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HomeMy WebLinkAboutCOI - Crown Castle International - Expires 2024-04-01ACOREP CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 DATE (MM.DDNYYY) 03/27/2023 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, If SUBROGATION IS WAIVED, subject to the terms and conditions this certificate does not confer rights to the certificate holder in lieu the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. of the policy, certain policies may require an endorsement. A statement on of such endorsement(s). PRODUCER Willis Towers Watson Northeast, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA INSURED Crown Castle Inc. f/k/a Crown Castle International Corp. See Attached Named Insured List 8020 Katy Freeway Houston, TX 77024 COVERAGES CERTIFICATE NUMBER: W28461876 CONTACT NAME: Crown Castle Inc. NE X (A/C o. Eo): (AC, No): ADDRESS: Aqu COIRequest@crowncastle.com INSURERS) AFFORDING COVERAGE NAIC # INSURERA: Continental Casualty Company 20443 INSURERB: Berkshire Hathaway Specialty Insurance Com, 22276 INSURERC: Continental Insurance Company INSURER D : INSURER E : INSURER F : 35289 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. - - - .. -- - ---" ---------- - - -...------:ADDLSUBR� - - ---- INSR POLICY EFF LTR TYPE OF INSURANCE JNSD WVD POLICY NUMBER (MM,DDIYYYY) POLICY EXP (MM•DDlYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY 7018331477 EACH OCCURRENCE $ 2, 000, 000 A __ I CLAIMS -MADE OCCUR I " J DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000, 000 MED EXP (Any one person) $ 10, 000 Y Y 04/01/2023 04/01/2024 PERSONAL & ADV INJURY 1$ 2,000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- r. X ,POLICY JECT LOC OTHER: GENERAL AGGREGATE $ 4,000, 000 PRODUCTS - COMP:OPAGG $ 4,000,000 $ AUTOMOBILE UABILITY __ X ANY AUTO OWNED AUTOS ONLY HIRED o AUTOS ONLY 0 SCHEDULED Y Y BUA 7018331432 COMBINED SINGLE LIMIT _Ea accident) $ 2,000, 000 BODILY INJURY (Per person) $ 04/01/2023 04/01/2024 BODILY INJURY (Per accident) $ PROPERTY DAMAGE .(Per accident) $ X UMBRELLA LIAB EXCESS LIAB DED I Xi RETENTIONS I X 1 OCCUR Y Y 47-UM0-303445-09 EACH OCCURRENCE $ 5,000, 000 04/01/2023 04/01/2024 AGGREGATE $ 5,000, 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORPARTNEITEXECUTIVE OFFICEII,MEMBEREXCLUDED? (Mandatory In NH) II yes, describe under DESCRIPTION OF OPERATIONS below Y / N No N/A Y WC7018331446 X I STATUTE I 1 ERH 04/01/2023 E.L. EACH ACCIDENT 04/01/2024 - - f E.L. DISEASE - EA EMPLOYEE $ 1,000, 000 $ 1,000,000 I E.L. DISEASE • POLICY LIMIT $ 1, 000, 000 1 I DESCRIPTION OF OPERATIONS / LOCATIONS r 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. Additional Insureds: City of Gilroy, and its elected and appointed council members, board members, commissioners, officers and officials.. Certificate Holder is included as an Additional Insured under the General Liability, Auto Liability and Umbrella/Excess Liability policies as their interest may appear and 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. CERTIFICATE HOLDER City of Gilroy Attn: City Administrator 7351 Rosanna Street Gilroy, CA 95020 RE APR 10 2023 GILROYCITYCLERK'S OFFICE 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. AUTHORIZED REPRESENTATIVE v ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 23917806 BATCH, 2908394 2 of 3 35513 rJ 0 NJ '3U1 94Si?319Rl10.9O zzat.:oleo uoi;ip3