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NewPath Networks - Insurance Certificate (2019)ACCWbr CERTIFICATE OF LIABILITY INSURANCE INSR LTR page 1 of 2 03/29/2018) 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 Willis of Pennsylvania, Inc. c/o 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230 -5191 PHONE FAX 877- 945 -7378 888 - 467 -2378 E -MAIL certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC H INSURERA:Federal Insurance Company 20281 -005 INSURED Crown Castle International INSURER B: Travelers Property Casualty Co of Amer 25674 -001 INSURERC:Berkshire Hathaway Specialty Insurance Co 22276 -001 See Attached 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 NUMRER- 2Fi gasFn RFVISIf1Ai NIfIIARFR- 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 LTR TYPE OF INSURANCE DDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY __1 CLAIMS -MADE IX I OCCUR y Y 7021 -02 -28 4/1/2018 4/1/2019 EEpAAqCMIHHqO;;EECCTTURRENCE $ 11000,000 PNEMf5E5QEaoccurence) $ 11 000 000 MED EXP (Any one person) $ 51 000 PERSONAL & ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ]{ POLICY JE C ❑ LOC JECT OTHER: GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000.000 Is B AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOSONLY AUTOS HIRED NON -OWNED AUTOSONLY AUTOS ONLY Y Y TC2JCAP- 474M9749TIL18 4/1/2018 4/1/2019 COMBINED BINEDS SINGLE LIMIT $ 1,000,000 X BODILY INJURY(Per person) $ BODILY INJURY Per accident ( ) $ PROPERTY DAMAGE (Per accident) $ C X UMBRELLA LIAB EXCESS LIAB X H OCCUR CLAIMS -MADE y Y 47 -UMO- 303445 -02 4/1/2018 4/1/2019 EACH OCCURRENCE Is 5,000,000 AGGREGATE Is 5,000,000 DED X (RETENTION$ 25,000 $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE� OFFICER /MEMBER EXCLUDED? (Mandatory in NH) fyes,describe under DESCRIPTION OF OPERATIONS below N/A Y TRKUB- 474M970 -1 -18 TC2JUB- 474M969 -4 -18 4/1/2018 4/1/2018 4/1/2019 4/1/2019 X I PER CTH- 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 if more space is required) Re: Right -of -Way Agreement between The City of Gilroy and Newpath Networks, LLC. See attached: CERTIFICATE HOLDER CANCELLATION Coll:5195366 Tpl:2208919 Cert:26194560 © 1988- 2015ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 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:5195366 Tpl:2208919 Cert:26194560 © 1988- 2015ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: A� ADDITIONAL REMARKS SCHEDULE Paged 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 See First Page EFFECTIVEDATE: 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 Liability, Automobile Liability and Umbrella /Excess Liability olicies as their interest may apppear and where required by written agreement and only with respec o the liability arising out of tpe operations performed by or on behalf of the Named Insured. General Liability, Automobile Liability, Umbrella /Excess Liability and Workers' Compensation include a Waiver of Subrogation in favor of the Additional Insured 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:5195366 Tpl:2208919 Cert: 26194560 © 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 e,nn►v: rout rnurrru�rr.>.�rurtan Castle International Cam. de Pueno 24'7 Chesapeake Holding✓, LLC Gtabal Signal HDIdmgps III LLC Rico 247 Mid- _°-,tantic Network of Vu_ginia, ITC Craws Castle Lntematiamal LLC Global Sip -al s nr LLC 24f71,fin Atantic - Network, LLC Cr6w11 Cale Ias-estaient Corp. Giabal Signal Operating Partmenhip, L.P_ Access Fiber Group Holdings LLC Crown Castle Im-estment U Corp. Global Si=A Seciees LLC Access Fiber Group, is- Crony Ca_:de 1111i Holding- C-0ro. GaldesState Towers, LLC AnConmi afAvon, L.L.C_ Crown Castle 1AM Holding LLC GS .5a-vinas Ii- Atlantic Coast Commannications LLC crown Castle MU LLC GSPN Intangibles LLC CA - CLEC LLC Crown castle I+IUPA LLC High Point b3anagernent Co. LLC CC Castle Inte<natiomrl LIC Crown Castle NG Ad amtLc LLC ICB Towers, LLC CC Edge LLC Crown Castle NG Central LLC InfiaSomm FL LLC CC Edge Solutions LLC Crown Castle NG East LLC In.S= Fiber of Virginia ILC CC Finance LLC Croton Castle NG Networks LLC InSITE Solution: LLC CC FN Holdings LLC Crown Cade NG West LLC Interstate Tower Can,mun;cations LLC CC Holdings GS it LLC Crann Castle Operating Campamv Intrwoastal City Towers LLC CC SiteAcquisatiens II LLC Crown Castle Operating LC 13L) Center, LLC CC Sume-y Fiber Networks LLC Crown Can-de Orlando Corp. Lam? vashne, LLC CC TIA PA LLC Crown Castle PR LLC iBCIVl Towers LLC CC Towers Guarantor LLC Crown Castle PR Solutions LLC Ligt Tower clearin dimm'. LLC CC Towers Holding LLC Cranes Castle PT Inc. Ligk Tower FiberNew York, Inc. QM CC TS LLC Crane Castle Puerto Rica Caap. Light Taarer Hold= LLC CCATTHaldingtITC Crown Castle Series LLC Light Tower Nike +. L, CCATT LCC Crown Caste Solution LLC Light Tower'detro Fiber LLC CCATT PR LLC Crown Castle South LLC L ighiower Fiber Infiastruchue, Cote. CCGS Holmes Corp. Crown Castle TDC LLC Lightower Fiber Netwalis I LLC CCPEkcquisitionsLLC Quum Castle TL.' UC Lightower Fiber Netcvor ]s- IL LLC l2]l) CCPR LT Tower Newca LLC Crown Castle Towers 05 LLC LTS Bmw LLL' CCs & E ILC Crown Castle Towers 05-2 LLC LTS &zap Holdings LLC CCT2 Holdings LLC Crowe Castle Towers 099 LLC LTS Irate mediate Holdings A LTC CMI Holdimm LLC Crown Castle Toners LLC LTS Iuterined ate Holdinin B LIC CCIM- 1 LLC Crown castle USA 1114-- LTS T„+,un ediate Holdin— C LLC CIC P-.PL ITC Cram Camm9unication LLC Md7 Capitol One, LLC CCTMO LLC Crown Coffin ;cation NeA York, Iac. Mobile Media California LLC Cles _ l e Fiber, LLC Craws Mobile 5g i , Ixic— Mobile Media National LLC coastal Antennas LLC DASS DE%-e1gmient Corporation 'Modea, LLC CotnSite 4entrue, Inc. Fiber TechntilapesNetavrks, LT .C. MW 1 LLC cacerage Plus Antenma Syctenis LLC Fbernet Direct Florida LLC MW Cell MS i LLC Cress Connect Sohitiom, Inc. (PA) Flxinet Direct Holdings LLC 2v ON Transcmrn, Inc. Cram Atlantic C-QE14 y LLC Fibernet Direct TEL LTC NewPath Networks Holding- LLC Crowe Castle ? LTC Fibernet Direct Teim LLC NewPath Networks LLC Cream Castle Atlamtic LLC Fit mertech Facilit; s CarP. (_vim) NY - CLEIC LLC Craven Cale Augusta LLC Fibertech holdings Corp. OP 2 LLC Crowri Ca; -tle BP ATT LLC Fiberte NetnVarks. LLC OP LLC Crony Castle CA Corp. Freedom Telecami nutucations, LLC P3 CHt3 -1, LLC Crane Castle GS III Corp. Global Signal Acquisitions II LLC P3 Holdings 2014 LLC Crowri Castle GT Compmy LLC Global Signal AcquLatiom III LLC P3 OASA-1, LLC Crown Castle GT Corp. Global Signal Acquisitions Td LLC P3 PBA -1, LLC Crown Castle GT Holding Sub LLC Global Signal Acgmations LLC PA - CLEC LLC Crown Caste International Corn. Global Signal GP LLC Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds Pinnacle San Ankmio L.L.C. Pinnacle St. Loins LLC Pinnacle Tozer Ac, mibon Holding•, LLC Pinnacle Toms Acquisition LLC Pinnacle TGums Asset HoMm-- LLC Pinnacle Towers Canada, Inc. Pinnacle TonTrsIII LLC Pinnacle Tower I united Pimuacle Toner. LLC Pimnacle Tower V Inc. PR Site Desetopnmmt Ca p=fion PR TDC Coipaaation Princeton Ancaxy Senices II LLC Princeton Awj1 ar,r Services III LLC Radio Station WGL.D LLC RGP Tower Cnuup, LLC Shaffer & Assomt -- • Inc. SideraNetnwks LF lanauted ([JK) Sidra Netwmis, Inc- Sierra Tmvers, Inc. Sunesys Enterprise LLC Sune*•s of biassachrr%&- LLC sunesys Gmiremia; Inc. Sune_ys, LLC Thunder Towers LLC Toner Development Corporation Toner System, LLC Tower Technolom, Conmany of Pack -on ille T C Toner Ventares III, LLC TouTTOne 2012, LLC TowerOne _ARentown 001. TLC T ovrerOne Bethlehem OOL I.LC Touw,Dne DGylestGa74 LLC Ton aOne Eat Roc -hill 001. I I C T6RerOne bla.+lrle, LLC TowmOne bfrddletonn 001. LLC T onerOne bfrddletonn 002, LLC TowerOne bfrddletown 003, LLC TuamOne North Cm envy. LLC TouTiOne Partwers, LLC TonerOne Richland. LLC TowerOne D =p,. Pottsgro•r•e 002., LLC TowsOne LWar Pottsgroca, L.LC Tou erOne'Watunmster 001. LLC TonerOne Warrington 002, LLC Toner Fmco II LLC Toners Fmco III LLC Toners Fimm LLC TnStar Imp estors LLC T "HT, LLC lk. kh - CLEC LLC WCP Wireless Lea=-e Subsidiary,, LLC WCP'Wtrelt ess Site Funding LLC 'WCP V7neless site Holdco LLC VVCP lVaeless Site Non -fir; Funding LLC 'WCP Wheless Site Yon -PE Hold co LLC RCP Vueless Site RE Fundn3g LLC VVCP Wireless site RE Holdco LLC Wiilcon Holdings LLC 'Wilcon Operatiom— LLC Rrils m Connemom. ILC washire Sen-ices, LLC WirelessF„nd =A LLC 'Mueless Realr+i Holdimes IL LLC Wireless R.evenne Properties; Li C Yankee Mah-D P—ent Inc_