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A� CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 03/2812717 ) 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). INSURED Willie of Pennsylvania, Inc. c/o 26 Century Blvd. P. 0. Box 305191 Nashville, TN 37230-5191 Crown Castle International See Attached Named Insured List 1220 Augusta Dr. Suite 600 Houston, TX 77057 COVERAGES CERTIFICATE NUMBER: 25309041 -945-7378 INSURER A: Federal Insurance Company 20281-005 INSURER B. Travelers Property Casualty Cc of Amer 25674-001 INSURER¢ Berkshire Hathaway Specialty Insurance Cc 22276-001 INSURER D. INSURER E. INSURER F. 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPEOFINSURANCE ADDL SUB' POLICYNUMBER POLICY EFF POLICY E%P LIMITS A RCOMMERCIAL GENERAL LIABILITY y y 7021-02-28 4/1/2017 4/1/2018 EEACHHOCCCURsRENCE S 1000,000 CLAIMS -MADE $OCCUR ., pRM%iQRoaaEece)_ $1,000,00000 MEDEXPIAnyomperson) $ _ 51000 _ PERSONAL S ADV INJURY $ 1'000�000_ GEN'L AGGREGATE UMITAPPUES PER: GENERALAGGREGATE $ ___ 000. 000PRO- X_. POLICY -. JECT .._- LOC ,2 PRODUCTS-COMP/OP AGG $ 2 00_0 000 ., OTHER $ B AUTOMOBILE LIABILITY y Y TC2JCAP-474M9749-17 4/1/2017 4/1/2018 COMBINEDSiNGLE LIMIT(Ea acdclent) $ 1,000,000 X ANY AUTO BODILY INJURY(Pwpamom $ _ OWNED SCHEDULED AUTOSONLY AUTO$ BODILY INJURY(Perarieentl $ _ HIRED -'NON-OWNED PROPERTY'DANIAGE $ -. .. AUTOSONLY -AUTOSONLY (Perecclden0 $ C X UMERELLALIAB X OCCUR y y 47-UMO-303445-01 4/1/2017 4/l/2018 EACH OCCURR_ENCE__ $ 5,r4Q0.ODD. EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000 O00_ DIED X RETENTIONS 25,000 $ B WORKERS COMPENSATION y TC2JUB-474M9694-17 4/1/2017 4/1/2018 X R UJH- ER..___.__.._._.- AND EMPLOYERS' LIABILITY IN ---STATUTE._- B ANY PROPRIETOR/PARTNERdEXECUTIVE N/A TR%UB-474M9701-17 4/1/2017 4/1/2018 E ACCIDENT_S ACCIDENT 1,000,000 OFFICERIMEMBER EXCLUDED? IMandaroryln NH) ff yyes, describe under 4816 EMPLOY $ 1,000,000 DESCRIPTIONOF OPERATIONS below E.L.DISEASE-POL MIT $ 1,000,000 �e DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is BU#845344 - DOWNTOWN SANTA ANA, 1104 CIVIC CENTER DRIVE, SANTA ANA, 3�(� 3/4 Nest 6th Street) . City of Santa Ana, its officers, agents, employees and volunteers are i eluded as Additional Insureds under the General, Automobile, and Excess Liability policies 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 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 Santa Ana Parke, Rec. & Community Services AUTH IZED E 20 Civic Center Plaza PO Box 1988, M-23 Santa Ana, CA 92702 Coll:5053152 Tpl:2134023 Cert:25309041 01988-2015ACORD CORPORATION. All rights reserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD