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Home My WebLink AboutCROWN CASTLE INTERNATIONAL CORP. - INSURANCE CERTIFICATE"� �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 03/(3 % o 1 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(ies)must 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 Willie of Pennsylvania, Inc. 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230-5191 CONTACT NAME, PHONE FAX AI N xT 877-945-7378 a N : 888-467-2378 ADDRESS'certificates®willis.com INSURER(S)AFFORDING COVERAGE NAICk INSURERA: Federal Insurance Company 20281-005 INSURED CROWN CASTES INTERNATIONAL CORP. INSURERB: New Hampshire Insurance -Co. 23841-000 INSURER C: See Attached Named Insured List 1220 Augusta Dr. Suite 500 Houston, TX 77057 INSURER D: INSURER E: INSURER F: - - - - - COVERAGES CERTIFICATE NUMBER: 15716745 REVISION NIIMRFR- 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 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. ILTRNSR TVPEOFINSURANCE ADD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY 70210228 4/1/2011 4/1/2012 EACHOCCURRENCE $' 1,000,000 DAMAGE TO RENTED PREMISES Ea orsurenre S 1 0001 000 X COMMERCIAL GENERAL LIABILITY MED EXP(My one person) $ 5,000 CLAIMS -MADE OCCUR PERSONALS ADV INJURY $ 11000,000 GENE HAL AGGREGATE $ 2,000,000 G EN'L AGG R EGATE LIMIT APPLI ES PER: X POLICY PRO- IFCT LOC PRODUCTS-COMP/OP AGG $ 2 000 000 A AUTOMOBILE LIABILITY 70210229 4/1/2011 4/1/2012 Eaecci COMIRE—DINGLE LIMIT $ 1,000,000 X BODILY INJURY(Per perms) $ ANYAUTO AU OS I-jSCHEDULEO AUTOS AUTOS BODILY INJURV(Pera¢itlent) $ HIRED AUTOS NONOSWNED AUTOS MA Per accident $ $ H UMBRELLALIAB X OCCUR 61844671 4/1/2011 4/1/2012 EACHOCCURRENCE $ 5,000,000 AGGREGATE $ 5 000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVEF_N] OFFICER/MEMBER EXCLUDED? Mandaloryin NH) 1 yes, doscriI,e under N/A 71710698 4/1/2011 4/1/2012 X IT E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASEEA EMPLOYEE $ 1,000,000 E.L. DISEASEPOLICY LIMIT $ 1, 000,000 DESCRIPTIONOFOPERATIONShelow DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acortl 101, Addltonel Remarks Scheauls, If more space Is required) RE: 877023 See Attached FORT COLLINS, CITY OF PO BOX 580 ATTN EDNA HOERNICXE FORT COLLINS, CO 80522 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 n�.ainv cv (cv rvlw) :3313191 Tpl:1239921 Cert:157 I ne A�vnu name ano logo are registered marks of ACORD CORPORATION. All rights reserved "� �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 03/(3 % o 1 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(ies)must 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 Willie of Pennsylvania, Inc. 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230-5191 CONTACT NAME, PHONE FAX AI N xT 877-945-7378 a N : 888-467-2378 ADDRESS'certificates®willis.com INSURER(S)AFFORDING COVERAGE NAICk INSURERA: Federal Insurance Company 20281-005 INSURED CROWN CASTES INTERNATIONAL CORP. INSURERB: New Hampshire Insurance -Co. 23841-000 INSURER C: See Attached Named Insured List 1220 Augusta Dr. Suite 500 Houston, TX 77057 INSURER D: INSURER E: INSURER F: - - - - - COVERAGES CERTIFICATE NUMBER: 15716745 REVISION NIIMRFR- 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 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. ILTRNSR TVPEOFINSURANCE ADD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY 70210228 4/1/2011 4/1/2012 EACHOCCURRENCE $' 1,000,000 DAMAGE TO RENTED PREMISES Ea orsurenre S 1 0001 000 X COMMERCIAL GENERAL LIABILITY MED EXP(My one person) $ 5,000 CLAIMS -MADE OCCUR PERSONALS ADV INJURY $ 11000,000 GENE HAL AGGREGATE $ 2,000,000 G EN'L AGG R EGATE LIMIT APPLI ES PER: X POLICY PRO- IFCT LOC PRODUCTS-COMP/OP AGG $ 2 000 000 A AUTOMOBILE LIABILITY 70210229 4/1/2011 4/1/2012 Eaecci COMIRE—DINGLE LIMIT $ 1,000,000 X BODILY INJURY(Per perms) $ ANYAUTO AU OS I-jSCHEDULEO AUTOS AUTOS BODILY INJURV(Pera¢itlent) $ HIRED AUTOS NONOSWNED AUTOS MA Per accident $ $ H UMBRELLALIAB X OCCUR 61844671 4/1/2011 4/1/2012 EACHOCCURRENCE $ 5,000,000 AGGREGATE $ 5 000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVEF_N] OFFICER/MEMBER EXCLUDED? Mandaloryin NH) 1 yes, doscriI,e under N/A 71710698 4/1/2011 4/1/2012 X IT E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASEEA EMPLOYEE $ 1,000,000 E.L. DISEASEPOLICY LIMIT $ 1, 000,000 DESCRIPTIONOFOPERATIONShelow DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acortl 101, Addltonel Remarks Scheauls, If more space Is required) RE: 877023 See Attached FORT COLLINS, CITY OF PO BOX 580 ATTN EDNA HOERNICXE FORT COLLINS, CO 80522 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 n�.ainv cv (cv rvlw) :3313191 Tpl:1239921 Cert:157 I ne A�vnu name ano logo are registered marks of ACORD CORPORATION. All rights reserved AGENCY CUSTOMER ID: LOC#: "� ADDITIONAL REMARKS SCHEDULE Page 2 of 2_ AGENCY NAMED INSURED CROWN CASTLE INTERNATIONAL CORP. Willis of Pennsylvania, Inc. See Attached 1220 Augusta Named Insured List Dr. Suite 500 POLICY NUMBER Houston, TX 77057 See First Page CARRIER NAIC CODE See First Page EFFECnVEDATE: See First Page ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, Fnmu UIIIu1nFR. 25 FnMU TITI F- CERTIFICATE OF LIABILITY INSURANCE 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 the 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 and as permitted by law but always subject to the policy terms, conditions and exclusions as permitted by law. 101(2008/01) C011:3313191 Tpl:1239921 Cert:15716745 02008 The ACORD name and logo are registered marks of ACORD All rights reserved. AGENCY CUSTOMER ID: LOC#: "� ADDITIONAL REMARKS SCHEDULE Page 2 of 2_ AGENCY NAMED INSURED CROWN CASTLE INTERNATIONAL CORP. Willis of Pennsylvania, Inc. See Attached 1220 Augusta Named Insured List Dr. Suite 500 POLICY NUMBER Houston, TX 77057 See First Page CARRIER NAIC CODE See First Page EFFECnVEDATE: See First Page ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, Fnmu UIIIu1nFR. 25 FnMU TITI F- CERTIFICATE OF LIABILITY INSURANCE 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 the 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 and as permitted by law but always subject to the policy terms, conditions and exclusions as permitted by law. 101(2008/01) C011:3313191 Tpl:1239921 Cert:15716745 02008 The ACORD name and logo are registered marks of ACORD All rights reserved. Crown Castle International Corp. Consolidated Subsidiaries AirComm of Avon, L.L.C. Crown Castle Towers 06-2 LLC Atlantic Coast Communications, Inc. Crown Castle Towers 09 LLC AZ - CLEC LLC Crown Castle Towers LLC CA - CLEC LLC Crown Castle USA Inc. Crown Communication LLC (formerly Crown CC Castle International LLC Communication Inc. eff 1/1/11) CC Finance LLC Crown Communication New York, Inc. CC Holdings GS V LLC Crown Mobile Systems, Inc CC Site Acquisitions II LLC CTTY PTY Limited CC Towers Guarantor LLC DC - CLEC LLC CC Towers Holding LLC FL - CLEC LLC CCGS Holdings LLC Global Signal Acquisitions II LLC CCPE Acquisitions LLC Global Signal Acquisitions III LLC Coastal Antennas LLC Global Signal Acquisitions IV LLC CO-CLEC LLC Global Signal Acquisitions LLC Comsite Venture, Inc. Global Signal GP LLC Coverage Plus Antenna Systems LLC Global Signal Holdings III LLC Crown Atlantic Company LLC Global Signal Holdings IV LLC Crown Castle Atlantic LLC Global Signal Operating Partnership, L.P. Crown Castle Augusta LLC Global Signal Services LLC Crown Castle Australia Holdings Pty Ltd GoldenState Towers, LLC Crown Castle Australia Pry Ltd GS Savings Inc. Crown Castle BP ATT LLC GSPN Intangibles LLC Crown Castle CA Corp. High Point Management Co. LLC Crown Castle Europe LLC-inactive 1/1/11 ICB Towers, LLC Crown Castle GS III Corp. IL - CLEC LLC Crown Castle GT Company LLC IN - CLEC LLC Crown Castle GT Corp. In SITE Fiber of Virginia, Inc. Crown Castle GT Holding Sub LLC InSITE Solutions, LLC Crown Castle International Corp. Interstate Tower Communications LLC Crown Castle International Corp. de Puerto Rico Intracoastal City Towers LLC Crown Castle International LLC JBCM Towers LLC Crown Castle Investment Corp MA - CLEC LLC Crown Castle Mexico, S.A. de C.V.-inactive 1/1/11 MD - CLEC LLC Crown Castle MM Holding Corp. Mobile Media California LLC Crown Castle MM Holding LLC Mobile Media National LLC Crown Castle MU LLC Modeo LLC Crown Castle MUPA LLC New Path Networks, Inc. Crown Castle Nevada LLC New Path Networks, LLC Crown Castle Operating Company NJ - CLEC LLC Crown Castle Operating LLC NV - CLEC LLC Crown Castle Orlando Corp. NY - CLEC LLC Crown Castle PR LLC OP LLC Crown Castle PT Inc. PA - CLEC LLC Crown Castle Puerto Rico Corp. Pinnacle San Antonio L.L.C. Crown Castle Solutions Corp. Pinnacle St. Louis LLC Crown Castle South LLC Pinnacle Towers Acquisition Holdings LLC Crown Castle Towers 05 LLC Pinnacle Towers Acquisition LLC Pinnacle Towers Asset Holding LLC Crown Castle International Corp. Consolidated Subsidiaries AirComm of Avon, L.L.C. Crown Castle Towers 06-2 LLC Atlantic Coast Communications, Inc. Crown Castle Towers 09 LLC AZ - CLEC LLC Crown Castle Towers LLC CA - CLEC LLC Crown Castle USA Inc. Crown Communication LLC (formerly Crown CC Castle International LLC Communication Inc. eff 1/1/11) CC Finance LLC Crown Communication New York, Inc. CC Holdings GS V LLC Crown Mobile Systems, Inc CC Site Acquisitions II LLC CTTY PTY Limited CC Towers Guarantor LLC DC - CLEC LLC CC Towers Holding LLC FL - CLEC LLC CCGS Holdings LLC Global Signal Acquisitions II LLC CCPE Acquisitions LLC Global Signal Acquisitions III LLC Coastal Antennas LLC Global Signal Acquisitions IV LLC CO-CLEC LLC Global Signal Acquisitions LLC Comsite Venture, Inc. Global Signal GP LLC Coverage Plus Antenna Systems LLC Global Signal Holdings III LLC Crown Atlantic Company LLC Global Signal Holdings IV LLC Crown Castle Atlantic LLC Global Signal Operating Partnership, L.P. Crown Castle Augusta LLC Global Signal Services LLC Crown Castle Australia Holdings Pty Ltd GoldenState Towers, LLC Crown Castle Australia Pry Ltd GS Savings Inc. Crown Castle BP ATT LLC GSPN Intangibles LLC Crown Castle CA Corp. High Point Management Co. LLC Crown Castle Europe LLC-inactive 1/1/11 ICB Towers, LLC Crown Castle GS III Corp. IL - CLEC LLC Crown Castle GT Company LLC IN - CLEC LLC Crown Castle GT Corp. In SITE Fiber of Virginia, Inc. Crown Castle GT Holding Sub LLC InSITE Solutions, LLC Crown Castle International Corp. Interstate Tower Communications LLC Crown Castle International Corp. de Puerto Rico Intracoastal City Towers LLC Crown Castle International LLC JBCM Towers LLC Crown Castle Investment Corp MA - CLEC LLC Crown Castle Mexico, S.A. de C.V.-inactive 1/1/11 MD - CLEC LLC Crown Castle MM Holding Corp. Mobile Media California LLC Crown Castle MM Holding LLC Mobile Media National LLC Crown Castle MU LLC Modeo LLC Crown Castle MUPA LLC New Path Networks, Inc. Crown Castle Nevada LLC New Path Networks, LLC Crown Castle Operating Company NJ - CLEC LLC Crown Castle Operating LLC NV - CLEC LLC Crown Castle Orlando Corp. NY - CLEC LLC Crown Castle PR LLC OP LLC Crown Castle PT Inc. PA - CLEC LLC Crown Castle Puerto Rico Corp. Pinnacle San Antonio L.L.C. Crown Castle Solutions Corp. Pinnacle St. Louis LLC Crown Castle South LLC Pinnacle Towers Acquisition Holdings LLC Crown Castle Towers 05 LLC Pinnacle Towers Acquisition LLC Pinnacle Towers Asset Holding LLC Crown Castle International Corp. Consolidated Subsidiaries Pinnacle Towers Canada Inc. Pinnacle Towers III LLC Pinnacle Towers Limited Pinnacle Towers LLC Pinnacle Towers V Inc. Radio Station WGLD LLC RECC Properties Limited SC - CLEC LLC Shaffer & Associates, Inc. Sierra Towers, Inc. Thunder Towers LLC Tower Systems LLC Tower Technology Company of Jacksonville LLC Tower Ventures III, LLC Towers Finco II LLC Towers Finco III LLC Towers Finco LLC TVHT, LLC VA-CLEC LLC WA - CLEC LLC Crown Castle International Corp. Consolidated Subsidiaries Pinnacle Towers Canada Inc. Pinnacle Towers III LLC Pinnacle Towers Limited Pinnacle Towers LLC Pinnacle Towers V Inc. Radio Station WGLD LLC RECC Properties Limited SC - CLEC LLC Shaffer & Associates, Inc. Sierra Towers, Inc. Thunder Towers LLC Tower Systems LLC Tower Technology Company of Jacksonville LLC Tower Ventures III, LLC Towers Finco II LLC Towers Finco III LLC Towers Finco LLC TVHT, LLC VA-CLEC LLC WA - CLEC LLC INSURER CANCELLATION TERMS NAMEDINSURED CROWN CASTLE INTERNATIONAL CORP. I Various EFFECTIVE DATE SEE PAGE 1 Person or Organization: Person(s) or organization(s) that you are obligated, pursuant to written contract or agreement between you and such person or organization, to provide with notice of cancellation for any reason other than non-payment of premium, provided that, within 10 days of the date the producer or the first named insured receives a copy of the notice of cancellation, the producer or the first named insured provides us with a spreadsheet containing the name, address and, if available, e-mail address of the person(s) or organization(s) to whom such notice of cancellation is to be sent. All other terms and conditions remain unchanged. Cancellation Terms: When we cancel this policy as described in the Cancellation condition for any reason other than non-payment of premium, we will also send to the person or organization described in the Schedule a notice of at least 30 days in advance of the cancellation date. Any failure on our part to deliver such notice will not: impose liability of any kind upon us; or • invalidate the cancellation. Cancellation Terms Apply to the Following Coverages: General Liability, Automobile Liability and Workers Compensation Willis 101 INSURER CANCELLATION TERMS NAMEDINSURED CROWN CASTLE INTERNATIONAL CORP. I Various EFFECTIVE DATE SEE PAGE 1 Person or Organization: Person(s) or organization(s) that you are obligated, pursuant to written contract or agreement between you and such person or organization, to provide with notice of cancellation for any reason other than non-payment of premium, provided that, within 10 days of the date the producer or the first named insured receives a copy of the notice of cancellation, the producer or the first named insured provides us with a spreadsheet containing the name, address and, if available, e-mail address of the person(s) or organization(s) to whom such notice of cancellation is to be sent. All other terms and conditions remain unchanged. Cancellation Terms: When we cancel this policy as described in the Cancellation condition for any reason other than non-payment of premium, we will also send to the person or organization described in the Schedule a notice of at least 30 days in advance of the cancellation date. Any failure on our part to deliver such notice will not: impose liability of any kind upon us; or • invalidate the cancellation. Cancellation Terms Apply to the Following Coverages: General Liability, Automobile Liability and Workers Compensation Willis 101