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NewPath Networks - Insurance Certificate (2020)Page Iof2 AC CERTIFICATE F LIABILITY DATEtMMID2019 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. 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 pollcy(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 tUAA?__...__..._.18 7 7- 9 4.5..y7 i.....__......_............__..._...................._. ....__........................._.........,.........] -8 8 E- 4 6 7-�23 i 8 ...._.._. Willis of Pennsylvania, Inc. A NE....._I FAX c/o 26 Century Blvd � Ext1: 1 (A/C, NO): P . L1. 'Sow 305191 ADDRESS: SS: certificates@Willis.com Nashville, TN 372305191 USA INSURER S AFFORDINCt CQ1fERAGE ... ._....... ..._.._..,__..... �.....i _.._..... _...._..._.. _..__..._...._..,._,_._.._...._.........__...__......._..,._..__.... _ ..._..__...NAIL.#....__....._...... INSURER A.- Federal Insurance Company 20291 INSURED IN URER B : National Union Fire Insurance Company of P 19445 CrawsCastle International See Attached Named 7Cnsured List �� ...�.. IfjSgFlo RC: �W_.._- _....._.w__.._. �..,.... _ .. �.,...,..._ �w.,w� ....,-a �..M,u..,.., .._...�_._.._.__.... BerkshireHathawaySpecialty µInsurance ComM _.,_._._ 22276�,.__.. 1220 Augusta Dr. Saito 600 INSURER D : New Hampshire Insurance Company 23841 Houston, TAG 77057 .... ............._._......_..._...._....._.._........_.._,..,.....-_...._......._........... INSURERTE.+_....._ INSURER F COVERAGES CERTIFICATE NUMBER: 'W10680419 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, I,Tn TYPE OF INSURANCE, INW ..WYJ' POLICY NUMBER (MMIDDIYY"!Y) (MMIDD/YYYY LIMITS _. { AL LIABILITY CiiN1AE fC)TRENi'Eb_..._......._.._...._._........._...........__.._...,' QOd 000 ...._�".r_......... Ci�MMERCIALOENEF�'.._......... QCCUR RMISES I: taco rrenc � 1'_............_._"................. EACH OCCURRENCE $ 9 CLAIMS MADE X 1 pf i .... ,..... ,�.w ... �) 000, 000 MECIXp (Any..o!n... De.._.......),........_.._$_...__..,._...LL._ 10,000 3605-3335 04/01/2019 04/01/2020 PERSONAL & ADV INJURY ­11........ ... $ 1,000,000 ........_.................._._ ._._........._........_......,.___....._. GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 1 PRO. ......_... POLICY -Lt`�C PRC3DUCT•S -COMP/C)F� AQCc ...........:............................................................_............_............_._.. 2,000,000 �................ _......,...._.,......_.._ .._.__,.._........_........ OTHER.,, $ AUTOMOBILE LIABILITY 0 MBINED SINGLE LIMIT LEA..ccldprtla...._.......... ...._...._........,.._.........,-._..._._..._.__...,... $ 1,000,000 _..._..__..............__,.._,._..._,_._.... X ANY AUTO BODILY INJURY (Per person) $ B OWNED � SCHEDULED y y AUTO$ ONLY AUTOS CA 4993141 04/01/2019 04/01/2020 ""BODILY INJURY (Per accident)µ y, w HIRED NON -OWNED M.... _ .»M..__.,._.......,.._..�.. PRC)PERTY Df1MA(�E _..__....... _ ._...._......_.__...... W.._.. $ AUTOS ONLY AUTOS ONLY (PrIrJn........... _. $ ..0 X UMBRELLA LIAO X OCCUR EACH OCCURRENCE URRENCE...._.._,,. _....... 5,000,000 __.,,..._,.....,._..__-...._..........._...__.... EXCESS LIAR CLAIMS -MADE Y Y 47-fJMO`303445-03 04/01/2019 04/01/2020 AGGREGATE 5,000,000 X f 25, 000 DED RETENTION $ WCRKERS 60M1 ENSATLN PER j z OTH- AND EMPLOYERS' LIABILITY Y / N . S7 TUTS t ,. i. JEt ,, µ _ . . _... .. O ANYPROPRIETOFVPARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? Na NIA WC 012717225 04/01/2019 04/01/2020 E.L,. EACH ACCIDENT _ .. ----_._,.................._....,-.......... $ 1, 000, 000 ....... ..._.. (Mandatory` In NH) (MandatoryIn E.L, DISEASE - EA EMPLOYEE E 1,000,000 wH) It ®s, DESCRIPTION OF C7PERATIONS below E L,.DISEASE - POLICY LIMIT `��._._._.._._.._,,.._._....._.............•.. $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I'VE,HICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Hight -of -Way Agreement 'between. The City of Gilroy and 1N'ewpath Networks, LLC. 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 by written, agreement and only with respect to the liability arising out of the operations performed by or on behalf of the Named insured. CERTIFICATE HOLIER 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 AUTHORIZED REPRESENTATIVE Attn: City Administrator 7351 Rosanna Street G11ro,y, CA 9502.0 01988-2416 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sR are: 17721177 BATOH: 1129876 2 of 3 8119 AGENCY CUSTOMER 10: LOC #: ACCIPRAD ADDITIONAL REMARKS SCHEDULE Page 2 Of 2 AGENCY NAMEDINSURED Willis of Pennsylvania, Inc. Crown Castle International See Attached Named insured List POLICY NUMBER 1220 Augusta Dr. Suite 600 See Page I Houston, TX 77057 CARRIER I NAIL CODE See Page 1 See Page 1 EFFECTIVE DATE: see Page I ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: certificate of Liability insurance 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) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID. 17721177 BATCH: 1129876 CERT: W10680419 Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds 24/7 Chesapeake Holdings. LLC Crown Castle International Corp. 24/7 Mid-Atlatitic Network of Virginia, LLC Crown Castle International Corp. de Puerto Rico 24/7 Mid -Atlantic Network, LLC Crown Castle International LLC Access Fiber Group Holdings LLC Crown Castle Investment Corp. Access Fiber Group, Inc, Crown Castle Investment II Corp. AirCornm of Avon, L.L.C, Crown Castle MM Holding Corp, Atlantic Coast Communications LLC Crown Castle MM Holding LLC CA. - CLE C LLC Crown Castle MU LLC CC Castle International LLC Crown Castle MUPA LLC CC Edge LLC Crown Castle NG Atlantic LLC CC Edge Solutions LLC Crown Castle NG Central LLC CC Finance LLC Crown Castle NG East LLC CC FN Holdings LLC Crown Castle NG Networks LLC CC Holdings GS V LLC Crown Castle NG 'West LLC CC Site Acquisitions H LLC Crown Castle Operating Company CC Sunesys Fiber Networks LLC Crown Castle Operating LLC CC TM PA LLC Crown Castle Orlando Corp, CC Towers Guarantor LLC Crown Castle PR LLC CC Towers Holding LLC Crown Castle PR Solutions LLC CC TS LLC Crown Castle PT Inc, CCATT Holdings LLC Crown Castle Puerto Rico Corp, CCATT LCC Crown Castle Services LLC CCATT PR LLC Crown Castle Solutions LLC CCOS Holdings Corp. Crown Castle South LLC COPE Acquisitions LLC Crown Castle TDC LLC CCPR VI Tower Newco LLC Crown Castle TLA LLC CCS & E LLC Crown Castle Towers 05 LLC CCT2 Holdings LLC Crown Castle Towers 06-2 LLC CCTM Holdings LLC Crown Castle Towers 09 LLC CCTM I LLC Crown Castle Towers LLC CCTM2 LLC Crown Castle USA Inc, CCTMO LLC Crown Communication LLC Chesapeake Fiber, LLC Crown Conu-nunication New York, Inc. Coastal Antennas LLC Crown Mobile Systems, Inc. ComSite Venture, Inc, DAS Development Corporation Coverage Plus Antenna Systems LLC Fiber Technologies Networks, L.L.C. Cross Connect Solutions, Inc, (PA) Fibernet Direct Florida LLC Crown Atlantic Co.nil,.)aiiy LLC Fibernet Direct Holdings LLC Crown Castle AS LLC Fibernet Direct TEL LLC Crown Castle Atlantic LLC Fibernet Direct Texas LLC Crown Castle Augusta LLC Fibertcch Facilities Corp. (NY) Crown Castle BP ATT LLC Fibertech, Holdings Corp. Crown Castle CA Corp, Fibertech Networks, LLC Crown Castle Fiber LLC Vk/a Lightower Freedom Telecommunications, LLC Fiber Networks 11, LLC Crown Castle GS III Corp. Global Signal Acquisitions 11 LLC Crown Castle GT Company LLC Global Signal Acquisitions III LLC Crown Castle GT Corp, Global Signal Acquisitions IV LLC Crown Castle GT Holding Sub LLC Global Signal Acquisitions LLC Global Signal GP LLC Global Signal Holdings III LLC Global Signal Holdings IV LLC Global Signal. Operating PEii-ttier.stij.p, L.P. Global Signal Services LLC GoldenState Towers, LLC GS Savings Inc, GSPN Intangibles LLC High Point Management Co, LLC ICB Towers, LLC In-fraSource FI, LLC InSITE Fiber of Virginia LLC InSITE, Solutions LLC Interstate Tower Communications LLC Intracoastal City Towers LLC IX2 Center, LLC IX2 WilshireL11,CC JBCM Towers LLC Light Tower Clearinghouse LLC Light Tower Fiber New York, Inc, (NY) Light Tower Holdings LLC Light Tower Managemetit, Lic. Light Tower Metro Fiber LLC Lightower Fiber Infrastructure Corp. Lightower Fiber Networks 1,LLC Lightower Fiber Networks It, LLC n/k/a Crown Castle Fiber LLC LTS Buyer LLC LTS Group Holdings LLC LTS Intern nediate Holdings A LLC' LTS Intermediate Holdings BLLC LTS Intermediate Holdings C LLC M(17 Capitol One, LLC Mobile Media California LLC Mobile Media National LLC Modeo LLC MW Cell REIT I LLC MW Cell TRS I LLC NEON Transcoin, Inc. NewPath. Networks Holding LLC NewPath Networlus LLC NY - CLEC LLC OP 2 LLC OP LLC P3 CHB- I., LLC P3 Holdings 2014 LLC P3 0ASA-1, LLC P3 PBA-1, LLC PA - CLEC LLC 3 Of 3 8119 Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds Pinnacle San Antonio L.L.C. Pinnacle St. Louis LLC 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. PR Site Development Corporation PR TIC Corporation Princeton Ancillary Services 11 LLC Princeton Ancillary Services III LLC Radio Station WGLD LLC RGP Tower Group, LLC Shaffer & Associates, Inc. Sidera Networks UK Limited (UK) Sidera Networks, Inc. Sierra Towers, Inc. Sunesys Enterprise LLC Sunesys, of Massachusetts, LLC Sunesys of Virginia, Inc. Sunesys, LLC Thunder'Towers LLC Tower Development Cotporation 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 Rockl1ill 001, LLC TowerOnc Marple, LLC TowerOne Middletown 001, LLC TowerOne Middletown 002, LLC TowerOne Middletown 003, LLC Tower Otic North Coventry, LLC TowerOnc Partners, LLC TowerOue Richland, LLC TowerOne Upper Pottsgrove 002, LLC TowerOne Upper Pottsgrove, LLC TowerOne Warminster 001, LLC TowerOne Warrington 002, LLC Towers Finco It LLC Towers Finco IN LLC Towers Finco 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 Wilcon Holdings LLC Wilcon Operations LLC Wilshire Connection, LLC Wilshire Services, LLC Wireless Fundhig, LLC Wireless Realty Holdings 11, LLC Wireless Revenue Properties, LLC Yankee Metro Parent, Inc.