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HomeMy WebLinkAboutCROWN CASTLE INTERNATIONAL CORP - INSURANCE CERTIFICATE (5)A� CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 F�ATE 27/2015 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). Willis of Pennsylvania, Inc. c/o 26 Century Blvd. P. O. Box 305191 Nashville, IN 37230-5191 CROWN CASTLE INTERNATIONAL CORP. See Attached Named Insured List 1220 Augusta Dr. Suite 500 Houston, TX 77057 PHONE INSURERA: Federal Insurance Company 20261-005 INSURERS: North American Elite Insurance Company 29700-001 INSURER D: INSURER E: COVERAGES CERTIFICATE NUMBER: 22982522 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 TYPE OF WSIIRANCE DDL SUB POLICY NUMBER POLICY EFF POLICY EXPITR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR 7021-02-28 /1/2015 4/1/2016 EACH OCCURRENCE $ 1,000,000 p�Mp�,E7ppaEcNccTurence) PREMISES (E $ 1 000 000 MED EXP (Any one person) $ 5,000 PERSONAL&ADV INJURY $ 11000,000 GEN'L g AGGREGATE LIMIT APPLIES PER: POLICY EcT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 $ A, AUTOMOBILE LIABILITY X ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AAUTOOSSWNED R 7021-02-29 /1/2015 4/1/2016 1 OMBINEDSINGLE LIMIT eacc,dent) $ 1,000,000 BODILY INJURY(Per person) $ BODILY INJURY(Peracciderd) $ PROPERTY (Per accident) DAMAGE $ $ • X UMBRELLAUAS EXCESS LIAR X OCCUR CLAIMS -MADE UMB 2000165-01 /1/2015 4/1/2016 EACH OCCURRENCE $ 51000,000 AGGREGATE $ 51000,000 DED X RETENTION$ 25,00 $ A WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY �N ANY PROPRIETORIPARTNER(EXECUTIVE Y® OFFICER/MEMBER EXCLUDED? Mandatory in NH) yes,descnbe under DE SCRIPTION OF OPERATIONS below NSA 7171-06-98 /1/2015 4/1/2016 E E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addaonal Remarks Schedule, may be attached it more space is required) RE: 877023 See Attached 1a1�:utaLa/_\I_aila eala:, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FORT COLLINS, CITY OF PO BOX 580 ATTN EDNA HOERNICKE FORT COLLINS, CO 80522 Coll:4654656 Tpl:1933522 Cert:22982522©1988-2014ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 713115 LOC#: kw�AADDITIONAL REMARKS SCHEDULE Page 2 of AGENCY NAMED INSURED CROWN CASTLE INTERNATIONAL CORP. Willis of Pennsylvania, Inc. See Attached Named Insured List POLICY NUMBER 1220 Augusta Dr. Suite 500 Houston, TX 77057 See First Page CARRIER NAIL CODE See First Page EFFECTIVEDATE: See First Pa e annITIANAI REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Certificate Holder is included as Additional Insureds under the General, Automobile and Umbrella policies as rerired 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, Umbrella Liability and Workers Compensation include a Waiver of Subrogation in favor of the Additional Insureds 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:4654656 Tpl:1933522 Cert:22982522©2008ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD