CERTIFICATE OF LIABILITY INSURANCE (12)A� � CERTIFICATE OF LIABILITY INSURANCE page � af 2 o3i2 � oi
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 be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on th is certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
Willis of Pennsylvaaia, Inc.
c/o 26 Century Slvd.
P. O. Box 305191
Nashville, TN 37230-5191
CROTRN CASTLE INTERNATIONAL CORP.
See Attached Named Inaured List
1220 Auguata Dr. Suite 500
Houstoa, TX 77057
877-945-7378
COVERAGE
INSURER A: 1'ederal Iasuranca
INSURERB: New Hampehire Insurance Co.
INSURER C:
INSURER D:
INSURER E:
INSURER F:
888-467-237
NAIC 7t
20281-005
23841-000
COVERAGES CERTIFICATE NUMBER: 17581858 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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TypE OF INSURANCE DD' SUB pOLICY NUMBER P�LICY EFF POLICY EXP LIMITS
�y GENERALLIABILITY Y 70210228 4�1�2012 4/1/2013 EACHOCCURRENCE $ 1 000 000
g COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
PREMISES Eaoccurence $ 1 000 000
CLAIMS-MADE� OCCUR MEDEXP(Anyoneperson) $ 5 000
PERSONAL&ADVINJURY $ 1 000 000
GENERALAGGREGATE $ 2 000 000
GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 2 000 OOO
X POLICY Pp� LOC
$
jJ� AUTOMOBILELIABILITY Y 7OilO2i9 4�1�2O1i 4/1/2013 MBINEDSIN LELIMIT j,OOO,000
(Eaaccident $
X ANYAUTO BODILYINJURY(Perperson) $
ALLOWNED SCHEDULED BODILYINJURY(Peraccident) $
AUTOS AUTOS
HIREDAUTOS NON-OWNED P RTY AMA
AUTOS Per accident $
$
$ X UMBRELLALIAB X OCCUR Y 61844671 4�1�2012 4/1/2013 EACHOCCURRENCE $ 5, 000, 000
EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5, 000, O00
DED RETENTION $ $
p� WORKERSCOMPENSATION y 71710698 4�1�2�12 4/1/2013 X
AND EMPLOYERS' LIABILITY T
ANYPROPRIETOR/PARTNER/EXECUTIVEY� N�A E.L.EACHACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory.inNH) E.L.DISEASE-EAEMPLOYEE $ Z,OOO,000
ff yes, describe under
DESCRIP710NOFOPERATIONSbelow E. 000, 000
APR p 6 2012
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach Acord 101, Additonal Remar 8 u e, i more space is required)
R13: COLTNTRYSIDE / BU#814424
City Of Clearwater
See Attaehed: APR 10 2012 Engineering Department
OFF{CIAL REGORDS AND
Li�LATIVE SRVCS DgPT
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
TH8 CITY OF CLBARWATBR FLORIDA AUTHORIZED REPRESENTATIVE
ATTN: SARL SARRBTT, BNGINSSRING DBPT.
P.O. BOX 4748 l�
CLBARWATBR, FL 33758-4748 Q�yvyta.J
Co11:3680701 Tp1:1422273 Cert:17581858 m1988-201(
ACORD 25 (2010/OS) The ACORD name and logo are registered marks of ACORD
CORPORATION. All rights reserved.
AGENCY CUSTOMER ID: 713115
LOC#:
A� � ADDITIONAL REMARKS SCHEDULE Page�of _�
AGENCY NAMEDINSURED
CROWN CASTLE INTERNATIONAL CORP.
Willis of Penns lvania, Inc. See Attached Named Insured List
POLICYNUMBER 1220 Augusta Dr. Suite 500 .
Houston, TX 77057
See First Page
CARRIER NAIC CODE .
S2@ First Pa E EFFECTIVEDATE: S2H First Pa E
ADDITIONAL REMARKS
ACORD101 (2008/01) Co11:3680701 Tp1:1422273 Cert:17581858 82008ACORDCORPORATION.Allrightsreserved.
The ACORD name and logo are registered marks of ACORD
Crown Castle International
AirComm of Avon, L.L.C.
Atlantic Coast Communications LLC
AZ - CLEC LLC
CA - CLEC LLC
CC Castle Intemational LLC
CC Finance LLC
CC Holdings GS V LLC
CC Site Acquisitions I I LLC
CC Towers Guarantor LLC
CC Towers Holding LLC
CCGS Holdings Corp.
CCPE Acquisitions LLC
Coastal Antennas LLC
CO-CLEC (11/19/09)
Comsite Venture, Inc.
Coverage Plus Antenna Systems LLC
Crown Atlantic Company LLC
Crown Castle AS LLC (eff a/2s/�i)
Crown Castle Atlantic LLC
Crown Castle Augusta LLC
Crown Castle Australia Holdings Pty Ltd
Crown Castle Australia Pty Ltd
Crown Castle BP ATT LLC
Crown Castle CA Corp.
Crown Castle GS III Corp.
Crown Castle GT Company LLC
Crown Castle GT Corp.
Crown Castle GT Holding Sub LLC
Crown Castle Intemational Corp.
Crown Castle Intemational Corp. de Puerto Rico
Crown Castle International LLC
Crown Castle Investment Corp
Crown Castle MM Holding Corp.
Crown Castle MM Holding LLC
Crown Castle MU LLC
Crown Castle MUPA LLC
Crown Castle Nevada LLC
Crown Castle NG Acquisitions Corp (eff t?Jia/1�)
Crown Castle No 1 Pty Ltd (eff 6/14N 1)
Crown Castle Operating Company
Crown Castle Operating LLC
Crown Castle Orlando Corp.
Crown Castle PR LLC
Crown Castle PT Inc.
Crown Castle Puerto Rico Corp.
Crown Castle Service LLC (eff s/2a/2o� t)
Crown Castle Solutions Corp.
OP LLC
PA - CLEC LLC
Pinnacle San Antonio L.L.C.
Consolidated Subsidiaries
Crown Castle South LLC
Crown Castle Towers 05 LLC
Crown Castle Towers 06-2 LLC
Crown Castle Towers 09 LLC
Crown Castle Towers LLC
Crown Castle USA Inc.
Crown Communication LLC (formerly Crown
Communication Inc. eff 1/1/11)
Crown Communication New York, Inc.
Crown Mobile Systems, Inc
CTTA Pty Limited (eff 8/13/os)
DC - CLEC LLC
FL - CLEC LLC
Global Signal Acquisitions II LLC
Global Signal Acquisitions III LLC
Global Signal Acquisitions IV LLC
Global Signal Acquisitions LLC
Global Signal GP LLC
Global Signal Holdings III LLC
Global Signal Holdings IV LLC
Global Signal Operating Partnership, L.P.
Global Signal Services LLC
GoldenState Towers, LLC
GS Savings Inc.
GSPN Intangibles LLC
High Point Management Co. LLC
ICB Towers, LLC
IL - CLEC LLC
IN - CLEC LLC
In SITE Fiber of Virginia, Inc.
InSITE Solutions, LLC
Interstate Tower Communications LLC
Intracoastal City Towers LLC
JBCM Towers LLC
KAW Consulting Pty Ltd (eff 12/12/01)
MA - CLEC LLC
MD - CLEC LLC
Mobile Media California LLC
Mobile Media National LLC
Modeo LLC
MW Cell REIT 1 LLC (eff �/3�/12)
MW Cell TRS 1 LLC (eff i/3�/�2)
New Path Networks, Inc.
New Path Networks, LLC
NJ - CLEC LLC
NV - CLEC LLC
NY - CLEC LLC
OH CLEC LLC (effective 7/20/1 t)
Crown Castle International Corp. Consolidated Subsidiaries
Pinnacle St. Louis LLC
Pinnacle Towers Acquisition Holdings LLC
Pinnacle Towers Acquisition LLC
Pinnacle Towers Asset Holding LLC
Pinnacle Towers Canada Ina
Pinnacle Towers III LLC
Pinnacle Towers Limited
Pinnacle Towers LLC
Pinnacle Towers V Inc.
Radio Station WGLD LLC
RECC Properties Limited (eff s/2o/o5)
SC - CLEC LLC
Shaffer & Associates, Inc.
Sierra Towers, Inc.
Thunder Towers LLC
Tower Systems LLC
Tower Technology Company of Jacksonville LLC
Tower Ventures III, LLC
Towers Finco II LLC
Towers Finco III LLC
Towers Finco LLC
NHT, LLC
VA-CLEC LLC
WA - CLEC LLC
WCP Wireless Lease Subsidiary, LLC (eff v31i2o12)
WCP Wireless Site Funding LLC (eff �/3i/2o12)
WCP Wireless Site Holdco LLC (eff �/3�/20�2)
WCP Wireless Site Non-RE Funding LLC (eff 1/31/2012)
WCP Wireless Site Non-RE Holdco LLC (eff i/3v2oi2)
WCP Wireless Site RE Funding LLC (eff i/3�/2oi2)
WCP Wireless Site RE Holdco LLC (eff �/3�/20�2)
Inactive Entities
Crown Castle Europe LLC eff 12/9/2009
Crown Castle Mexico, S.A. de C.V. eff 12/2010
INSURER CANCELLATION TERMS
NAMED INSURED POLICY NO.
CROWN CASTLE INTERNATIONAL CORP. Various
EFFECTIVE DATE SEE PAGE 1
Person or Organization:
Person(s) or organization(s) that you are obligated, pursuant to written contract or agreement between you and
such person or organization, to provide with notice of cancellation for any reason other than non-payment of
premium, provided that, within 10 days of the date the producer or the first named insured receives a copy of the
notice of cancellation, the producer or the first named insured provides us with a spreadsheet containing the
name, address and, if available, e-mail address of the person(s) or organization(s) to whom such notice of
cancellation is to be sent.
All other terms and conditions remain unchanged.
Cancellation Terms:
When we cancel this policy as described in the Cancellation condition for any reason other than non-payment of
premium, we will also send to the person or organization described in the Schedule a notice of at least 30 days in
advance of the cancellation date.
Any failure on our part to deliver such notice will not:
• impose liability of any kind upon us; or
• invalidate the cancellation.
Cancellation Terms Apply to the Following Coverages:
General Liability, Automobile Liability and Workers Compensation
Wdlis 101