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AGENCY CUSTOMER ID: 713115 <br />LOCM <br />ACC>R" <br />ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br />AGENCY NAMED INSURED <br />Crown Castle International <br />Willis of Pennsylvania, Inc. See Attached Named Insured List <br />POLICY NUMBER 1220 Augusta Dr. Suite 500 <br />Houston, TX 77057 <br />See First Page <br />CARRIER NAIL CODE <br />See First Page EFFECTIVEDATE: See First Page <br />ADDITIONAL REMARKS <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, Automobile and Umbrella <br />policies as required by written agreement and only with respect to the liability arising out of the <br />operations performed by or on behalf of the Named insured. <br />General, Automobile, Umbrella Liability and Workers' Compensation include a waiver of Subrogation <br />in favor of the Additional Insureds when required by written contract but always subject to the <br />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 and Auto Liability policies shall be Primary and Non-contributory with any other <br />insurance in force for or which may be purchased by Jkdditional Insureds. <br />ACORD 101 (2008101) Coll:4651822 Tpl:1933413 Cert:22938339 @ 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name andl logo are registered marks of ACORD <br />