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4� "® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 06/OB/2015 THIS CERTIFICATE IS ISSUED ASA 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(les)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 andorsement(s). Willie of Pennsylvania, Inc. c/o 26 Century Blvd. P. 0. Box 305191 Nashville, TN 37230-5191 888-467-2378. INSURERA: Federal Insurance Company 20201-005 INSURED — _. _____ —_ __.. Crown Castle International INSURERS North American Elite Insurance Company 29700-001 See Attached Named Insured List INSURERC _ 1220 Augusta Dr. Suite 500 INSURER D: Houston, TX 77057 ,r1 _. cosA a90 INSURCRE INSURER F COVERAGES CERTIFICATE NIIMRFR•R11ARARR RF\/IRIr1NWIIAAM00- 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, EXCLUSIO_ NS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED CLAIMS. INS# APDL SUER - - LreTYPEOFINSURANCE POLICY NUMBER _B_Y_PAID ', POLICYEFF POLICY EXP -_i LIMITS AR_. COMMERCIAL GENERAL LIABILITY y y '7021-02-28 4/1/2015 4/1/2016 '_EEnAnCMHpOCCURRFENCE 'S 1`00.2900__. .; CLAIMS-MADE_X OCCUR_1.1000,1000 _ MEDEXP(Aayeneperson) :5 5,000 PERSONAL&ADV INJURY _ IS 1 000.1.000_ GEN'LAGGREGATEUMITAPPLIESPER: -PRO- _ GENERAL AGGREGATE $ —_ 2x0_0,01000 X POLICY _ JECT LOC PRODUCTS-OOMPIOPAGG 'S 2.000 OQO__,,, OTHER '.S A AUTOMOBILE LIABILITY ',y y 7021-02-29 4/1/2015 .4/1/2016 j OMS daDl)INGLE LIMIT '.S 1,0001000 X ANYAUTO BODILY INJURY(Perperson) IS AO- -SCHEDULED AUTOS AUTOS BODILY INJURY(Peracdtlenq 8 ._ HIREDAUTOS ON-WNEO : NON-OWNED EItl OAMAG _. _ .(POs S B X UMBRELLA LIAR X ,OCCUR y Y UMB 2000165-01 4/1/2015 4/1/2016 EACH OCCURRENCE $ 51090 000 EXCESS LIAB '.. CLAIMS -MADE ...RETENTIONS AGGREGATE—'S —_— _—'.'S 5, 000, QQ0,,,,_,_ DED X 25,000 '.� A WORKERS COMPENSATION Y '7171-06-98 4/1/2015 ',4/1/2016 X ". CTpTI Tf ER'._ ANDEMPLOYERS'LIABILITYYIN -------- ANY PROPRIETOR/PARTNERIEXECUTIVE NIA IE. L. EACHACCIOENT 5 —' 1/000/000 _ 1,0 OFFICERIMEMBER EXCLUDED? IMandatar WNH} ` E L. DISEASE- EA EMPLOYEE $ -._— ...__.._-.._—_— 1,000,000 ogy,deembe under ESCRIPTIONOFOPERATIONSbelew E.L. DISEASE POLICY LIMIT S 1,000,000 i DESCRIPNONOFOPERATIONSILOCATIONS/VEHICLESIACOROtet,AddlronalRemar aSoM ula,may Eeaitachedifm mspaceismqulmdl ED #828440 - TM3009 E1 Salvador Park l2 See attached: T 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 Santa Ana Attn: Insurance Compliance RUTH ZED REPRE.' ATIVE 20 Civic Center Plaza PA. Box 1965 Santa Ana, CA 92702 C011:4704127 Tpl:1933413 Cert:23245088 01888-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD