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AGENCY CUSTOMER ID: 713115 <br />LOC#: — _...------- <br />A ADDITIONAL REMARKS SCHEDULE Page _2_of -2 <br />Crown Castle International <br />Willis of Pennsylvania, Inc. _ See Attached Named Insured List <br />POLICY NUMBER 1220 Houston, TXa Suite 600 <br />77057 <br />CARRIER NAIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />Certificate Holder is included as an Additional Insured under the General Liability, Automobile <br />Liability and Umbrella/Excess Liabilit olicies as their int4Eh <br />rest may a pear and where required by <br />written agreement and only with respec o the liability arising out of e operations performed by <br />or on behalf of the Named Insured. <br />General Liability, Automobile Liability, Umbrella/Excess Liability and Workers' Compensation <br />include a Waiver of Subro ation in favgr of the Additional Insured when required by written <br />contract but always subjecgt to the policy terms, conditions, exclusions and as permitted by law. <br />Additional Insureds. City of Santa Ana, its officers, agents, representatives, employees and <br />volunteers <br />General Liability policy shall be Primary and Non-contributory with any other insurance in force <br />for or which may be purchased by Additional Insureds as required by written contract <br />ACORD 101(2008/01) Coll:5195366 Tplt2208919 Certe26194691 ©2008 ACORD CORPORATION. All rights reserved. <br />me ACORD name and logo are registered marks of ACORD <br />