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DATE (MMIDDIYYYY)
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ACORD CERTIFICATE OF LIABILITY INSURANCE —g...u, |store
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).
PRODUCER Lockton Companies, LLC GONTACT
DBA Lockton Insurance Brokers. LLC in CA PHONE FAX
CA license #0F 15767 {AIC-No, Ext: (AIC, No}:
1185 Avenue of the Americas, Ste. 2010 ADDRESS:
New York NY 10036 INSURER(S) AFFORDING COVERAGE NAIC #
(646) 572-7300 wsurer A: ACE American Insurance Company : 22667
INSURED Crown Castle Fiber LLC insurer B : ACE Property and Casualty Insurance Company I 20699
1576269 1500 Corporate Drive INSURER ¢ :
Cannonsburg , PA [5317 INSURERD:
INSURER E: _|
INSURER F :
COVERAGES CERTIFICATE NUMBER: _ 23482047 REVISION NUMBER: XXXXXXX
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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR] ADDL SUBR} POLICY EFF POLICY EXP.
LTR | TYPE OF INSURANCE INSD_WVD_ POLICY NUMBER (MMIDDIVYYY)_(MM/DD/YYYY) LIMITS
‘A. _X_| COMMERCIAL GENERAL LIABILITY YN. Hp0G49390014 5/1/2026 5/1/2027 _EACH OCCURRENCE _[s 2,000,000
“DAMAGE TO RENTED |
CLAIMS-MADE | X_ OCCUR PREMISES (Ea occurence) |S XXXXXXX
| MED EXP (Any one person) | $ XXXXXXX
' PERSONAL & ADVINJURY _§ 2,000,000
| GEN'L AGGREGATE LIMIT APPLIES PER ! | GENERAL AGGREGATE s 4,000,000
[X_ pouicy 5B: Loc “ CTS -comP/op ace | $ 2,000,000
OTHER: : [s
A | AUTOMOBILE LIABILITY YN __ISAH11352285 "5/1/2026 5/1/2027 COMBINED SINGLELIMIT is 9 900,000
x | ANY AUTO BODILY INJURY (Per person) | $ XXKXXXX
EO ONLY | SCHEDULED BODILY INJURY (Per accident) $ XXXKKKX
[~~] HIRED NON-OWNED ! DROBERTY DAMAGE
|__| auTos onLY AUTOS ONLY | (Per accident) Ss XXXXXXX
' s XXXXXXX
B {LX | UMBRELLA LIAB X_| occur N Y | XEU G49390038 001 5/1/2026 5/1/2027 | EACH OCCURRENCE s 10,000,000
EXCESS LIAB | CLAIMS-MADE i | AGGREGATE |$ 10,000,000
peo | X| Retentions 25,000 s XXXXXXX
WORKERS COMPENSATION | PER OTH-
‘A. | AND EMPLOYERS’ LIABILITY vin Y | WLR C72809865 (Ded) 5/1/2026 §/1/2027 _X.| STATUTE ER _
A | ANY PROPRIETOR/PARTNEREXECUTIVE SCF C72809877 (Retro) 9/1/2026 5/1/2027 et. EACH ACCIDENT s 1,000,000
OFFICER/MEMBER EXCLUDED? NIA j
(Mandatory in NH) : LE.L. DISEASE- EA EMPLOYEE! S$ 1.000.000
Ifyes, describe under i
DESCRIPTION OF OPERATIONS below EL. DISEASE - PoLcyLimiT_$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Site Location - E] Mirage, AZ ROW
CERTIFICATE HOLDER CANCELLATION __ See Attachment
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
23482047 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
of El Mirage
ar N: City Engineer,
10000 N E) Mirag! g Ra, AUTHORIZED REPRESEN ATIVE oe ®B
El Mirage AZ $533 Noy 1 F
© 1988-2015 ACORD CORPORATION. ‘il rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
CONTINUATION DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS (Use only if more space is required)
City of El Mirage, its representatives, officers, directors, officials and employees are included as an Additional Insured under
the General Liability policies as their interest may appear and 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 El Mirage, its
representatives, officers, directors, officials and employces are included as an Additional Insured under the General Liability,
Auto Liability and Umbrella Liability policies as their interest may appear and 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 El
Mirage, its representatives, officers, directors, officials and employees are included as an Additional Insured under the :
Umbrella Liability policy as their interest may appear and 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. The Workers Compenation policies
include a Waiver of Subrogation in favor of the Additional Insureds when agreed in written contract prior to the loss, but
always subject to the policy terms, conditions and exclusions as permitted by law.
ACORD 25 (2016/03) Certificate Holder ID: 23482047
Attachment Code: D691755 Master ID: 1576269, Certificate ID: 23482047
The following entities previously merged into Crown Castle Fiber LLC (or another entity that merged into
Crown Castle Fiber LLC):
24/7 Chesapeake Holdings, LLC
24/7 Mid-Atlantic Network of Virginia, LLC
24/7 Mid-Atlantic Network, LLC
Access Fiber Group Holdings, LLC
Access Fiber Group, Inc.
CA- CLEC LLC
CC EN Holdings LLC
CC Sunesys Fiber Networks LLC
Cross Connect Solutions, Inc.
Crown Castle NG Atlantic, Inc.
Crown Castie NG Atlantic LLC
Crown Castle NG Central, Inc.
Crown Castle NG Central LLC
Crown Castle NG East, Inc.
Crown Castle NG East | LLC
Crown Castle NG West, Inc.
Crown Castle NG West 1 LLC
Crown Castle NG West LLC
Crown Castle Solutions | LLC
Fiber Technologies Networks, L.L.C.
Fiber Technologies New York Networks, Inc.
Fibernet Direct Florida LLC
Fibernet Direct Holdings, LLC
Fibernet Direct TEL LLC
Fibernet Direct Texas LLC
Fibertech Holdings Corp.
Fibertech Networks, LLC
Freedom Telecommunications, LLC
InfraSource Fl, LLC
InSITE Fiber of Virginia LLC
InSITE Solutions, LLC
1X2 Center, L.L.C.
IX2 Wilshire, LLC
Light Tower Metro Fiber LLC
Lightower Fiber Infrastructure Corp.
Lightower Fiber Networks |, LLC
LTS Buyer LLC
NEON Transcom, Inc.
NewPath Networks Holding LLC
NewPath Networks, LLC
NextG Networks of NY, Inc.
NextG Networks of Illinois, Inc.
NY - CLEC LLC
PA - CLEC LLC
Sidera Networks, Inc. (formerly RCN Corporation)
Sunesys of Massachusetts, LLC
Sunesys of Virginia, Inc.
Sunesys, LLC
WA - CLEC LLC
Wilcon Holdings LLC
Wilcon Operations LLC
Attachment Code: D691755 Master ID: 1576269, Certificate ID: 23482047
Wilcon Services, LLC
Wilshire Connection, LLC
Light Tower Holdings, LLC
Lightower Fiber Infrastructure Corp. (fka NSTAR Communications, Inc.)
Neon Transcom, Inc. (fka Columbia Transmission Communications Corporation)
Yankee Metro Parent, Inc.
CCG Communications, LLC
Connecticut Datanet LLC
Con Edison Communications
Consolidated Edison Communications
DataNet Communications Group, Inc.
Exobit Networks Inc
Fiber Technologies Construction Company, L.L.C.
Fiber Technologies Management, Inc.
Hudson Valley Datanet, LLC
Hugh O'Kane Electric Co., Inc.
KeySpan Communications Corp.
Lexent Metro Connect, LLC
Lexent, Inc.
Life Voice, Inc.
LT LLC (fka WGN Acquisition LLC)
Light Tower LLC (formerly National Grid Wireless Holdings Inc)
Light Tower Fiber LLC
Light Tower Fiber Long Island LLC (fka Nees Communications, Inc.)
LT Merger Sub LLC
Neon Communications Group, Inc.
Neon Communications, Inc.
Neon Connect, Inc.
Neon Optica, Inc.
New Jersey DataNet Telecom LLC
Northeast Optic Network of Connecticut, Inc.
Northeast Optic Network of New York, Inc.
Open Access Acquisition LLC
Open Access Inc.
RCN Financial Management
RCN International Holdings
SD1 Merger Sub LLC
$D2 Merger Sub LLC
SD3 Merger Sub LLC
Sidera Networks of Long Island, Inc. (formerly Long Island Fiber Exchange)
Sidera Networks of Virginia, Inc. (formerly RCN Telecom Services)
Veroxity Holdings, Inc.
Veroxity Technology Partners BT
Yankee Metro Partners, LLC