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CROWN CASTLE-2018
N-2017-047 z 200 Spectrum Center Drive Suite Phone: (949) 930,7458 CROWN 1700 www,crowncasue.com `�= Irvine, CA 92618 _.-.aa I1W3l1RANCE ON FILE WORK MAY PROCEED U ITIL 11SURANCE EXPIRES March 21, 2017 CLERK OF COUNCIL VIA Certified Mail DATE: City of Santa Ana M1 - 4 2011 Parks Recreation and Community 01 Attn: Robert Carroll PO Box 1988 Santa Ana, CA 92702 ®I RE: BU* 845344 — DOWNTOWN SANTA ANA Site Address: 951 W 6th St, Orange, CA 92703 Dear City of Santa Ana: In order to better serve the public and minimize the amount of towers in an area where a Lease is located, plans to modify the equipment at the telecommunication facility. The modification will not alter the character or use of the site nor will it change the nature of Crown Castle's occupancy of the site. The City of Santa Ana, CA requires Landowners Authorization for applications related to Land Use, zoning and/or building permits. Therefore, l respectfully request your notarized signature where indicated on the enclosed Property Owner Letter of Authorization and return back to me by 5/30/17 (a notary Acknowledgement form is included, and a notary can be scheduled to meet with you upon request). Thank you for your continued cooperation with Crown Castle, If you have any questions concerning this request, please feel free contact me at (949) 930-7458 or via email at Brenda.Mota.Contractor@ crowncastle. corn Yours truly, Brenda Mota Real Estate Specialist (949)930-7458 Brenda. Mota.Contractor @ crowncastle. cam N-2017-047 CROWNE 200 Spectrum Center Drive Suite 1700 i Pnone� (949) 930-745B Irvine, CA 92618 www.arowncasllecam CASTLE April 19, 2017 VIA CertiFed Mail City of Santa Ana Paris Recreation and Community Attn: Robert Carroll PO Box 1988 Santa Ana, CA 92702 RE: BU 845344 1 951 W 6th St Orange, CA 92703 ("Site") Lease Agreement, dated November 16, 2oo1, as amended ("Lease") -Agreement #A - 2oai-o6o Consent for Modification Dear City of Santa Ana ("Landlord"), Pursuant to a Lease Agreement between ("TMO") and CCTMO LLC ("CCTMO"), CCTMO manages and operates the tower site that is subject to the Lease on. behalf of TMO. CCTMO is a Crown Castle eampany. CCTMO and its affiliates and subsidiaries own, manage and operate shared Mreless communication facilities. In order to better serve the public and minimize the amount of towers in an Area where this property is located, plans to modify is equipment at wireless communication facility (the "Modification"). THIO has authorized CCTMO to contact you and request consent to the modification of the existing equipment. Purswat to Paramph Section 23: Prior to commencement of any construction, alterations, modifications, or improvements, Tenant agrees to submit architectural and engineering drawings (plans) of the equipment to be installed to the Landlord for its approval. Landlord will have a reasonable amount of time ...to disapprove them in writing." Pursuant to The Lease, TMO is required to obtainyour consent. Under the Lease, Landlord's consent cannot be unreasonably withheld, conditioned or delayed. Therefore, CC'I'M0, on behalf of TMO, respectfully requests your consent to the Modification. Please indicate your consent by executing this letter where indicated below and return one original of the same to the address indicated above. A prepaid envelope is included foryour convenience. Thank you for your continued cooperation with TMO and CCTMO. If you have any questions concerning this issue, please contact Brenda Mota at (949) 930-7458 or Srenda.Nlota,Contractor «cro,�ti,ncastle.com. Sincerely, Brenda Mota Real Estate Specialist APPROVED AS TO FORM r � LISA E. STORCK Assistant City Attorney Agreed and accepted (Date) ROBERT C. CORTEZ (Lessor's signature) DEPUTY-^ ITY M MAR Maria Huizar Clerk of the Council (Attest) The Foundation for a Wifeless World. ACTING EXECUTIVE DIRECTOR PRCSA CrownCastle.cam n JEANNIE JURADO REECOMENDED FOR APPROVAL: N-2017-047 Rropprty.02vner Letter ofAutl m iza 'a City of Santa Ana, CA 20 !Civic Centex Plaza (M-ig) PO Box 1986 Santa Ana, CA 92702 Re: Zoning/ Permitting — Plan / Design Review Process I hereby represent that I am the legal owner of the property referenced below, and I hereby give my authorization to and/or its Agent(s), to act as our Agent(s) in processing and obtaining approval for Building andf or Zoning permits through the City of Santa Ana, CA for the modification of the facility located at the wasting wireless communications site described as: Crown Site ID; 845344/Downtown Santa Ana Site Address: g5i IV 6th St, Strange, CA 92703 APN: 405-191-01 Property Owner CITY OF SANTA ANA By: ROBE T—C—CORTEZ Date: DEPUTY CITY MANAGER N-2017-047 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of 0i e me, ) On�f T � � - before me, 1-3f A 6-6 -v A l '. (insert name and tit a of the officer) personally appeareC. d�Z-- : who proved to me on the basis of satisfactory evidence to be the person, g) whose namex is/are subscribed to the within instrument and acknowledged to me that helshe� they executed the same in his1ha;Ahe4r authorized capacity(i6's), and that by hislhe€Aheir signature(gy on the instrument the persons), or the entity upon behalf of which the personKacted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. A RASA A. FLARES µms" Commission # 2057129 [ Z 'a Notary Public - California z Z ''�' orange County My Comm. Expires Feb 7, 2018 Signature �� R`�� (Seal) ;aff1111-1 fr March 21, 2017 CROWN City of Santa Ana Parks Recreation and Community Attn: Robert Carroll PO Box 1988 Santa Ana, CA 92702 200 Spectrum Center Drive Suite 1700 Irvine, CA 92618 RE: BU# 845344 — DOWNTOWN SANTA ANA Site Address: 951 W 6th St, Orange, CA 92703 Dear City of Santa Ana: Phone: (949) UG -7458 www.crowncastle.com VIA Certified Mail In order to better serve the public and minimize the amount of towers in an area where a Lease is located, plans to modify the equipment at the telecommunication facility. The modification will not alter the character or use of the site nor will it change the nature of Crown Castle's occupancy of the site. The City of Santa Ana, CA requires Landowners Authorization for applications related to Land Use, zoning and/or building permits. Therefore, I respectfully request your notarized signature where indicated on the enclosed Property Owner Letter of Authorization and return back to me by 5/30/17 (a notary Acknowledgement form is included, and a notary can be scheduled to meet with you upon request). Thank you for your continued cooperation with Crown Castle. If you have any questions concerning this request, please feel free contact me at (949) 930-7458 or via email at Brenda.M ota. Contractor@ crowncastle.com Yours truly, Brenda Mota Real Estate Specialist (949) 9307458 Bronda.Mota.Contractor@crowneastle.com F�ATE AIS ii' CERTIFICATE OF LIABILITY INSURANCEPage Z of 2 03/28+/20171 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, subjectto 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). PRODUCER CONTACT NAME Willis of Pennsylvania, Inc. c/o 25 Century Blvd.ACC,NC„EXT)-._$17-945-7378�Q} P. C. sox 305191 PHONE PAX 888-467-23,78 E MRESS certificates@wiilis.com Nashville, TN 37230-5191 INSURER(S)AFFORDING COVERAGE_ NAIC # iINSURERA:gederal Insurance Company 20281-005 EACH OCCURRENCE $ J. 000 000 INSURED Crown Castle International NSURERB',Travelers Property Casualty Cc of Amer ----— - -- 25674-001 - INSURERC:serkshire Hathaway Specialty Insurance Co,22276-001 See Attached NamedInsured List 1220 Augusta Dr. Suits 600 Houston, TX 77057 INSURERD-j INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER: 25309041 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 OFSUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. INSR1 TYPEOFINSURANCE pDDL SUERlNsr) "D POLSCYNUMBER I POLICY EFF POLIMM?ICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE[il OCCURPI�EMEScaoccurence) Y Y 7021-02-28 4/1/2017 4/1/2018 EACH OCCURRENCE $ J. 000 000 $ 1,0 0 000 MED EXP (Any one person) $ 5 000 PERSONAL IADV ENJURY ,$_ 1, 000,000 GENERAL AGGREGATE $ 2 000 D00.., f I GEN'LAGGREGATE LIMIT APPLIES PER: PRO- j� POLICY JECT LOC PRODUCTS COMPlOPgGG $ 2,000 000 Is OTHER: B AUTOMOBILE LIABILITYCOMBINEDSINGLELIMIT IY ` Y TC2JCAP-474M4749-17 4/1/2017 4/1/203$ I(Ea..a, $ 1,000,000 BODILY INJURY(Perperson) S X ANYAUTO I I I -I OWNED SCHEDULED AUTOS ONLY AUTCS HIRED NON -OWNED AUTOSONLY AUTOS ONLY SODILYINJURY(Peraccident) $ 11 - - {Per accident) $ 1�X C UMBRELLALIAB X OCCUR Y Y �47 UMO-303445-01 4/l/2017 4/1/2018 OCCURRENCE $ 5 000 000_ _EACH ; AGGREGATE $ 5, 000, 000 1 EXCESS LIAR j CLAIMS -MADE DED 1.1 !RETENTION$ 25,00a $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Yf N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMREREXCLUDED? IMandatnryinNH) F yes, describe under DESCR€PTICN OF OPERATIONS below I N1Aj Y [ �TC2,TUB-474M9694-17 TRKUB-474M9701-17 4/1/2017 I ;4/1/2017 1 4/1/2018 ,4/l/2QIS �` ��6 G '+ 1{PER$_�-ST.ATUTE_.__I E. L. EACH ACCIDENT $ 1_ 000,000 --- IE�L.DISEASE-EA EMPLOYEE $ 1,000,000 "- �, E,L. DIE -POLICY LIMIT T. 1,000,000 I i Ie, DESCRIP71ON Of OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Additional Remarks Schedule, may be attached If eq SU#845344 - DOWNTOWN SANTA ANA, 1104 CIVIC CENTER DRIVE, SAN Ai3A 3 (951 3/4 West 6th Street) . City of Santa Ana, its officers, agents, employees an volunte'?are included 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. City of Santa Ana Parks, Rec. & Community Services 20 Civic Center Plaza PO sox 1988, M-23 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. kUTH IZED REPRES ATIVE Coll: 5053152 Tpl :2134023 Cert:25309041 ©1988-2015ACORD CORPORATION, All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 713115 LOC#: ADDITIONAL REMARKS SCHEDULE Page-2.._of-2— AGENCY Willis of Pennsylvania, Inc. NAMED INSURED Crown Castle International See Attached Named Insured List 1220 Augusta Dr. Suite 600 g Houston, TX 77057 _ POLICY NUMBER See First Page CARRIER _ I NAIC CODE Y 1 See First Page EFFECTIVE DATE: See First Page ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE General, Automobile, Excess Liability, and Workers Compensation policies include a Waiver of Subrogation in favor of the Additional Insureds when required by written contract and as permitted by law but always subject to the policy terms, conditions and exclusions. �j ACORD 101 (2008101) Coll : 5053152 Tpl :2134023 Cert:25309041 @)2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds s � . 24/7 Chesapeake Holdings, LLC Crown Castle MM Holding Corp. 2417 Mid -Atlantic Network, LLC Crown Castle MM Holding LLC 24/7 Mid -Atlantic Network of Virginia, LLC Crown Castle MULLC Access Fiber Group Holdings LLC Crown Castle NO AtlantieLLC Access Fiber Group, Inc. Crown Castle NO CentralLLC AirComm of Avon, L.L.C. Crown Castle NO East LLC Atlantic Coast Communications LLC Crown Castle NO NetworksLLC CA - CLEC LLC Crown Castle NO WestLLC CCT2 Holdings LLC Crown Castle OperatingCompany CC Castle International LLC Crown Castle Orlando Corp. CC Towers Holding LLC Crown Castle PR LLC CC TS LLC Crown Castle PR Solutions LLC CC IN Holdings LLC Crown Castle PT Inc. CC Finance LLC Crown Castle Puerto Rico Corp. CC Holdings GS V LLC Crown Castle Services LLC CC Site Acquisitions 11 LLC Crown Castle SolutionsLLC CC Sunesys Fiber Networks LLC Crown Castle SouthLLC CC TM PA LLC Crown Castle TDCLLC CC Towers Guarantor LLC Crown Castle TLALLC CCATT Holdings LLC Crown Castle Towers 05 LLC CCATT LCC Crown Castle Towers 06-2 LLC CCATT PR LLC Crown Castle Towers 09 LLC CCGS Holdings Corp. Crown Castle Towers LLC CCPR VI Tower Newco LLC Crown Castle MUPALLC CCS & E LLC Crown Castle USA Inc. CCTM Holdings LLC Crown Communication LLC CCTMI LLC Crown Communication New York, Inc. CCTM2 LLC DAS Development Corporation CCTMO LLC Fibernet Direct Florida LLC ComSite Venture, Inc. Fibernet Direct Holdings LLC Chesapeake Fiber, LLC Fibernet Direct TEL LLC Coastal Antennas LLC Fibernet Direct Texas LLC Coverage Plus Antenna Systems LLC Global Signal Acquisitions I1 LLC Crown Atlantic Company LLC Global Signal Acquisitions III LLC Crown Mobile Systems, Inc. Global Signal Acquisitions IVLLC Crown Castle AS LLC Global Signal AcquisitionsLLC Crown Castle Atlantic LLC Global Signal GP LLC Crown Castle Augusta LLC Global Signal Holdings III LLC Crown Castle BP ATT LLC Global Signal Holdings TV LLC Crown Castle CA Corp. Global Signal Operating Partnership, Lve�, Crown Castle GS III Corp. Global Signal Services LLC Crown Castle GT Company LLC GoldenState Towers, LLC �P,`la N�. Crown Castle GT Corp. GS Savings Inc. Crown Castle GT IToldi.ng Sub LLC High Point Management Co.LLC J � Crown Castle International Corp. ICB Towers, LLC Crown Castle International LLC InfraSource Fr, LLC Crown Castle International Corp. de Puerto Rico InSITE Fiber of Virginia LLC Crown Castle Investment II Corp. InSITE Solutions LLC Crown Castle Investment Corp. Interstate Tower Comm unications LL C Crown Castle International Corp. Consolidated Subsidiaries as Named Insureds o Intracoastal City Towers LLC TowerOne East Rockhill 001, LLC LL Q1-16, LLC TowerOne Marple, LLC Mobile Media California LLC TowerOne Middleton 003, LLC Mobile Media National LLC TowerOne Middletown 001, LLC Modeo LLC TowerOne Middletown 002, LLC Md7 Capitol One, LLC TowerOne North Coventry, LLC MW Cell REIT 1 LLC TowerOne Partners, LLC MW Cell TRS 1 LLC TowerOne Richland, LLC NewPath Networks Holding LLC NewPath Networks LLC NY - CLEC LLC OP 2 LLC OP LLC P3 CH13-1, LLC PA - CLEC LLC Pinnacle San Antonio L.L.C. Pinnacle Towers Acquisition Holdings LLC Pinnacle Towers Acquisition LLC Pinnacle Towers Asset Holding LLC Pinnacle Towers Canada, Inc. Pinnacle Towers III LLC Pinnacle Towers Limited Pinnacle Towers LLC Pinnacle Towers V Inc. Pinnacle St. Louis LLC PR Site Development Corporation PR TDC Corporation Princeton Ancillary Services I1 LLC Princeton Ancillary Services I:II LLC Radio Station WGLD LLC RGP Tower Group, LLC Shaffer & Associates, Inc. Sierra Towers, Inc. Sunesys, LLC Sunesys Enterprise LLC Sunesys of Massachusetts, LLC Sunesys of Virginia, Inc. Tower Development Corporation Towers Finco LLC Towers Finco 11 LLC Towers Finco III LLC Tower Systems LLC Tower Technology Company of Jacksonville LLC Tower Ventures 1I1, LLC TowerOne 2012, LLC TowerOne Allentown 00t, LLC TowerOne Bethlehem 001, LLC TowerOne Doylestown, LLC TowerOne Upper Pottsgrove, LLC TowerOne Upper Pottsgrove 002, LLC TowerOne Warminster 001, LLC TowerOne Warrington 002, LLC TriStar Investors LLC TVHT, LLC WA - CLEC LLC WCP Wireless Lease Subsidiary, LLC WCP Wireless Site Funding LLC WCP 'Wireless Site Holdco LLC WCP Wireless Site Non -RE Funding LLC WCP Wireless Site Non -RE Holdco LLC WCP Wireless Site RE Funding LLC WCP Wireless Site RE Holdco LLC Wireless Funding, LLC Wireless Realty Holdings 11, LLC Wireless Revenue Properties, LLC