Castle GT Company LLC
Global Signal Acquisitions III LLC
. '
Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds
Global Signal Acquisitions NLLC
Global Signal AcuuisiUonoLLO
Global Signal GPLLC
Global Signal Holdings III LLC
Global Signal Holdings |VLLC
Global Signal Operating Partnership, LP.
Global Signal Services LLC
Gm|deUGtateTowers, LLC
GGSavings Inc,
88PNIntangibles LLC
High Point Management Co. LLC
]CBTowers, LLC
|DfrmSoUmmFl, LLC
|nO|TEFiber ofVirginia LLC
|DG|TE8o|UtioUn LLC
Interstate Tower Communications LLC
Intracoastal City Towers LLC
|X2Center, LLC:
|X2Wilshire, LLC
J8CK8Towers 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
Lightow8rFiber Infrastructure Corp.
L|ghtowo[Fiber Networks |.LLC
LiOhtowe[Fiber Networks ||. LLC n/Wa Crown Castle Fiber LLC
LLQ1-18.LLC
LT88uvn LLC
LJ8Group Holdings LLC n/WoCrown Castle Fiber Holdings Corp
[TGIntermediate Holdings ALLC
LT8 Intermediate Holdings 8LLC
LT8Intermediate Holdings CLLC
Md7Capitol One, LLC
Mobile Media California LLC
K4ohUe Media National LLC
MudonLLC
kWCell REIT 1LLC
MWCell TRS 1LLC
NEON TmDncwm.Inc,
NmmPathNetworks Holding LLC
NewPathNetworks LLC
NY-CLECLbC
OP2LLC
OP LLC
P3CH8-1.LLC
P3Holdings 2O14LLC
P3OASA4.LLC
P3P8A-1.LLC
PA-CLEOLLC
Pinnacle San 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 III LLC
Pinnacle Towers Limited
Pinnacle Towers LLC
Pinnacle Towers VInc.
PRSite Development Corporation
PRTDCCorporation
Princeton Ancillary Services ||LLC
Princeton Ancillary Services III LLC
Radio Station VVGLDLLC
R8PTower Group, LLC
Shaffer & Associates, Inc,
8ideraNetworks UKLimitmd(UK)
8idMaNetworks, Inc.
Sierra Towers, Inc,
8WnosymEnterprise LLCO/NaCrown Castle Fiber Enterprise LLC:
8Onnnysn(Massachusetts, LLC
8UDenyVo[Virginia, Inc,
8U0noyo,LLC
Thunder Towers LLC
Tower Development Corporation
Tower Systems LLC
Tower Tech Do|ogyCompany o[Jacksonville LLC
Tower Ventures |||.LLC
TvmmnDne2U12,LLC
TVwmn0nnAllentown OV1.LLC
TnmmnOneBethlehem 0O1,LLC
TnwerODeDoylestown, LLC
Towm,0noEast Rockhill O01.LLC
Tnwed]DoMoqp|o'LLC
TowenOnoMiddletown OO1.LLC
Towmn0DeMiddletown O02.LLC
TowenDnoMiddletown OV3'LLC
TnwerOMnNorth Coventry, LLC
Towep0U*Partners, LLC
TnwnrDDeRichland, LLC
Towmr0nmUpper PottsOrnVnVO2.LLC
ToNmrOn8Upper PottsUrmm.LLC
TOw8[OUeWarminster 001.LLC
TowmK]neWarrington OO2,LLC
3mo 29268
^
Crown Castle International Corp. Consolidated
'
Towers Finco 11 LLC
Towers HnooIII LLC
Towers FincoULC
TriStar Investors LLC
TVHT`LLC
VVA^CLEC LLC
VVCPWireless Lease Subsidiary, LLC
VVCPWireless Site Funding LLC
VVCPWireless Site Hnldno LLC
VVCPWireless Site Non -RE Funding LLC
VVCPWireless Site Non -RE Hn|Uo0LLC
VVOPWireless Site REFunding LLC
VVCPWireless Site REHo|duoLLC
VV||udoHu|dinOs LLC
00mMDOperations LLC
Wilshire Connection, LLC
Wilshire Services, LLC
Wireless Funding, LLC
Wireless Realty Holdings ||.LLC
VVhn|emo Revenue Properties, LLC
WILLIS TOWERS WATSON
26 CENTURY BLVD.
6TH FL
NASHVILLE, TN 37214
29268 1 AB 0.425
�"I'll"i�ll'�e�°II I11111��"'II��IO°°I�I'I"I��II"I�II'�III'll�
TOWN OF LOS ALTOS HILLS 29268
26379 W FREMONT RD
LOS ALTOS HILLS, CA 94022-2624
1 of 3 29268
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