HomeMy WebLinkAboutCROWN CASTLE INTERNATIONAL CORP - INSURANCE CERTIFICATEDATE
ACORD., CERTIFICATE OF LIABILITY INSURANCE Page 1 of 3 01/24/2008
PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Willie North America Inc HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
26 Century Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
P o Box 305191
Nashville IN 372305191 INSURERS AFFORDING COVERAGE NAIC#
INSURED CROWN CASTLE INTERNATIONAL CORP INSURERA Liberty Mutual Insurance Cc 23043 000
See Attached Named Insured List INSURERB Lexington Insurance Company 19437 000
1220 Augusta Dr Suite 500
Houston TX 77057 INSURERC
INSURER D
OVERAGES
v 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR
DO
rypE OFINSURANCE
POLICY NUMBER
POLICYEFFECTIVE
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENER��AL LIABILITY
TB2691440099067
4/l/2007
4/l/2008
EACHOCCURRENCE
$ 1,000,000
PREMISES e6oNocmencel _
$ 100,000
MED EXP(Anyone person)
$ 5,000
CLAIMS MADE A OCCUR
PERSONAL&ADVINJURY
$ 1.000.000
GENERA -AGGREGATE
$ 2.000.000
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMP/OPAGG
$ 2,000.000
X POLICY PRO LOG
FCT
A
AUTOMOBILE
LIABILITY
ANYAUTO
AS2691440099017
4/1/2007
4/l/2008
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 QQQ QQQ
X
BODILY INJURY
(Per Person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJU RV
(Peracciden0
$
HIRED AUTOS
NON OWNED AUTOS
PROPERTYDAMAGE
(Per accident)
$
GARAGELIABILITY
AUTOONLY EAACCIDENT
IS
OTHERTHAN EAACC
$
ANY AUTO
$
AUTOONLY AGG
B
EXCESSIUMBRELLA LIABILITY
6764272
4/l/2007
4/1/2008
EACHOCCURRENCE
$ 51000,000
AGGREGATE
$ 5,000,000
X I OCCUR CLAIMSMADE
$
DEDUCTIBLE
$
RETENTION $
A
A
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
WA769D440099077
WC769D440099087
4/l/2007
4/l/2007
4/1/2008
4/l/2008
X WRSTATIT OTH
EL EACH ACCIDENT
IS 11000,000
EL DISEASE EA EMPLOYEE
$ 1 000,000
OFFICEFLMEMBER EXCLUDED'
Ityes describeunder
SPECIAL PROVISIONS below
EL DISEASE POLICY LIMIT
$ 1 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONWVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE 877023
See Attached
CFRTIFICATF H[M nFR CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
FORT COLLINS CITY OF
PO BOX 580
PEP ENTATIVES
AUT4PIZED REP E A VE
ATTN EDNA HOERNICXE
FORT COLLINS CO 80522
Q�h/YI/.3
ACORD25(2001/08) Coll 2239030 Tpl 733981 Cart 10242438 U 0 ACORD CORPORATION 1988
W1111S
CERTIFICATE OF LIABILITY INSURANCE
page 2
of 3
O1/24ATE
/2008
PRODUCER
877-945-7378
THIS CERTIFICATE IS ISSUED AS A
ONLY AND CONFERS NO RIGHTS
MATTER OF INFORMATION
UPON THE CERTIFICATE
Willie North America Inc
26 Century Blvd
HOLDER THIS CERTIFICATE DOES
ALTER THE COVERAGE AFFORDED
NOT AMEND EXTEND OR
BY THE POLICIES BELOW
P O Box 305191
Nashville TN 372305191
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
CROWN CASTLE INTERNATIONAL CORP
INSURERA Liberty Mutual Insurance Cc
23043 000
See Attached Named Insured List
1220 Augusta Dr Suite 500
INSURERS Lexington Insurance Company
19437 000
1 INSURERC
Houston TX 77057
INSURER D
INSURER E
Certificate Holder is included as an Additional Insured under the General Automobile and Excess
policies as required by written agreement and only with respect to the liability arising out of
operations performed by or on behalf of the Named Insured
General Automobile Excess Liability and workers Compensation include a Waiver of Subrogation in
favor of the Certificate Holder when required by written contract but always subject to the policy
terms conditions and exclusions
Coll 2239030 Tol 733981 Cert 10242438
Page 3 of 3
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED the policy(es) must be endorsed A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)
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)
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s) authorized representative or producer and the certificate holder nor does it
affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon
ACORD 25(2001/08) Coll 2239030 2n1 7 i9R1 r.,r in7A�AlR
CROWN CASTLE NAMED INSURED LIST
AZ CLEC LLOC
CA CLEC LLC
CCMM I LLC
CROWN ATLANTIC COMPANY LLC
CROWN CASTLE GT COMPANY LLC
CROWN CASTLE INTERNATIONAL CORP
CROWN CASTLE INTERNATIONA CORP DE PUERTO RICO
CROWN CASTLE MU LLC
CROWN CASTLE OPERATING COMPANY
CROWN CASTLE PR LLC
CROWN CASTLE PT INC
CROWN CASTLE SOLUTIONS CORP
CROWN CASTLE SOUTH LLC
CROWN CASTLE TOWERS O5 LLC
CROWN TOWERS 06 LLC
CROWN CASTLE TOWERS 06 2 LLC
CROWN CASTLE TOWERS LLC
CROWN CASTLE USA INC
CROWN COMMUNICATION INC
CROWN COMMUNICATION NEW YORK INC
DC CLEC LLC
FL CLEC LLC
IL CLEC LLC
IN CLEC LLC
MD CLEC LLC
MOBILE MEDIA CALIFORNIA LLC
MODEO LLC
NJ CLEC LLC
NV CLEC LLC
NY CLEC LLC
PA CLEC LLC
VA CLEC LLC
WA CLEC LLC
CCGS HOLDINGS LLC
GLOBAL SIGNAL INC
PINNACLE TOWERS LLC
PINNACLE TOWERS ASSET HOLDING LLC
PINNACLE TOWERS ACQUISITION LLC
PINNACLE TOWERS LIMITED
GLOBA SIGNAL ACQUISITIONS LLC
GLOBAL SIGNA ACQUISITIONS 11 LLC
GLOBAL SIGNAL ACQUISITIONS III LLC
GLOBAL SIGNAL ACQUISITIONS IV LLC
GOLDEN STATE TOWERS LLC
SHAFFER & ASSOCIATES INC
SIERRA TOWERS INC
TOWER VENTURES III LLC