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<br /> Ac?$ CERTIFICATE OF LIABILITY INSURANCE DATE(MM! 2025Y)
<br /> 03/27/2025
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT Crown Castle Inc.
<br /> NAME:
<br /> Willis Towers Watson Northeast, Inc. PHONE FAX
<br /> c/o 26 Century Blvd (A/C.No.Extl: (A/C,No):
<br /> P.O. Box 305191 EMAIL ADDRESS: COIRe quest@crowncastle.com
<br /> Nashville, TN 372305191 USA INSURER(S)AFFORDINGCOVERAGE NAIC#
<br /> INSURERA: ACE American Insurance Company 22667
<br /> INSURED INSURER B:
<br /> Crown Castle Inc.
<br /> See Attached Named Insured List INSURER C:
<br /> 8020 Katy Freeway
<br /> INSURER D
<br /> Houston, TX 77024
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:W38382425 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR ADDL SUER POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE IUD WVD POLICY NUMBER .JMMIDD/YYYYUMMIDD/YYYYL LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 1,000,000
<br /> A MED EXP(Any one person) $ 10,000
<br /> Y Y HDO G48933889 04/01/2025 04/01/2026
<br /> PERSONAL BADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> X POLICY PRO LOC 4,000,000
<br /> PRO-
<br /> JECT PRODUCTS-COMP/OPAGG $
<br /> OTHER: S
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 2,000,000
<br /> (Ea accident)
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED Y Y ISA H11357131 04/01/2025 04/01/2026 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY (Per accident)
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESSLIAB CLAIMS-MADE Y Y XEUG47458262 002 04/01/2025 04/01/2026 AGGREGATE $ 5,000,000
<br /> DED X RETENTIONS 25,000 $
<br /> WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y I N STATUTE ER
<br /> A ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICERIMEMBEREXCLUDED? No N/A Y WLR C72611251 04/01/2025 04/01/2026
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
<br /> Business Unit #828436 - TMO10 Jerome Park RL, 2115 3/4 W. McFadden Ave. Santa Ana, CA 92704
<br /> Additional Insureds: City of Santa Ana, its officers, agents, representatives, employees and volunteers
<br /> General Liability and Auto Liability policies shall be Primary and Non-contributory with any other insurance in force
<br /> for or which may be purchased by Additional Insureds.. Certificate Holder is included as an Additional Insured under
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> APPROVED
<br /> By Tu Tran Nguyen at 10:16 am,Apr 01,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Tu Tran Digitallysignedby
<br /> Tu Tran Nguyen
<br /> Date:20259.04.01 AUTHORIZED REPRESENTATIVE
<br /> CITY OF SANTA ANA
<br /> Nguyen 10:16:44-07'00'
<br /> PO BOX 1988 M-23 _ 11 qp
<br /> SANTA ANA, CA 92702 ` {�`
<br /> ©1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br /> SR ID: 27488978 BATCH: 3893029
<br />
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