CTR052953_COI_Valid_Thru_2-28-23.pdf

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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).

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

3/1/2022

Alliant Insurance Services, Inc.

1421 Hanz Dr New Braunfels TX 78130

Maria Zenkner (830)387-7019 (830)387-7022

Maria.Zenkner@alliant.com

License#: 0C36861 ACE Property & Casualty Insura 20699 TACENER-01 RSUI Indemnity Company 22314

TAC Enertech Resources Holdings, LLC 1820 Watson Lane East New Braunfels TX 78130

Texas Mutual Insurance Company 22945 Starr Indemnity & Liability Co 38318 Lloyd's Syndicate 2488 0 Lloyd's Syndicate 2121 (Argent 0

1033319078

A X 1,000,000 X 500,000

10,000

1,000,000

2,000,000 X

G46608288 006 2/28/2022 2/28/2023

2,000,000

A 1,000,000

X

X X

PMU H08467973 005 2/28/2022 2/28/2023

UM/UIM CSL 1,000,000

D B

X X 10,000,0001000586864221

NHA097143

2/28/2022 2/28/2022

2/28/2023 2/28/2023

10,000,000

C 0001302345 2/28/2022 2/28/2023

1,000,000

1,000,000

1,000,000 E F

Pollution Liability Excess Pollution Liability

B0621PENER008022

B0621PENER009822

2/28/2022 2/28/2022

2/28/2023 2/28/2023

Each Occ/Agg Each Occ/Agg

2,000,000 3,000,000

-Umbrella and Excess Liability: Umbrella Policy #1000586864221 (2/28/2022-2/28/2023) is with Starr Indemnity and has a $5,000,000 limit/aggregate. The Excess Liability Policy # NHA097143 (2/28/2022-2/28/2023) is with RSUI Indemnity Company and has an excess limit/aggregate of $5,000,000 over the Starr policy. These policies together provide $10,000,000 in coverage. Both the Umbrella and Excess Liability policies are follow form over the underlying policies.

-Architects & Engineers Professional Liability; Error & Omissions & Pollution: Lloyds of London (2/28/2022-2/28/2023) Policy # B0621PENER008022: Limits of Liability $2,000,000 each claim; $2,000,000 Aggregate with $25,000 deductible AND The Excess Professional & Pollution policy is with Lloyds of London Policy #B0621PENER009822 (2/28/2022-2/28/2023) and has an excess limit/aggregate of $3,000,000 over the $2M Lloyds policy. These policies together provide $5,000,000 in coverage. They are Claims made and reported coverage form.

See Attached...

Arizona Dept. of Public Safety 2102 W. Encanto Blvd Phoenix az 85009

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

TACENER-01

1 1

Alliant Insurance Services, Inc. TAC Enertech Resources Holdings, LLC 1820 Watson Lane East New Braunfels TX 78130

25 CERTIFICATE OF LIABILITY INSURANCE

-Other States Workers Compensation Coverage: Argonaut Midwest Insurance Company (2/28/2022-2/28/2023) Policy #WC92-883-845142-4: Limits of Employers Liability $1,000,000 Each accident, policy limit and each employee. Argonaut policy covers AZ, NM, AL, MS, OK, CA, CO, AR, GA, LA, ID, IA, PA, FL, NE, TN, KS, KY, MO, IL, IN, UT and MT. Other States coverage covers all states including those listed previously except NY, ND, OH, TX, WA and WY.

-Inland Marine/Contractors Equipment: (2/28/2022-2/28/2023) Policy #0670-46-95, written with Federal Insurance Co., Scheduled Contractors Equipment Limit $3,781,399; Leased, Rented or Borrowed Equipment from Others Limit $100,000; $2,500 deductible.

Project Works/Open Installation (Installation Floater): $2,100,000 limit not to exceed $500,000 per job site. $100,000 in transit; $100,000 temporary locations.

$2,500 deductible.

-The General Liability policy includes a blanket automatic additional insured endorsement that provides additional insured status to the certificate holder when there is an agreement requiring the insured to require such status to the certificate holder per coverage forms CG 2010 0413 for Ongoing operations & CG 2037 0413 for Completed Operations.

-The Commercial Auto policy includes a blanket automatic additional insured endorsement that provides additional insured status to the certificate holder when there is an agreement requiring the insured to require such status to the certificate holder per coverage form DA-9U74c (03/16).

-The Umbrella/Excess policies include a blanket automatic additional insured endorsement that provides additional insured status to the certificate holder when there is an agreement requiring the insured to require such status to the certificate holder.

-The Professional/Pollution policy (claims made and reported coverage form) includes a blanket automatic additional insured endorsement that provides additional insured status to the certificate holder when there is an agreement requiring the insured to require such status to the certificate holder per coverage form MEEI 0001 0612.

-The General Liability (CG 2453 1219), Commercial Auto (DA13115a0614), Workers Compensation and Professional/Pollution (MEEI 2211 0516) policies include a blanket waiver of subrogation endorsement that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it.

-The General Liability, Commercial Auto, Umbrella/Excess and Professional/Pollution Policies contain a special provision with "Primary and NonContributory" wording.

-30 Days Notice of Cancellation applies to the General Liability, Auto, Professional/Pollution, Installation Floater and Workers Compensation policies.

-Property policy #3605-43-58 WCE, written with Federal Insurance Co., effective 2/28/2022 to 2/28/2023. Blanket Building limit $5,453,727, blanket personal property limit $2,600,000, EDP Property on Premises $355,000. $2,500 deductible.

- Cyber Liability: Lloyds of London (2/28/2022-2/28/2023) Policy #ESK0239427909; Limits of Liability $5,000,000 Deductible $75,000; Includes Liability, Cyber Crime and Media Liability.

Extended Named Insured Schedule: DAS Purchaser 1 Corp.; DAS Purchaser 2 Corp.; EasTex Tower, Inc.; EasTex Tower, LLC; Enertech Resources, LLC;

Integrated Wireless Solutions, LLC; JCET Holdings, LLC; Legacy Telecommnications, LLC; Legacy Telecommunications, Inc.; LH Consulting LLC; Ontivity, LLC;

RiggingCalc, LLC; TAC Enertech Resources Holdings LLC; CMS Wireless, LLC; NexLevel Safety Training, LLC; Mountain Wireless Construction, LLC