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AGENCY CUSTOMER ID: <br />LOC #: <br />A ® ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Willis of Pennsylvania, Inc. <br />Crown Castle International <br />See Attached Named Insured List <br />1220 Augusta Dr. Suite 600 <br />POLICY NUMBER <br />See Page 1 <br />Houston, TX 77057 <br />CARRIER <br />NAIC CODE <br />See Page 1 <br />See Page 1 <br />EFFECTNE DAIS: See Page 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />General Liability, Automobile Liability, Excess/Umbrella Liability and Workers Compensation policies include a Waiver <br />of Subrogation in favor of the Additional Insured when required by written contract and as permitted by law but always <br />subject to the policy terms, conditions and exclusions. <br />3�yG5�P� <br />Q� <br />reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SR ID: 17728222 BATCH: 1132061 CERT: W10726640 <br />