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HomeMy WebLinkAboutUS-WA-5107 - COIINSR ADDLSUBRLTRINSRWVD DATE (MM/DD/YYYY) PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: LOCJECT COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person)$ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS AUTOS ONLYHIRED PROPERTY DAMAGE $AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below POLICY NON-OWNED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 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 any rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) ACORDTM CERTIFICATE OF LIABILITY INSURANCE Chubb National Insurance Company Federal Insurance Company Scottsdale Indemnity Co. Lloyds Great Northern Insurance Company 9/05/2025 McGriff, a MMA LLC Company 5850 Waterloo Road, Suite 240 Columbia, MD 21045 410 480-4400 Jennifer M. Burton 410 480-4400 certificate@mcgriff.com Vertical Bridge REIT LLC **See Schedule of Add'l Named Insureds** 750 Park of Commerce Drive, Ste 200 Boca Raton, FL 33487-3650 10052 20281 15580 20303 A X X X D02990453 06/03/2025 06/03/2026 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 E X 73651946 06/03/2025 06/03/2026 1,000,000 B X X X 0 56729621 06/03/2025 06/03/2026 10,000,000 10,000,000 A N 71844390 06/03/2025 06/03/2026 X 1,000,000 1,000,000 1,000,000 C D Professional Liab Cyber Liability EKI3576519 TRCP25AMK5 06/03/2025 06/03/2025 06/03/2026 06/03/2026 $2,000,000 Ea Claim/Agg $5,000,000 Ea Claim/Agg **SCHEDULE OF ADDITIONAL NAMED INSUREDS** VERTICAL BRIDGE REIT, LLC ALTAPHON, INC AWN TOWER COMPANY B.A.C.K. TOWERS, LLC (See Attached Descriptions) City of Bremerton City Clerk 345 6th Street, Suite 100 Bremerton, WA 98337 1 of 4 #S38207121/M37473817 140VERTIBRI1Client#: 1700812 DDEV 1 of 4 #S38207121/M37473817 SAGITTA 25.3 (2016/03) DESCRIPTIONS (Continued from Page 1) BAY COMMUNICATIONS III, LLC BERKLEY ASSETS, LLC BRIDGER CELL ASSEST, LLC BRT GROUP, LLC BTS TOWERS, LLC CIG COMP TOWER, LLC CIG SERVICES, LLC CIG WIRELESS CORP. COMMON TOWERS I, LLC COMMON TOWERS PARENT I, LLC DATA PATH VERTICAL BRIDGE, LLC DATAPATH VERTICAL BRIDGE II, LLC ECO-SITE, LLC GOTHAM VERTICAL BRIDGE, LLC INDEPENDENT TOWER & WIRELESS CORP. INLAND-VB, LLC MERCURY CELL ASSETS, LLC MIDWEST NT 1, LLC MIDWEST NT 2, LLC NTCH-VB, LLC OAK WOOD VB PARENT, LLC OAK WOOD VB, LLC PRECISION CELL ASSETS, LLC RANGE TOWERS, INC ROCKY MOUNTAIN INFRASTRUCTURE GROUP, LLC ROWSTAR, LLC SM TOWERS, LLC TELCOM BRIDGE, LLC THE TOWERS JV, LLC THE TOWERS PARENT, LLC THE TOWERS, LLC TORO VERTICAL PARENT, LLC TORO VERTICAL, LLC TOWER ECONOMICS COMPANY, LLC VB 500 II, LLC VB ACQUISITIONS 2018, LLC VB ACQUISITIONS PARENT, LLC VB ACQUISITIONS, LLC VB B2, LLC VB B3, LLC VB BERKLEY, LLC VB BRIDGER JV MEMBER, LLC VB BTS II, LLC VB BTS III, LLC VB BTS, LLC VB E1 PARENT, LLC VB E1, LLC VB E2, LLC VB E3, LLC VB EB BORROWER, LLC VB EB PLEDGOR, LLC VB EDGE, LLC VB GLBO, LLC VB LPE PARENT, LLC VB LPE, LLC VB MERCURY JV MEMBER, LLC VB MIDWEST I, LLC VB MIDWEST II, LLC 2 of 4 #S38207121/M37473817 SAGITTA 25.3 (2016/03) DESCRIPTIONS (Continued from Page 1) VB MIDWEST III, LLC VB NIMBUS, LLC VB PRECISION JV MEMBER, LLC VB RMIG PARENT, LLC VB RUN, LLC VB US REIT, LLC VB VIRIDI MEMBER, LLC VB VIRIDI, LLC VBA II, LLC (DE) VBA II, LLC (FL) VBDTP, LLC VBHV, LLC VB-JV4, LLC VB-JV5, LLC VB-JV6, LLC VB-S1 ASSETS, LLC VB-S1 ISSUER, LLC VB-S1 PARENT, LLC VBT SUB 1, LLC VBT SUB 2, LLC VB-TC, LLC VERTICAL BRIDGE 500, LLC VERTICAL BRIDGE ABM, LLC VERTICAL BRIDGE ACQUISITIONS II (FL) VERTICAL BRIDGE, LLC VERTICAL BRIDGE ACQUISITIONS, LLC VERTICAL BRIDGE AM II, LLC VERTICAL BRIDGE AM, LLC VERTICAL BRIDGE BAY, LLC VERTICAL BRIDGE BROKERAGE LLLP (FL) VERTICAL BRIDGE CC AM, LLC VERTICAL BRIDGE CC FM, LLC VERTICAL BRIDGE CC PARENT, LLC VERTICAL BRIDGE CC, LLC VERTICAL BRIDGE CCR, LLC VERTICAL BRIDGE CJV, LLC VERTICAL BRIDGE DC, LLC VERTICAL BRIDGE DEVELOPMENT II, LLC VERTICAL BRIDGE DEVELOPMENT, LLC VERTICAL BRIDGE EMPLOYEES, LLC VERTICAL BRIDGE ENGINEERING LLC VERTICAL BRIDGE GRAND CANYON, LLC VERTICAL BRIDGE HOLDCO PARENT, LLC VERTICAL BRIDGE HOLDCO, LLC VERTICAL BRIDGE HOLDINGS, LLC VERTICAL BRIDGE LANDCO, LLC VERTICAL BRIDGE MANAGEMENT, LLC VERTICAL BRIDGE MIDWEST, LLC VERTICAL BRIDGE NT, LLC VERTICAL BRIDGE NTCF LLC VERTICAL BRIDGE PR, LLC VERTICAL BRIDGE REAL ESTATE II, LLC VERTICAL BRIDGE REAL ESTATE, LLC VERTICAL BRIDGE S3 ASSETS, LLC VERTICAL BRIDGE STRUCTURES, LLC VERTICAL BRIDGE TOWERS II, LLC VERTICAL BRIDGE TOWERS III, LLC VERTICAL BRIDGE TOWERS IV, LLC 3 of 4 #S38207121/M37473817 SAGITTA 25.3 (2016/03) DESCRIPTIONS (Continued from Page 1) VERTICAL BRIDGE TOWERS V, LLC VERTICAL BRIDGE TOWERS, LLC VERTICAL BRIDGE VBTS, LLC VERTICAL BRIDGE-CONTERRA TOWERS, LLC VERTICAL SKY I, LLC VERTICAL SKY II, LLC VERTICAL SKY III, LLC VOGUE XIII, LLC RE: Site #WA-5107, Property Address: 3100 1st. Street, SE07238K, Bremerton, WA 98312. 4 of 4 #S38207121/M37473817