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AGENCY CUSTOMER ID: 713115 <br />LOC#: <br />`'� ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2__ <br />AGENCY <br />NAMED INSURED <br />Crown Castle International <br />Willis of <br />Pennsylvania, Inc. <br />See Attached Named Insured List <br />1220 Augusta Dr. Suite 600 <br />Houston, TX 77057 <br />POLICY NUMBER <br />See First <br />Page <br />I <br />CARRIER <br />NAIC CODE <br />See First <br />Page <br />EFFECMEDATE: See First P8 e <br />AUDI I IUKAL KGMAKK5 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />cnou MI DMo=o. 25 more Tm C. CERTIFICATE OF LIABILITY INSURANCE <br />Certificate Holder is included as an Additional Insured under the General Liability, Automobile <br />Liability and Umbrella/Excess Liabilitppolicies as their interest may appear and where required <br />written agreement and only with respect' to the liability arising out of the operations performed <br />or on behalf of the Named Insured. <br />General Liability, Automobile Liability, Umbrella/Excess Liability and Workers' Compensation <br />include a Waiver of Subrogation in favor of the Additional Insured when required by,written <br />contract but always subject to the policy terms, conditions, exclusions and as permitted by law. <br />Additional Insureds. City of Santa Ana, its officers, agents, representatives, employees and <br />volunteers <br />General Liability policy shall be Primary and Non-contributory with any other insurance in force <br />for or which may be purchased by Additional Insureds as required by written contract <br />e�`e�ed`ay <br />GueJ�ci�n' <br />Q�G <br />ACORD 101(2008/01) Coll:5195366 Tpl:2208919 Cert:26194691 ©200BACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />