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A CERTIFICATE OF LIABILITY IN''SURANCE page 1 of 2 =A1 2015' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSU'RA'NCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />Willis of Pennsylvania, Inc. <br />c/o 26 Century Blvd. <br />P. 0. Sox 305191 <br />Nashville, TN 37234 -5191 <br />Crown Castle International <br />See Attached Named Insured list <br />1220 Augusta Dr. Suite 540 <br />Houston, TX 77057 <br />r`..hVIPPAn=:C r'F'R'TIFI('ATF NI RFVI'!BI(')N NIIMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I ADDL SUIIR POLICYEFF POLICYEXP <br />INSR <br />T'YP'E OP INSURANCE POLICY NUMBER <br />LIMITS <br />A X GENERAL, LIABILITY y y 7021- 02 -2..8 4/1/2015 4./1/2016 <br />EACHOCCURRENCE S .....11000.,.000 <br />CLAIMS -MADE X .00CUR <br />II7ftAMAg<F WpRIENTED <br />f'FZEMISEgLaeccurenceg S 1, 000.,.000 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL &.ADVINJURY S 11000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE .....2,000.,.000 <br />X POLICY PRO- LOG <br />.. JECT ..._ <br />PRODUCTS- COMPIOPAGG $ 2,000,,_000 <br />_.. <br />OTHER: <br />S <br />A AUTOMOBILE LIABILITY y Y 7021.- 02 -29 4/1/2015 4/l/2016. <br />_ <br />COMBiNEDSVNGLELIM7 <br />(Eaaccidenl ) S 1,000,000 <br />X ANYAUTO <br />80DILYINYU'RY(Perperson) S <br />ALL OWNED SCHEDULED <br />_ <br />BODILY INJURY(Peraccidenl) S <br />AUTOS AUTOS <br />_._ HIR'.EDAUTOS _... NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE .. <br />(Peraooident) S <br />S <br />B X UMBREL.LALIAB X OCCUR y Y '.UM$ 2000165 -01 4/1,/2015 .4/1/2016 <br />EACH OCCURRENCE. .$ ._..5,000.,..000 <br />EXCESS LIAR CLAIMS -MADE '.. <br />AGGREGATE S __.5, 000.,..000 <br />DED X RETENTIONS 25,000:: '.. <br />-S <br />A WORKERS COMPENSATION T 7171-06 -98 4/1/2015 4/1/2016 <br />X PER H- <br />STATUTE ER <br />AND EMPLOYERS' LIABILITY <br />.... <br />ANY PROPRIETOR'IPARTNERIEXECUTIVE NIA <br />E1 EACHACCIDENT $ 1,000,000 <br />.... <br />OFFICERIMEMBER EXCLUDED? <br />IMandatory inNHI _ <br />EL.DISEASE. - BAEMPLOYEE $ 1,000. %.000 <br />-- .... <br />f yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT '..$ 1,000,000 <br />DESCRIPTION OF OPERATION$! LOCATIONS VEHICLES (ACORD 101, Additonal Remarks Schedule, may he attached If more space is required) <br />Business Unit #828436 - °Trii010 Jerome Park RL, 2115 3/4 W. McFadden Ave. Santa <br />Ana, ,0C 4t+ <br />ed <br />`'...� <br />See attached: <br />► <br />_ <br />,NNy+I(r . <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS <br />City of Santa Ana <br />Attn: Insurance Compliance <br />20 Civic. Center Plaza <br />Santa Ana, CA 92702 <br />Co11s4651822 Tplt1933413 Cert »22938339 Q 1988- 2014ACORDCORPORATION. All rights reserved. <br />ACORD 25 (2014!01) The ACORD name and logo are registered marks of ACORD <br />