Laserfiche WebLink
AC® []R <br />16 . <br />AGENCY CUSTOMER ID: 713115 ---- <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 600 <br />Houston, TX 77057 <br />See First Page <br />CARRIER NAIC CODE <br />ee F <br />ADDITIONAL REMARKS <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 Liability policies as their interest may appear and where required by <br />written agreement and only with respect to the liability arising out of the 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 Subrogation in favor of the Additional Insured when re uired by written <br />contract but always subject 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 (2008101) Coll:5053466 Tpl:2134186 Cert:25340671©2008ACORD CORPORATION. All rights reserved, <br />The ACORD name and logo are registered marks of ACORD <br />