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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 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