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HomeMy WebLinkAbout4566 - Crown Castle International COI_ Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE D03/31/2021Y) 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 POLICIE5 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 have ADDITIONAL INSURED provisions or 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 Willis Towers Watson Northeast, c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA INSURED Crown Castle International gee Attaohed Named Insured Liat 1220 Augueta Dr. Suite 600 Houston, TX 77057 COVERAGES Inc. DECEIVED -------APR 1-9-2fl21-- - City of Bremerton Risk Management CERTIFICATE NUMBER: wzos39esz Crown Castle International etle.com INSURER S AFFORDING COVERAGE NAIC # INSURERA: Federal Insuranae Company 20281 INSLIRERB: National Union Fire Insurance Company of P 19445 INSURERC: National Fire 8 Marinc Insuranae Company INSURERD: AIU insurance Company REVISION NUMBER: 20079 19399 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 1 �ADDL LTR' TYPEOFINSURANCE �5UBR'-� -�-- - �- - - -� � POLICY-EFF POLIbYEXP � LIMITS POLICY NUMBER MM�DDlYYYY MMIDDIYYYY X � COMMERCIALGENERALLIABILITY _ _ CLAIMS -MADE n OCCUR I I i EACH OCCURRENCE $ 1,000,000 PREM SES (Ea pccurrenceZ_ $ 1, 000, 000 $ 10, 000 A MED EXP (An one arson) pERSONALB ADVINJURY $ 1,000,000 3605-33-35 LIO 09/O1/2021 09/01/2022 GEN'L AGGREGATE LIMIT APPLIES PER: ---� --- PRO- X POLICY JEGT LOC GENERAL AGGREGATE PRODUCTS-COMP/OPAGG $ 2, 000, 000 $ 2,000,000 $ OTHER: I AUTOMOBILE X (ANY LIABILITY AUTO COMBINED SINGLE LIMIT _(Ea accident)_. __ _ _ BODILY INJURY (Per person) $ 1, 000, 000 ___ $ B OWNED SCHEDULED AUTOS ONLY AUTOS CA 7030894 04/O1/2021 04/01/2022 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTO5 ONLY C X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESSLIAB CLAIMS•MADE 47-UMO-303445-07 04/O1/2021 09/O1/2022 AGGREGATE $ 5,000,000 DED %� RETENTION$ 25,000 $ D WORKERS COMPENSATION AND Eh1PLOYERS' LIABILITY ANYPROPRIETORIPARTNER/EXECUTIVE Y! N �OFFICERrMEMBEREXCLUDED? No (PAendalory In NH) NIA, � WC 016393106 04/O1/2021 04/O1/2022 X STATUTE ER E.L. EACH ACCIDENT $ 1, 000, 000 — E.L. DISEASE - EA EMPLOYEE _ _ $ 1,000,000 i II yas, describe under DESCRIPTION OF OPERATIONS bolow E.L. DISEASE •POLICY LIMIT $ 1, 000, 000 DESCRIPTION OFOPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Addittonel Remarks Schedule, may be attached H more space is required) BU #846273 - 1301 UNION AVENUE, BREMERTON, WA 98312 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CZTY OF HREMERTON AUTHORIZEDREPRESENTA7IVE 345 6TH STREET STE 100 TAX & LICENSE DIVISION Dl� SREMERTON, WA 98337-1891 l 1 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sn ID: 20920331 EATcx: 2040505 2 of 3 9291 24/1 Chesapeake Holdings, LLC Crown Castle GT Corp. 2417 Mid -Atlantic Network of Virginia, LLC 24/7 Mid -Atlantic Network, LLC Access Fiber Group Holdings LLC Access Fiber Group, Inc. AirComm of Avon, L.L.C. Atlantic Coast Communications LLC CA - CLEC LLC CC Castle International LLC CC Edge LLC CC Edge Solutions LLC CC Finance LLC CC FN Holdings LLC CC Holdings G5 V LLC CC Site Acquisitions II LLC CC Sunesys Fiber Networks LLC CC TM PA LLC CC Towers Guarantor LLC CC Towers Holding LLC CC TS LLC CCATT Holdings LLC CCATT LLC CCATT PR LLC CCGS Holdings Corp. CCPE Acquisitions LLC CCPR VI Tower Newco LLC CCS & E LLC CCT2 Holdings LLC CCTM Holdings LLC CCTM1 LLC CCTM2 LLC CCTMO LLC Chesapeake Fiber, LLC Coastal Antennas LLC ComSite Venture, Inc. Coverage Plus Antenna Systems LLC Cross Connect Solutions, Inc. (PA) Crown Atlantic Company LLC Crown Castle AS LLC Crown Castle Atlantic LLC Crown Castle Augusta LLC Crown Castle BP ATT LLC Crown Castle CA Corp. Crown Castle Fiber Holdings Corp. (formerly LTS Group Holdings LLC) Crown Castle Fiber Enterprise LLC (formerly Sunesys Enterprise LLC) Crown Castle Fiber LLC f/k/a Lightower Fiber Networks II, LLC Crown Castle GS III Corp. Crown Castle GT Company LLC 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 Investment II Corp. Crown Castle MM Holding Corp. Crown Castle MM Holding LLC Crown Castle MU LLC Crown Castle MUPA LLC Crown Castle NG Atlantic LLC Crown Castle NG Central LLC Crown Castle NG East LLC Crown Castle NG Networks LLC Crown Castle NG West LLC Crown Castle Operating Company Crown Castle Operating LLC Crown Castle Orlando Corp. Crown Castle PR LLC Crown Castle PR Solutions LLC Crown Castle PT Inc. Crown Castle Puerto Rico Corp. Crown Castle Services LLC Crown Castle Solutions LLC Crown Castle South LLC Crown Castle TDC LLC Crown Castle TLA LLC Crown Castle Towers 05 LLC Crown Castle Towers 0&2 LLC Crown Castle Towers 09 LLC Crown Castle Towers LLC Crown Castle USA Inc. Crown Communication LLC Crown Communication New York, Inc. Crown Mobile Systems, Inc. DAS Development Corporation Fiber Technologies Networks, L.L.C. (NY) Fibernet Direct Florida LLC Fibernet Direct Holdings LLC Fibernet Direct TEL LLC Fibernet Direct Texas LLC Fibertech Facilities Corp. (NY) Fibertech Holdings Corp. Fibertech Networks, LLC Freedom Telecommunications, LLC Global Signal Acquisitions II LLC Global Signal Acquisitions III LLC Crown Castle International Co Consolidated Subsidiaries as Named Insureds Global Signal Acquisitions IV LLC P3 OASA-1, 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 InfraSource FI, LLC InSITE Fiber of Virginia LLC InSITE Solutions LLC Interstate Tower Communications LLC Intracoastal City Towers LLC IX2 Center, LLC IX2 Wilshire, LLC JBCM Towers LLC Light Tower Clearinghouse LLC Light Tower Fiber New York, Inc. (NY) Light Tower Holdings LLC Light Tower Management, Inc. Light Tower Metro Fiber LLC Lightower Fiber Infrastructure Corp. Lightower Fiber Networks I, LLC Lightower Fiber Networks II, LLC nikla Crown Castle Fiber LLC LL Q1-18, LLC LTS Buyer LLC LTS Group Holdings LLC nikla Crown Castle Fiber Holdings Corp LTS Intermediate Holdings A LLC LTS Intermediate Holdings B LLC LTS Intermediate Holdings C LLC Mdl Capitol One, LLC Mobile Media California LLC Mobile Media National LLC Modeo LLC MW Cell REIT 1 LLC MW Cell TRS 1 LLC NEON Transcom, Inc, NewPath Networks Holding LLC NewPath Networks LLC NY -CLEC LLC OP 2 LLC OP LLC P3 CHB-1, LLC P3 Holdings 2014 LLC P3 PBA-1, LLC PA -CLEC LLC Pinnacle San Antonio L.L.C. Pinnacle St. Louis LLC Pinnacle lowers 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. PR Site Development Corporation PR TDC Corporation Princeton Ancillary Services II LLC Princeton Ancillary Services III LLC Radio Station WGLD LLC RGP Tower Group, LLC Shaffer &Associates, Inc. Sidera Networks UK Limited (UK) Sidera Networks, Inc. Sierra Towers, Inc. Sunesys Enterprise LLC nik/a Crown Castle Fiber Enterprise LLC Sunesys of Massachusetts, LLC Sunesys of Virginia, Inc. Sunesys, LLC Thunder Towers LLC Tower Development Corporation Tower Systems LLC Tower Technology Company of Jacksonville LLC Tower Ventures I II, LLC TowerOne 2012, LLC TowerOne Allentown 001, LLC TowerOne Bethlehem 001, LLC TowerOne Doylestown, LLC TowerOne East Rockhi11001, LLC TowerOne Marple, LLC TowerOne Middletown 001, LLC TowerOne Middletown 002, LLC TowerOne Middletown 003, LLC TowerOne North Coventry, LLC TowerOne Partners, LLC TowerOne Richland, LLC TowerOne Upper Pottsgrove 002, LLC TowerOne Upper Pottsgrove, LLC TowerOne Warminster 001, LLC TowerOne Warrington 002, LLC 3 of 3 9291 Crown Castle International Co Consolidated Subsidiaries as Named Insureds Towers Finco II LLC Towers Finco III LLC Towers Finco LLC TriStar Investors LLC TVHT, LLC WA - C LEC LLC WCP Wireless Lease Subsidiary, LLC WCP Wireless Site Funding LLC WCP Wireless Site Holdco LLC WCP Wireless Site Non -RE Funding LLC WCP Wireless Site Non -RE Holdco LLC WCP Wireless Site RE Funding LLC WCP Wireless Site RE Holdco LLC Wilcon Holdings LLC Wilcon Operations LLC Wilshire Connection, LLC Wilshire Services, LLC Wireless Funding, LLC Wireless Realty Holdings Il, LLC Wireless Revenue Properties, LLC Yankee Metro Parent, Inc.