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Home My WebLink AboutCROWN CASTLE INTERNATIONAL CORP - INSURANCE CERTIFICATE (3)A� O® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 DATE (MMM 03/29/2013) 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 CONTACT Willis of Pennsylvania, Inc. c/o 26 Century Blvd. P. 0. Box 305191 PHONE FAX . 877-945-7378 888-467-2378 -MILEXT) AnnRF.R.9 certificates@Willis.com Nashville, IN 37230-5191 INSURER(S)AFFORDING COVERAGE NAIL# INSURERA: Federal Insurance Company 20281-005 INSURED CROWN CASTER INTERNATIONAL CORP. INSURER B: New Hampshire Insurance Co. 23841-000 INSURERC: See Attached Named Insured List 1220 Augusta Dr. Suite 500 Houston, TX 77057 INSURER D: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 19581045 REVISION NUMBER: 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. INSR TYPEOFINSURANCE ADD' Mica SUER -uQl POLICY NUMBER POLICY EFF POLICY EXP VYVI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEEX-1OCCUR 7021-02-28 4/1/2013 4/1/2014 EACH OCCURRENCE $ 1 000 000 DAMAGE TO RENTED PREMISES RENT rence $ 1, 000 000 MED EXP(Anyone person) $ 5 000 PERSONAL B ADV INJURY $ 1,000 000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: X I POLICY PRO- LOC PRODUCTS-COMP/OP AGO S 2 000 000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NON -OWNED AUTOS 7021-02-29 4/l/2013 4/1/2014 COMBINED Ea accident)INGLE LIMIT $ 1,000,000 BODILY INJURY(Per person) $ - BODILY INJURY(Peraccident) $ PROPERAMA E (Per accident) S H X UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE 61844671 4/1/2013 4/1/2014 EACH OCCURRENCE $ 5,000 000 AGGREGATE Is 5,000,000 DED RETENTION$ Is A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOH/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) IIY s. describe under OE SCRIPTION OF OPERATIONS below N/A 7171-06-98 4/l/2013 4/1/2014 X YS ER LNLLT E. L.EACH ACCIDENT b 11000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT Is 1,00o,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Abuch Acord 101, Additonal Remarks Schedule, if more space is required) RE: 877023 See Attached FORT COLLINS, CITY OF PO BOX 580 ATTN EDNA HOERNICKE 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 ACORD 25 (2010/05) Coll:4050574 Tpl:1615467 Cart: The ACORD name and logo are registered marks of ACORD CORPORATION. All rights reserved. AGENCY CUSTOMER ID: 713115 LOC#: ' ADDITIONAL REMARKS SCHEDULE Pagel 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 EFFECTIVEDATE: Cnn r1:.-a D— THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, cnDre NIII\Aoco. 25 moor 7m c. CERTIFICATE OF LIABILITY INSURANCE Certificate Holder is included as an Additional Insured under the General, Automobile and Umbrel policies as requ.red 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, Umbrella 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. ACORD 101(2008/01) Coll:4050574 Tpl:1615467 Cert:19581045 02008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Crown Castle International Consolidated Subsidiaries AirComm of Avon, L.L.C. Atlantic Coast Communications LLC AZ - CLEC LLC CA - CLEC LLC CC Castle International LLC CC Finance LLC CC Holdings GS V LLC CC Site Acquisitions II LLC CC TM PA LLC (eff 10/31/2012) CC Towers Guarantor LLC CC Towers Holding LLC COGS Holdings Corp. COPE Acquisitions LLC CCTM Holdings LLC (eff 10/31/2012) CCTM1 LLC (eff 11/30/12) CCTM2 LLC (effective 11/30/12) CCTMO LLC (eff 10/31/2012) Coastal Antennas LLC CO-CLEC (11/19/09) Comsite Venture, Inc. Coverage Plus Antenna Systems LLC Crown Atlantic Company LLC Crown Castle AS LLC (eff 4/29/11) Crown Castle Atlantic LLC Crown Castle Augusta LLC Crown Castle Australia Holdings Ply Ltd Crown Castle Australia Ply Ltd Crown Castle BP ATT LLC Crown Castle CA Corp. Crown Castle GS III Corp. Crown Castle GT Company LLC Crown Castle GT Corp. Crown Castle GT Holding Sub LLC Crown Castle International Corp. Crown Castle International Corp. de Puerto Rico Crown Castle International LLC Crown Castle Investment Corp Crown Castle MM Holding Corp. Crown Castle MM Holding LLC Crown Castle MU LLC Crown Castle MUPA LLC Crown Castle Nevada LLC Crown Castle NG Acquisitions Corp (eff 12/14/11) Crown Castle NG Atlantic Inc. (eff 5/4/12) fka NeAG Networks Atlantic Inc Crown Castle NG Central Inc. (eff 5/3112) fka NextG Networks of Illinois Inc JBCM Towers LLC KAW Consulting Pty Ltd (eff 12/12/01) MA - CLEC LLC MD - CLEC LLC Mobile Media California LLC Crown Castle NG East Inc. left 5/3/12) fka NextG Networks of NY Inc Crown Castle NG Networks Inc. (eff 5/3/12) fka NexIG Networks Inc Crown Castle NG West Inc. (eff 5/a/12) fka NextG Networks of California Inc Crown Castle No 1 Ply Ltd (eff 6/14/11) Crown Castle Operating Company Crown Castle Operating LLC Crown Castle Orlando Corp. Crown Castle PR LLC Crown Castle PT Inc. Crown Castle Puerto Rico Corp. Crown Castle Service LLC (eff 6/24/2011) Crown Castle Solutions Corp. Crown Castle South LLC Crown Castle Towers 05 LLC Crown Castle Towers 06-2 LLC Crown Castle Towers 09 LLC Crown Castle Towers LLC Crown Castle USA Inc. - Crown Communication LLC (formerly Crown Communication Inc. eff 1/l/11) Crown Communication New York, Inc. Crown Mobile Systems, Inc CTTA Pty Limited (elf 8/13108) DC - CLEC LLC Divame Pty Limited (effective 10/26/12) FL - CLEC LLC Global Signal Acquisitions II LLC Global Signal Acquisitions III LLC Global Signal Acquisitions IV LLC Global Signal Acquisitions LLC Global Signal GP LLC Global Signal Holdings III LLC Global Signal Holdings IV LLC Global Signal Operating Partnership, L.P. Global Signal Services LLC GoldenState Towers, LLC GS Savings Inc. GSPN Intangibles LLC High Point Management Co. LLC ICB Towers, LLC IL - CLEC LLC IN - CLEC LLC In SITE Fiber of Virginia, Inc. InSITE Solutions, LLC Interstate Tower Communications LLC Intracoastal City Towers LLC TowerOne North Coventry LLC (eff 3/2/2012) TowerOne Partners, LLC (eff 3/2/2012) TowerOne Upper Pottsgrove 002, LLC (eff 3/2/2012) TowerOne Warminster 001, LLC (eft 3/2/2012) TowerOne Warrington 002, LLC (eff 3/2/2012) Crown Castle International Consolidated Subsidiaries Mobile Media National LLC Modeo LLC MW Cell REIT 1 LLC (off 1/31/12) MW Cell TRS 1 LLC (eff 1/31/12) New Path Networks, Inc. New Path Networks, LLC NextG Networks Atlantic, Inc. (effective 4/10/12) NextG Networks of California, Inc. (effective 4/10/12) NextG Networks of Illinois, Inc. (effective 4/10/12) NextG Networks of NY, Inc (effective 4/10/12) NextG Networks, Inc. (effective 4/10/12) NJ - CLEC LLC NV - CLEC LLC NY - CLEC LLC OH CLEC LLC (effective 7/20111) OP LLC PA - CLEC LLC 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 V Inc. Radio Station WGLD LLC RECC Properties Limited (eff 9/20/05) 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 TowerOne 2012, LLC (eff 3/2/2012) TowerOne Allentown 001, LLC (eff 3/2/2012) TowerOne Doylestown, LLC (eff 3/212012) TowerOne Middletown 003, LLC (eff 3/2/2012) Towers Finco II LLC Towers Finco III LLC Towers Finco LLC TVHT, LLC VA-CLEC LLC WA - CLEC LLC WCP Wireless Lease Subsidiary, LLC (eff 1/31/2012) WCP Wireless Site Funding LLC (eff 1/31/2012) WCP Wireless Site Holdco LLC (eff 1/31/2012) WCP Wireless Site Non -RE Funding LLC (eff 1/31/2012) WCP Wireless Site Non -RE Holdco LLC (eff 1/3112012) WCP Wireless Site RE Funding LLC (eff 1/31/2012) WCP Wireless Site RE Holdco LLC (eff 1/31/2012) Wireless Funding, LLC (eff 1/31/2012) Wireless Realty Holdings II, LLC (effective 5/19/11) Wireless Revenue Properties, LLC (eff 1/31/2012) Inactive Entities Crown Castle Europe LLC eff 12/9/2009 Crown Castle Mexico, S.A. de C.V. eff 12/2010 7 INSURER CANCELLATION TERMS POLICY NO. 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