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AGENCY CUSTOMER ID: <br />LOC #: <br />A`OWhr ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Crown castle <br />International <br />Willis Towers Watson Northeast, Inc. <br />See Attached <br />1220 Augusta <br />Named Insured List <br />Dr. suite 600 <br />POLICY NUMBER <br />See Page 1 <br />Houston, Tx <br />77057 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />See Page 1 <br />See Page 1 <br />Be- Page 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />It is further agreed that such insurance as is afforded shall be Primary and Non -Contributory with any other insurance <br />in force for or which may be purchased by Additional Insureds if agreed in written contract. <br />General Liability, Automobile Liability, Umbrella/Excess Liability, and Workers Compensation policies include a Waiver <br />of Subrogation in favor of the Additional Insureds when agreed in written contract prior to the loss, but always <br />subject to the policy terms, conditions and exclusions as permitted by law. <br />RlakMmagemodD[WNon <br />RwEwm 6 APPROV®BY: <br />ACORD 101 (2008I01) ©2008 ACORD C % €µ.";04 P, V:,[---- <br />The ACORD name and logo are registered marks of ACORD I Rhk Management Anayu <br />SA ID: 21058122 HATCH: 2081195 CERT: w20873990 <br />