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NewPath Networks, LLC - Insurance Certificate
A1. DO® CERTIFICATE E ®F LIABILITY i INSURANCE Page 1 of 2 0 /28/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAMP Willis of Pennsylvania, Inc. c/o 26 Century Blvd. P. O. Box 305191 PHONE FAX • 877 - 945 -7378 888 - 467 -2378 E -MAIL certificates@willis.com Nashville, TN 37230 -5191 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURERA:Federal Insurance Company 20281 -005 INSURED Crown s Sntezaational INSURERS: Travelers Property Casualty Co of Amer 25674 -001 INSURERC:Berkshire Hathaway Specialty Insurance Co 22276 -001 See AtCatle tached Named Insured List 1220 Augusta Dr. Suite 600 Houston, TX 77057 INSURER D: $ 11000,000 INSURER E: GENERALAGGREGATE $ 2.000,000 INSURER F: $ 2 000 000 COVERAGES CERTIFICATE NUMBER: 25340494 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL SUB POLICY NUMBER POLICY EFF POLICY IXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR y Y 7021 -02 -28 4/1/2017 4/1/2018 EACH OCCURRENCE $ 11000,000 pp�p�Eipp.0. mnce) PREMISES(t $ 1,000,000 MED EXP (Any one person) $ 51000 PERSONAL& ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO [7 LOC JECT OTHER: GENERALAGGREGATE $ 2.000,000 PRODUCTS - COMP /OP AGG $ 2 000 000 $ B AUTOMOBILE LIABILITY X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y Y TC2JCAP- 474N9749 -17 4/1/2017 4/1/2018 EOaarBINEDitj SINGLE LIMIT $ 1,000,000 BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ AMAGE (Per accident) $ $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE y y 47 -UMO- 303445 -01 4/1/2017 4/1/2018 EACH OCCURRENCE $ 51000,000 AGGREGATE $ 51000,000 D_ED I X RETENTION$ 25,000 $ • • WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) R yes, describe under DESCRIPTION OF OPERATIONS below N/A Y TC2JUB- 474M9694 -17 TRRUB- 474M9701 -17 4/1/2017 /1/2017 4/1/2018 4/1/2018 I PER X E.L EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) Re: Right -of -Way Agreement between The City of Gilroy and Newpath Networks, LLC. See attached: CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy Attn: City Administrator 7351 Rosanna Street Gilroy, CA 95020 Coll:5053466 Tpl:2134186 Cert:25340494 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: '4� ADDITIONAL REMARKS SCHEDULE Page-2-of 2 AGENCY NAMED INSURED Crown Castle International Willis of Pennsylvania, Inc. See Attached Named Insured List 1220 Augusta Dr. Suite 600 Houston, TX 77057 POLICY NUMBER See First Page CARRIER NAIC CODE I EFFECTIVEDATE: See First Page See First Page ADDITIONAL REMARKS ITHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Certificate Holder is included as an Additional Insured under the General Liability, Automobile Liability and Umbrella /Excess Liability policies as their interest may appear and where required written agreement and only with respect to the liability arising out of the operations performed or on behalf of the Named Insured. General Liability, Automobile Liability, Umbrella /Excess Liabilityy and Workers' Compensation include a Waiver of Subrogation in favor of the Additional Insured when re iced by written contract but always subject to the policy terms, conditions, exclusions and as permitted by law. Additional Insureds: City of Gilroy, and its elected and appointed council members, board members, commissioners, officers and officials. ACORD 101 (2008/01) Coll:5053466 Tn1:2134186 Cert:25340494 02008 ACORD CORPORATION- All riahtsreservpd The ACORD name and logo are registered marks of ACORD Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds 24/7 Chesapeake Holdings, LLC Crown Castle MM Holding Corp. 24/7 Mid - Atlantic Network, LLC Crown Castle MM Holding LLC 24/7 Mid - Atlantic Network of Virginia, LLC Crown Castle MU LLC Access Fiber Group Holdings LLC Crown Castle NG Atlantic LLC Access Fiber Group, Inc. Crown Castle NG Central LLC AirComm of Avon, L.L.C. Crown Castle NG East LLC Atlantic Coast Communications LLC Crown Castle NG Networks LLC CA - CLEC LLC Crown Castle NG West LLC CCT2 Holdings LLC Crown Castle OperatingCompany CC Castle International LLC Crown Castle Orlando Corp. CC Towers Holding LLC Crown Castle PR LLC CC TS LLC Crown Castle PR SolutionsLLC CC FN Holdings LLC Crown Castle PT Inc. CC Finance LLC Crown Castle Puerto Rico Corp. CC Holdings GS V LLC Crown Castle Services LLC CC Site Acquisitions II LLC Crown Castle Solutions LLC CC Sunesys Fiber Networks LLC Crown Castle South LLC CC TM PA LLC Crown Castle TDC LLC CC Towers Guarantor LLC Crown Castle TLA LLC CCATT Holdings LLC Crown Castle Towers 05 LLC CCATT LCC Crown Castle Towers 06 -2 LLC CCATT PR LLC Crown Castle Towers 09 LLC CCGS Holdings Corp. Crown Castle Towers LLC CCPR VI Tower Newco LLC Crown Castle MUPA LLC CCS & E LLC Crown Castle USA Inc. CCTM Holdings LLC Crown Communication LLC CCTM1 LLC Crown Communication New York, Inc. CCTM2 LLC DAS Development Corporation CCTMO LLC Fibemet Direct Florida LLC ComSite Venture, Inc. Fibernet Direct Holdings LLC Chesapeake Fiber, LLC Fibernet Direct TEL LLC Coastal Antennas LLC Fibernet Direct Texas LLC Coverage Plus Antenna Systems LLC Global Signal Acquisitions II LLC Crown Atlantic Company LLC Global Signal Acquisitions III LLC Crown Mobile Systems, Inc. Global Signal Acquisitions IVLLC Crown Castle AS LLC Global Signal Acquisitions LLC Crown Castle Atlantic LLC Global Signal GP LLC Crown Castle Augusta LLC Global Signal Holdings III LLC Crown Castle BP ATT LLC Global Signal Holdings IV LLC Crown Castle CA Corp. Global Signal Operating Partnership, L.P. Crown Castle GS I11 Corp. Global Signal Services LLC Crown Castle GT Company LLC GoldenState Towers, LLC Crown Castle GT Corp. GS Savings Inc. Crown Castle GT Holding Sub LLC High Point Management Co. LLC Crown Castle International Corp. ICB Towers, LLC Crown Castle International LLC InfraSource FI, LLC Crown Castle International Corp. de Puerto Rico InSITE Fiber of Virginia LLC Crown Castle Investment II Corp. InSITE Solutions LLC Crown Castle Investment Corp. Interstate Tower Communications LLC Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds Intracoastal City Towers LLC LL Q 1 -16, LLC Mobile Media California LLC Mobile Media National LLC Modeo LLC Md7 Capitol One, LLC MW Cell REIT 1 LLC MW Cell TRS 1 LLC NewPath Networks Holding LLC NewPath Networks LLC NY - CLEC LLC OP 2 LLC OP LLC P3 CH13 -1, LLC PA - CLEC LLC Pinnacle San Antonio L.L.C. Pinnacle Towers Acquisition Holdings LLC Pinnacle Towers Acquisition LLC Pinnacle Towers Asset Holding LLC Pinnacle Towers Canada, Inc. Pinnacle Towers III LLC Pinnacle Towers Limited Pinnacle Towers LLC Pinnacle Towers V Inc. Pinnacle St. Louis LLC PR Site Development Corporation PR TDC Corporation Princeton Ancillary Services II LLC Princeton Ancillary Services III LLC Radio Station WGLD LLC RGP Tower Group, LLC Shaffer & Associates, Inc. Sierra Towers, Inc. Sunesys, LLC Sunesys Enterprise LLC Sunesys of Massachusetts, LLC Sunesys of Virginia, Inc. Tower Development Corporation Towers Finco LLC Towers Finco H LLC Towers Finco III LLC Tower Systems LLC Tower Technology Company of Jacksonville LLC Tower Ventures III, LLC TowerOne 2012, LLC TowerOne Allentown 001, LLC TowerOne Bethlehem 001, LLC TowerOne Doylestown, LLC TowerOne East Rockhill 001, LLC TowerOne Marple, LLC TowerOne Middleton 003, LLC TowerOne Middletown 001, LLC TowerOne Middletown 002, LLC TowerOne North Coventry, LLC TowerOne Partners, LLC TowerOne Richland, LLC TowerOne Upper Pottsgrove, LLC TowerOne Upper Pottsgrove 002, LLC TowerOne Warminster 001, LLC TowerOne Warrington 002, LLC TriStar Investors LLC TVHT, LLC WA - CLEC LLC WCP Wireless Lease Subsidiary, LLC WCP Wireless Site Funding LLC WCP Wireless Site Holdco LLC WCP Wireless Site Non -RE Funding LLC WCP Wireless Site Non -RE Holdco LLC WCP Wireless Site RE Funding LLC WCP Wireless Site RE Holdco LLC Wireless Funding, LLC Wireless Realty Holdings II, LLC Wireless Revenue Properties, LLC ACORN® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 DATE (MM/DDN" -Y) 03/24/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Willis of Pennsylvania, Inc. c/o 26 Century Blvd. P. 0. Box 305191 PHONE FAX • 877 - 945 -7378 888 - 467 -2378 A gAIFLS R_ certificatesQwillis.com Nashville, TN 37230 -5191 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURERA:Federal Insurance Company 20281 -005 INSURED Crown Castle International INSURER B: North American Elite Insurance Company 29700 -001 MED EXP (Any one person) $ 5,000 See Attached Named Insured List INSURERC: PERSONAL& ADV INJURY 1220 Augusta Dr. Suite 500 Houston, TX 77057 INSURER D: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OPAGG $ 2,000,000 INSURER E: $ INSURER F: AUTOMOBILELIABILIrY X ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AUTS NON-OWNED AUTOS Y COVERAGES CERTIFICATE NUMBER: 22938278 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE INSURANCE _ DDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y Y 7021 -02 -28 /1/2015 4/1/2016 EACH OCCURRENCE $ 1.000.000 5�pAENTED ) 1P a occurence $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: $ POLICY [7 PRO- ❑ LOC JECT OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OPAGG $ 2,000,000 $ pj AUTOMOBILELIABILIrY X ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AUTS NON-OWNED AUTOS Y Y 7021 -02 -29 4/1/2015 4/1/2016 COMBINED SINGLE INGLELIMIT $ 1,000,000 BODILY INJURY(Per person) $ BODILY INIURY(Peraccident) $ Per accident A E ( ) $ B, X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y Y UMB 2000165 -01 4/1/2015 4/1/2016 EACH OCCURRENCE $ 51000,000 AGGREGATE $ 5,0001000 DED I X RETENTION $ 25,000 $ A WORIKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER(EXECUTIVE � OFFICER/MEMBER EXCLUDED? ( Mandatory ,in NH) ' f es, descnbe under DESCRIPTION OF OPERATIONS below N/A Y 7171 -06 -98 4/1/2015 4/1/2016 X E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT is 1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additonal Remarks Schedule, maybe attached if more space is required) Re: Right -of -Way Agreement between The City of Gilroy and Newpath Networks, LLC. See attached: CERTIFICATE HOLDER GAIVGELLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED:BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy AUTH IZEDREPRE ATIVE Attn: City Administrator 7351 Rosanna Street Gilroy, CA 95020 Vn11t4651922 Tai :1933413 Cert_22938278 01988- 2014ACORD CORPORATION. All riahts reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 713115 LOC #: ACORO® ADDITIONAL REMARKS SCHEDULE Page-2—of 2 AGENCY NAMED INSURED Crown Castle International Willis of Pennsylvania, Inc. See Attached Named Insured List 1220 Augusta Dr. Suite 500 POLICY NUMBER Houston, TX 77057 See First Page CARRIER NAIC CODE I EFFECTIVEDATE: See First Page See First Page ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Certificate Holder is included as an Additional Insured under the General, Automobile and Umbrella policies as required by written agreement and only with respect to the liability arising out of the operations performed by or on behalf of the Named Insured. General, Automobile, Umbrella Liability and Workers' Compensation include a Waiver of Subrogation in favor of the Additional Insureds when required by written contract but always subject to the policy terms, conditions, exclusions and as permitted by law. Additional Insureds: City of Gilroy, and its elected and appointed council members, board members, commissioners, officers and officials. ACORD 101 (2008/01) Coll:4651822 Tpl:1933413 Cert:22938278 © 2008 ACORD CORPORATION. All. rights reserved. The ACORD name and logo are registered marks of ACORD Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds 2417 Chesapeake Holdings, LLC (eff 1013112014) Crown Castle GS I[[ Corp. 2417 Mid - Atlantic Network of Virginia, LLC (eff 10131/2014) Crown Caste GT Company LLC 2417 Mid - Atlantic Network, LLC (eff 1013112014) Crown Caste GT Corp_ AvComm of Avon, L.L.C. Crown Castle GT Holding Sub LLC AJNA Group, LLC eff 12/15114 Crown Castle International Corp. Alpha Centauri Group, LLC eff 12/15114 Crown Castle International Corp. de Puerto Rico AMO River Enterprises, LLC eff 12115114 Crown Castle International LLC Arcturus Land Enterprises, LLC eff 12115114 Crown Castle Investment Corp Atlantic Coast Communications LLC Crown Castle Investment 11 Corp Big Top Ventures, LLC eft 12/15/14 Crown Castle MM Holding Corp. Brisk House Realty, LLC eff 12115114 Crown Castle MM Holding LLC Bronze Properly Ventures, LLC eff 12115/14 Crown Castle MU LLC GA - CLEC LLC Crown Castle MUPA LLC CC Gastle International LLC Crown Castle NG Atlantic LLC. (eff 514/12) fka NextG Networks Atlantic Inc. CC Finance LLC Crown Castle NG Central LLC (eff 513112) fka NextG Networks of Illinois Inc CC Holdings GS V LLC Crown Castle NG East LLC (eff 513112) fka NextG Networks of NY Inc CC Site Acquisitions [I LLC Crown Castle NG Networks Inc. (eff 513112) fka NextG Networks Inc CC TM PA LLC (eff 1013112012) Crown Castle NG West LLC (eff 513112) fka NextG Networks of California Inc GC Towers Guarantor LLC Crown Castle Operating Company CC Towers Holding LLC Crown Castle Operating LLC CCATT Holdings LLC Crown Castle Orlando Corp. CCATT LLC Crown Castle PR LLC CCATT PR LLC Crown Castle PR Solutions LLC (eff 9110113) CCGS Holdings Corp_ Crown Castle PT Inc. CCPE Acquisitions LLC Crown Castle Puerto Rico Corp. GCPR VI LLC Crown Castle REIT Inc. May 27, 2014 GCS & E LLC Feb. 10, 2014 Crown Castle Services LLC (eff &=2011 1) GCT2 Holdings LLC June 27, 2014 Crown Castle Services Pty Ltd. July 8, 2014 CCTM Holdings LLC (eff 10/31/2012) Crown Castle Solutions Corp. GCTM1 LLC (eff 11130112) Crown Castle South LLC CCTM2 LLC (effective 11/30112) Crown Caste TLA LLC GCTMO LLC (eff 10131/2012) Crown Castle Towers 05 LLC CCTTA Pty Limited (eff 8113108) Crown Castle Towers 06-2 LLC Chesapeake Fier, LLC (eff 101312014) Crown Castle Towers 09 LLC Chimera Holdings, LLC eff 12115/14 Crown Castle Towers LLC Coastal Antennas LLC Crown Castle Towers Pty Ltd June 6, 2014 Comsde Venture, Inc. Crown Castle USA Inc. Coverage Plus Antenna Systems LLC Crown Communication LLC CPS Holdco, LLC eff 12/15/14 Crown Communication LLC (formerly Crown Communication Inc. eff 111111) Crown Atlantic Company LLC Crown Communication New York, Inc. Crown Castle Administration Pty Ltd Crown Mobile Systems, Inc Crown Castle AS LLC (eff 4/29/11) Crystal Properties, LLC eff 12/15/14 Crown Castle Atlantic LLC Cyan Properties, LLC eff 12/15/14 Crown Castle Augusta LLC DC - CLEC LLC Crown Castle Australia Holdings Pty Ltd DEF Holdings, LLG eff 12/15114 Crown Castle Australia Pty Ltd Deke Land Enterprises, LLC eff 12/15/14 Crown Castle BP ATT LLC Delta Real Estate Enterprises, LLC eff 12/15114 Crown Castle CA Corp Diamond Five, LLC eff 12115/14 Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds Divame Pty Limited (effective 10126112) Metsedign Group, LLC eff 12/15114 Dumas Group, LLC eff 12115/14 Minerva Realty, LLC eff 12/15114 Gamma Ventures, LLC eff 12115114 Mobile Media Califomia LLC Gemion, LLC eff 12115114 Mobile Media National LLC Global Signal Acquisitions II LLC Modeo LLC Global Signal Acquisitions III LLC Molacur, LLC eff 12/15114 Global Signal Acquisitions IV LLC MW Cell REIT 1 LLC (eff 1131112) Global Signal Acquisitions LLC MW Cefl TRS 1 LLC (eff 1131112) Global Signal GP LLC Neptune Properties, LLC eff 12115/14 Global Signal Holdings III LLC New Path Networks, Inc. Global Signal Holdings IV LLC New Path Networks, LLC Global Signal Operating Partnership, LP. Nickel Group, LLC eff 12115114 Global Signal Services LLC NJ - CLEC LLC GoldenState Towers, LLC Norse Land Ventures, LLC eff 12/15/14 GS Savings Inc. NY - CLEC LLC GSPN Intangibles LLC OH - CLEC LLC (effective 7120f 11) Haiku Group, LLC eff 12/15/14 OP 2 LLC HHO Realty Ventures, LLC eff 12115/14 OP LLC High Point Management Co. LLC PA - CLEC LLC Holy Ghost Properties, LLC eff 12115114 Pair Plus Properties, LLC eff 12/15114 Hot Comer, LLC eff 12/15114 Perimeter Property, LLC eff 12115/14 ICB Towers, LLC Pinnacle San Antonio L.L.C. III Properties, LLC eff 12115114 Pinnacle SL Louis LLC IL - CLEC LLC Pinnacle Towers Acquisition Holdings LLC In SITE Fiber of Virginia LLC Pinnacle Towers Acquisition LLC InSITE Solutions, LLC Pinnacle Towers Asset Holding LLC Interstate Tower Communications LLC Pinnacle Towers Canada Inc. Intracoastal City Towers LLC Pinnacle Towers III LLC Iron Run, LLC eff 12/15114 Pinnacle Towers Limited Irth Realty, LLC eff 12/15114 Pinnacle Towers LLC Isosceles Realty, LLC eff 12/15114 Pinnacle Towers V Inc. JBCM Towers LLC Princeton Ancillary Services II LLC Formed 2128114 Jefferson Real Estate, LLC eff 12115/14 Princeton Ancillary Services III LLC Formed 21282014 Jufex, LLC eff 12115114 Proarchad Group, LLC eff 12115/14 Juno Real Estate, LLC eff 12115/14 Radio Station WGLD LLC Kanchen Holdings, LLC eff 12/15114 RECC Properties Limited (eff 920105) KAW Consulting Pty Ltd (eff 12112101) Right Realty, LLC eff 12/15/14 KPB Holdings, LLC eff 12115114 Scalene -STI Realty, LLC eff 12/15/14 Lindy Land Enterprises, LLC eff 12115/14 Sea Realty, LLC eff 12/15114 Lithium Land, LLC eff 12115/14 Shaffer & Associates, Inc. LL Q3-14 LLC Shamrock BGM, LLC eff 12/15/14 MA - CLEC LLC Sierra Towers, Inc. Magi Investments, LLC eff 12/15/14 Sixteen Cents, LLC eff 12/15114 Mazaru Real Estate, LLC eff 12/15/14 Spherte Properties, LLC eff 12/15114 MD - CLEC LLC Structel Pty Ltd Md7 Capitol One, LLC Tamia Group, LLC eff 12115114 Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds Tertultian Ventures, LLC eff 12115/14 Third State Holdings, LLC eff 12115114 Three Way Sites, LLC eff 12115/14 Thunder Towers LLC Tower Advisors, LLG eff 12/15/14 Tower Systems LLC Tower Technology Company of Jadwnville LLC Tower Ventures III, LLC TowerOne 2012, LLC (eff 312!2012) TowerOne Allentown 001, LLC (eff 32201 2) TowerOne Doylestown, LLC (eff 302012) TowerOne Middletown 003, LLC (eff 32201 2) TowerOne North Coventry LLC (eff 31212012) TowerOne Partners, LLC (eff 31212012) TowerOne Upper Potfsgrove 002, LLG (eff 3!712012) TowerOne Warminster 001, LLC (eff 32201 2) TowerOne Warrington 002, LLC (eff 32201 2) Towers F nm II LLC Towers Fines III LLC Towers Finco LLC Triple Play, LLC eff 12115114 TriStar Investors Inc. eff 12115/14 TriStar New Site ACQ 1, LLC eff 12/15114 TriStar Tower Group, LLC eff 12/15/14 TrsStar CPS Towers, LLC eff 12115/14 TSL Really, LLC eff 12/15/14 TVHT, LLC ' WA - CLEC LLC Water Properties, LLC eff 12115/14 WCP Wireless Lease Subsidiary, LLC (eff 113112012) WCP Wireless Site Funding LLC (eff 1/3112012) WCP Wireless Site Holdco LLC (eff 11312012) WCP tameless Site Non-RE Funding LLC (eff 113112012) WCP Wireless Site Non-RE Holdoo LLC (eff W12012) WCP Wireless Site RE Funding LLC (eff 11312012) WGP Wireless Site RE Holdco LLC (eff 1131/2012) Weidl Mgt, LLC eff 12/15/14 While Light Enterprises, LLC eff 12/15114 Wireless Funding, LLC (eff 11312012) Wireless Realty Holdings II, LLC (effective 5119111) Wireless Revenue Properties, LLC (eff 11312012) Wiisdoin Four, LLC eff 12/15/14 Wishbone Realty, LLC eff 12/15114 Yangtze River Realty, LLC eff 12145114 YRB Tea, LLC eff 12115/14 Zeus Properties, LLC eff 12/15114 AC ®RO® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 FDATE (MMIDD/YYYY) 04/01/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). - PRODUCER CONTACT NAME A'Sllis of Pennsylvania, Inc. >; ;a 26 Century Blvd. P. O. sox 305191 Nashville, TN 37230 -5191 PHONE FAX 877- 945 -7378 888 - .467 -2378 -MAIL certificatel3@Willia.com INSURER(S)AFFORDINGCOVERAGE NAIC# INSURER A: Federal Insurance Company 20281 -005 $ 11000,000 INSURED CROWN CASTLE INTERNATIONAL CORP. INSURER B: North American Elite Insurance Company 29700 -001 INSURER C: PERSONAL & ADV INJURY See Attached Named Insured List 1220 Augusta Dr. .Suite 500 Houston, TX 77057 INSURERD: GENERALAGGREGATE INSURER E: GEN'L AGGREGATE LIMIT APPLIES PER: X POu�_ ,' F7 PRC- LOC PRODUCTS- COMP /OPAGG INSURER F: COVERAGES CERTIFICATE NUMBER: 21402634 REVISION NUMRER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE —POLICY PERIOD 1Nb(cATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPEOFINSURANCE DD' SUB pOLICYNUMBER POLICY EFF POLICY EXP LIMBS • GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y Y 7021 -02 -28 /1/2014 4/1/2015 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED PREMISES Ea occurence $ 11000,000 MED'EXP (Any one person) $ 51000 PERSONAL & ADV INJURY $ 11000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POu�_ ,' F7 PRC- LOC PRODUCTS- COMP /OPAGG $ 2,000,000 • AUTOMOBILE LIABILITY X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAU fOS NON -OWNED AUTOS Y Y 7021 -02 -29 /1/2014 4/1/2015 (COMBINED] SINGLE LIMIT $ 1,000,000 BODILY INJURY(Per person) $ BODILY INJURY Peraccident ( ) $ PER TY DAMAGE (Pera.dent) $ $ • X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE y Y LIMB 2000165 -00 4/1/2014 4/1/2015 EACH OCCURRENCE $ 51000,000 AGGREGATE $ 51000,000 DED ' X RETENTION$ 25,000 $ • WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE - OFFICER/MEMBEREXCLUDED? ( Mandatory ,In NH) tf yes, describe under DESCRIPTION OF OPERATIONS below N/A Y 7171 -06 -98 4/1/2014 4/1/2015 X �� E.L. EACH ACCIDENT $ 1,000,000 - E.L. DISEASE - EA EMPLOYEE $ 11000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach Acord 101, AddltonalRemarks Schedule, if more space is required) Re: Right -of -Way Agreement between The City of Gilroy and Newpath Networks, LLC. See attached: tiAnl:tL.LA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy AUTH IZEDREPRES ATIVE Attn: City Administrator 7351 Rosanna Street Gilroy, CA 95020 Coll:4377214 Tp1:1791031 Cert:21402634 © 1988- 2010ACORD CORPORATION. All rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 713115 LOC #: '4� ADDITIONAL REMARKS SCHEDULE Page-2—of 2 AGENCY NAMED INSURED CROWN CASTLE INTERNATIONAL CORP. Willis of Pennsylvania, Inc. See Attached Named Insured List 1220 Augusta Dr. Suite 500 Houston, TX 77057 POLICY NUMBER See First Page CARRIER NAIC CODE See First Page I EFFECTNE DATE: See First Page ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, cnou rmimcaco. 25 cnoiu Teri c. CERTIFICATE OF LIABILITY INSURANCE Certificate Holder is included as an Additional Insured under the General, Automobile and Umbrella policies as required by written agreement and only with respect to the liability arising out of the operations performed by or on behalf of the Named Insured. 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