HomeMy WebLinkAboutCrown Castle International (3)M
Page 1 of 1
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,
03/30/2020
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 GOES 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 endorsements).
PRODUCER
Willis Towers Watson Northeast, Inc, fka Willis of Pennsylvania,
Inc,
c/o 26 Century Blvd
P.O. Box 305191
C NTAC Willis Towers Watson Certificate Center
NAME:
PHONE 1-877-945-7.378 1-888-467-2378
� No. 9x11; (A/C.No);
NDRcertifieaates@willis.com
"—
Nashville, TN 372305191 VSA
-.-__-INSURERA;
INSURED
Crown Castle international
INSURER(S) AFFORDING COVERAGE
NAICIJ
_
Federal Insurance Company
20281
INSURER8: National union Eire Insurance Company of P
19445
INSURER C : Berkshire Hathaway Specialty insurance Com
22276.
See Attached Named Insured List
1220 Augusta Dr, Suite 600
Houston, T% 77057 USA
INSURERO New Hampshire Insurance Company
____... - .__._..._... _.-__...._ ----------- _._..__._
INSURER E:
23841
...-...-.._... ......_._.--__
INSU ER.F;
_PREIS Ea o n r encs
u )_
1,000,000M"
I i6.Y „r.aISIIY �tl WIVIOGrI:
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 O.rHER 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,
__._ ..__.._._._
iffg___ .._.. _._. ,._._- 'A'6 L,9UA _..__ __._ _ __._., ___._..___.____,. �� _.._._..__,_.w.,. ___,_.,.._____....._,.....__._._._.._.__._...
LTR TYPEOFINSURANCE POLICY NUMBER MMC 1 %Y MUDYYYY`^ _.. LIMITS
X
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE " OCCUR
EACH OCCURRENCE
$ 1,000,000
_PREIS Ea o n r encs
u )_
1,000,000M"
t I
A__._.
.(... _.__.
_$
MED EXP (Anyone person)
$ 10, 000
PERSONAL & ADV INJURY
$ 1,000,000
36053335
04/01/2020
04/01/2021
AGGREGATE LIMIT APPLIES PER:
OT
POLICY JECEl
AGGREGATE
$ 2,000,000
GEN'L
�
I
LOC
I � LOGG
AGO
$ 2,000,000
OTHER:
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LI ViIT
IEa aclClant)q...
000
$ 1,000,000
X
ANY AUTIJ
BODILY INJt1RV(Porpersen)
_
B
OWNED AGHEDl1LC0 AUT05 ONLY AUTOS
CAA 6631248
04/01/2020
04/01/2021
BODILY INJURY (Per au:ldonl)
$
HIRED AUTOS N LY
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
_�(f��t gc�uidlJn,(a„•, ___. _
$
$
C
X UMBRELLA LI 13 X OCCUR
EACH OCCURRENCE
$ 5,000,000
EXCESS LIAR CLAIMS -MADE
--------
47�-URO-903445-�05
04/01/2020
04/01/2021
AGGREGA'iE
$ � 51pp0, 000
%�
DED RLrENT`ION$ 25,000
WORKERS COMPENSATION
X P"a7EA'IUTE OTH.
b
AND EMPLOYERS' LIABILITY y / N
_ER
D
ANYPROPRIEI'OR/PARTNER/EXECUTIVE
OFFICER/MrMBEREXCLUDED? No
N/A�
WC 023096097
04/01/2020
04/01/2021
E•L EACH ACCIDENT
.. .. .,.._...._
$ 1,000,000
._._.__. ._.._
(Mandatory In NH)
If Yes, describe under
E.L. DISEASE • EA EMPLOYEE
$ 1,000,000
E.L. DISEASE • POLICY LIMIT
$ 1,000,000
Db "CRIPTION OF OPERATIONS below
II
I
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Bu #856576 - 26379 WEST FREMONT BOULEV'APM, LOS ALTOS, CA 94022
ns Al TOS HILLS
TOWN Or LOS ALTOS HILLS
26379 FREMONT RD
LOS ALTOS .HILLS, 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.
AUTHORIZED REPRESENTATIVE
O 1988.2016 ACORD PORPORATInm- An rinhle rnenvuurl
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
sn ro: 19444265 BATCH; 1632527
Crown Castle International Corp. Consolidated.Subsidiaries as Named red
GT Corp.
24/7 Mid -Atlantic Network of Virginia, LLC
Crown Castle 8THolding Sub LLC
34/7k0d-ANondioNetwork, LLC
Crown Castle International Corp.
Access Fiber Group Holdings LLC
Crown Castle International Corp, do Puerto Rico
Access Fiber Group, Inc.
'Crown Castle International LLC
AkCommof Avon,LLU.
Crown Castle Investment Corp.
Atlantic Coast Communications LLC
Crown Castle investment ||Corp.
CA-CLGC LLC
Crown Cantle MM Holding Corp.
C0Castle International LLC
Crown Castle MKUHolding LLC
CCEdge L
Castle �,mmn mnto| MU LLC
CCEdge Solutions LLC
Crown Castle MUPA LLC
CCFinance LLC
Crown Castle NGAtlantic LLC
CCFNHoldings LLC
Grown Castle NGCentral LLC
OCHoldings GSVLLC
Crown Castle NGEast LLC
CC Site Acquisitions ||LLC
Crown Castle NGNetworks LLC
QO8Vn8syuFiber Networks LLC
Crown Castle 0GWest LLC
CCTMPALLC
Crown Castle Operating Company
CCTo��mGu�rmn�nrLLC
Crown C8s�e[}perdiDg[[[�
CC Towers Holding LLC
Crown Castle Orlando Corp.
CCTSLLC
Crown Castle PRLLC
OCATTHoldings LLC
Crown Castle PRSolutions LLC
OCATTLCC
Crown Castle PTInc.
CCATTPRLLC
Crown Castle Puerto Rico Corp.
����HnNinQ��nnP.
Crown Cm*t�8or*�nsLLC
CCPEAoqUis8ionsLLC
Crown Castle Solutions LLC
CCPR V|Tower Newco LLC
Crown Castle South LLC
CC8&ELLC
Crown Castle TDCLLC
GCT2Holdings LLC
Crown Castle TLA LLC
0�T�HnNimgoLLC
Crown Camt�TowemO5LLC
CCTM1LLC
Crown Castle Towers 06-2 LLC
CCTM2LLC
Crown Castle Towers OyLLC
CCTMO LLC
Crown Castle Towers LLC
Chesapeake Fiber, LLC
Crown Castle USA Inc,
Coastal Antennas LLC
Crown Communication LLC
Com6iteyeutVve, Inc.
Crown Communication New York, Inc,
Coverage Plus Antenna Systems LLC
Crown Mobile Systems, Inc.
Cross Connect Solutions,Inc. (.)` /��-.. , ` � �
DAS Development Corporation
'
Grown AdmDh0Co0p8Dy�L� /
�bg[TpchAV|VU�sN�wV[k$ LL�
' ' ' ' (NY)
Crown Castle ASLLC: '
FibornetDirect Florida LLC
Crown Castle Atlantic LLC.
FibennotDkmmtHo|d|UgoLLS
Crown CmsUeAVgua�LLC '
F�n[OotD��m�T5LLL�
Crown Castle BPATT LLC
Fib0[OskDirect Texas LLC
Crown Castle CA Corp.
FibodBxhFacilities Corp. (NY)
Crown Castle Fiber Holdings Corp. (formerly LT8Group Holdings LLC)
FibortnnhHoldings Corp.
Crown Castle Fiber Enterprise LLC (formerly 8VUmoyoEnterprise LLC)
FihorhenhNetworks, LLC
Grown Castle Fiber LLC f/k/aLigh(nwa[Fiber Networks ||.LLC
Freedom Telecommunications, LLC
Grown Castle GSIII Corp.
Global Signal Acquisitions ULLC
Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds
Light Tower Management, Inc,
Light Tower Metro Fiber LLC
Lightower Fiber Infrastructure Corp,
LiQhhowerFiber Networks |.LLC
LightowerFiber Networks ||. LLC n/WaCrown Castle Fiber LLC
LLQ148.LLC
LTS Buyer LLC
LTGGroup Holdings LLC n/WeCrown Castle Fiber Holdings Corp
[[SIntermediate Holdings ALLC
LJ8Intermediate Holdings BLLC
LT8|Dhenmed1ate Holdings LLC
Md7Capitol One, LLC
Mobile Media California LLC
Mobile Media National LLC
k0odooLLO
MVVCell REIT 1 LLC
MVVCell TRS iLLC
NEON Transm0.Inc,
NewPathNetworks Holding LLC
NmmPothNetworks LLC
NY-CLB:LLC
OP2LLC
OP LLC
P3CHB^1.LLC
P3Holdings 2V14LLC
SLInesys Enterprise LLC n/k/a Crown Castle Fiber Enterprise LLC
Sunesys Of Massachusetts, LLC
8VUesys of Virginia, Inc.
8upnsym.LLC
Thunder Towers LLC
Tower CmpnmMou
Tower Systems LLC
Tower Technology Company n[Jacksonville LLC
Tower Ventures U|, LLC
TowonOne2012.LLC
TnwnnOMaAllentown 0O1.LLC
TowerOneBethlehem OO1,LLC
TmNmrOUmDoylestown, LLC
Tmwo,Ona EsmLRockhill 001, LLC
TmmerDnaMarple.LLC
Twwnr0no Middletown 001, LLC
ToNmrOnoMiddletown DO2.LLC
Towe[OneMiddletown O03. LLC
Town[OOo North Coventry, LLC
TmmorOnoPartners, LLC
TowerOneRichland, LLC
Tnwed)noUpper PntWQmmV0O3.LLC
TVwerO8eUpper Pn8m8mwe.LLC
TmmerD8oWarminster 0O1.LLC
Towe[OnoWarrington O02. LLC
Global Signal Acquisitions IV LLC
P3 OASA-1, LLC
Global Signal AouuisiUoD LLC
P3P8A4.LLC
Global Signal GPLLC
PA`CLEC LLC
Global Signal Holdings U|LLC
Pinnacle San Antonio LLC.
Global Signal Holdings IV LLC
PinOmuleSt. Louis LLC
Global Signal Operating Partnership, LP.
Pinnacle Towers Acquisition Holdings LLC
Global Signal Services LLC
Pinnacle Towers Acquisition LLC
GoNen8tate Towers, LLC
Pinnacle Towers Asset Holding LLC
88Savings Inc.
Pinnacle Towers Canada, Inc.
(]SPN Intangibles LLC
Pinnacle Towers III LLC
High Point Management Co, LLC
Pinnacle Towers L|rnited
|CBTowers, LLC
Pinnacle Towers LLC
|nfrmGnurcnFl, LLC
Pinnacle Towers VInc.
|nG|TEFiber ofVirginia LLC
PRSite Development Corporation
|nG|TESolutions LLC
PRTDCCorporation
Interstate Tower Communications LLC
Princeton Ancillary Services ULLC
Intracoastal City Towers LLC
Princeton Ancillary Services III LLC
|X2Center, LLC
Radio Station VVGLDLLC
|X2Wilshire, LLC
RQPTower Group, LLC
JBCIVITowers LLC
Shaffer & Associates, Inc,
Light Tower Clearinghouse LLC
8|devoNetworks UKLimited (UK)
Light Tower Fiber New York, Inc. /NY\
8idomNetworks, Inc,
Light Tower Holdings LLC
Sierra Towers, Inc,
Light Tower Management, Inc,
Light Tower Metro Fiber LLC
Lightower Fiber Infrastructure Corp,
LiQhhowerFiber Networks |.LLC
LightowerFiber Networks ||. LLC n/WaCrown Castle Fiber LLC
LLQ148.LLC
LTS Buyer LLC
LTGGroup Holdings LLC n/WeCrown Castle Fiber Holdings Corp
[[SIntermediate Holdings ALLC
LJ8Intermediate Holdings BLLC
LT8|Dhenmed1ate Holdings LLC
Md7Capitol One, LLC
Mobile Media California LLC
Mobile Media National LLC
k0odooLLO
MVVCell REIT 1 LLC
MVVCell TRS iLLC
NEON Transm0.Inc,
NewPathNetworks Holding LLC
NmmPothNetworks LLC
NY-CLB:LLC
OP2LLC
OP LLC
P3CHB^1.LLC
P3Holdings 2V14LLC
SLInesys Enterprise LLC n/k/a Crown Castle Fiber Enterprise LLC
Sunesys Of Massachusetts, LLC
8VUesys of Virginia, Inc.
8upnsym.LLC
Thunder Towers LLC
Tower CmpnmMou
Tower Systems LLC
Tower Technology Company n[Jacksonville LLC
Tower Ventures U|, LLC
TowonOne2012.LLC
TnwnnOMaAllentown 0O1.LLC
TowerOneBethlehem OO1,LLC
TmNmrOUmDoylestown, LLC
Tmwo,Ona EsmLRockhill 001, LLC
TmmerDnaMarple.LLC
Twwnr0no Middletown 001, LLC
ToNmrOnoMiddletown DO2.LLC
Towe[OneMiddletown O03. LLC
Town[OOo North Coventry, LLC
TmmorOnoPartners, LLC
TowerOneRichland, LLC
Tnwed)noUpper PntWQmmV0O3.LLC
TVwerO8eUpper Pn8m8mwe.LLC
TmmerD8oWarminster 0O1.LLC
Towe[OnoWarrington O02. LLC
. ..
Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds
Towers FincVULLC
Towers FinonIII LLC
Towers FinmULC
TriStar Investors LLC
TVHT, LLC
VVA'CLEC LLC
VVCPWireless Lease Subsidiary, LLC
VyCPWireless Site Funding LLC
VVCPWireless Site HnNcoLLC
VVGPWireless Site Non -RE Funding LLC
VVOPVV|ne|moS NteN0D'RE HoNon LLC
VVGPWireless Site REFunding LLC
VVCPWireless Site REHo|dcuLLC
VVUoonHoldings LLC
VVi|nnnOperations LLC
Wilshire Connection, LLC
Wilshire Services, LLC
Wireless Funding, LLC
Wireless Realty Holdings ||.LLC
Wireless Revenue Properties, LLC
Yankee Metro Parent, Inc.
WILLIS TOWERS WATSON
26 CENTURY BLVD.
6TH FL
NASHVILLE, TN 37214
20739 1 AB 0.416
IIInIInI��11�I��ill�lul�il�I��II��IIiIiIIlllnli�llll�ll���lil
TOWN OF LOS ALTOS HILLS 20739
26379 W FREMONT RD
LOS ALTOS HILLS, CA 94022-2624