ANY PROPRIETOR/ PARTNER/ EXECUTIVE
OFFICER/ MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
DATE ( MM/DD/YYYY)
PRODUCER CONTACT
NAME:
FAXPHONE
A/C, No, Ext): A/C, No):(
E-MAIL
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER EXPTYPEPOLICY EFF POLICY
OF INSURANCE MM/DD/YYYY)( MM/DD/YYYY) LIMITS(
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ( ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS- MADE OCCUR $ PREMISES ( Ea occurrence)
MED EXP ( Any one person)$
PERSONAL & ADV INJURY $
GEN' L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PROPOLICY LOC PRODUCTS - COMP/ OP AGG $ JECT
OTHER:$
COMBINED SINGLE LIMIT $(
Ea accident)
ANY AUTO BODILY INJURY ( Per person)$
OWNED SCHEDULED BODILY INJURY ( Per accident)$
AUTOS ONLY AUTOS
HIRED NON- OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY ( Per accident)
OCCUR EACH OCCURRENCE $
CLAIMS- MADE AGGREGATE $
DED RETENTION $$
PER OTHSTATUTE ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ INSURER( S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A
Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
1988-2015 ACORD CORPORATION. All rights reserved.
ACORDACORD 25 (2016/03) The ACORD name and logo are registered marks of
CERTIFICATE OF LIABILITY INSURANCE
Lockton Companies, LLC
DBA Lockton Insurance Brokers, LLC in CA
CA license # 0F15767
1185 Avenue of the Americas, Ste. 2010
New York NY 10036
646) 572- 7300
Crown Castle Fiber LLC
1500 Corporate Drive
Canonsburg, PA 15317
ACE American Insurance Company 22667
ACE Property and Casualty Insurance Company 20699
X
X
2,000, 000
2,000, 000
XXXXXXX
2,000, 000
4,000, 000
2,000, 000
X
2,000, 000
XXXXXXX
XXXXXXX
XXXXXXX
XXXXXXX
X X
X 25,000
10, 000, 000
10, 000, 000
XXXXXXX
N
X
1,000, 000
1,000, 000
1,000, 000
A ISA H11352285 5/1/2026 5/1/2027
A HDO G49390014 5/1/2026 5/1/2027
B XEU G49390038 001 5/1/2026 5/1/2027
A WLR C72809865 ( Ded) 5/1/2026 5/1/2027
A SCF C72809877 ( Retro) 5/1/2026 5/1/2027
5/1/2027
1576269
Y Y
Y Y
N N
Y
5/1/2026
23476756
23476756 XXXXXXX
City of Redondo Beach
415 Diamond Street
Redondo Beach CA 90277
X
See Attachment
CONTINUATION DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS ( Use only if more space is required) ACORD 25 ( 2016/ 03)
RE; Permitting Services
Certificate Holder ID: 23476756
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 FN Holdings LLC
CC Sunesys Fiber Networks LLC
Cross Connect Solutions, Inc.
Crown Castle NG Atlantic, Inc.
Crown Castle NG Atlantic LLC
Crown Castle NG Central, Inc.
Crown Castle NG Central LLC
Crown Castle NG East, Inc.
Crown Castle NG East I LLC
Crown Castle NG West, Inc.
Crown Castle NG West I LLC
Crown Castle NG West LLC
Crown Castle Solutions I 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 FI, LLC
InSITE Fiber of Virginia LLC
InSITE Solutions, LLC
IX2 Center, L.L.C.
IX2 Wilshire, LLC
Light Tower Metro Fiber LLC
Lightower Fiber Infrastructure Corp.
Lightower Fiber Networks I, 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: 23476756 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
SD2 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
Attachment Code: D691755 Master ID: 1576269, Certificate ID: 23476756