HomeMy WebLinkAbout818988_605512_Lease Agreement.pdfDate: October 16, 2019
To: Verizon Wireless
Regarding: Verizon Wireless / 456368 / GN Carmel Top - C
BUN: 818988 / / 12900 Hazel Dell Pkway / Order/Application # 455010
Dear Sir or Madam:
Please find enclosed for your review and execution by an authorized signatory o f Verizon Wireless, the collocation
agreement or amendment for the above-referenced wireless communication facility with respect to the above-referenced
Order/Application Number (the “Enclosed Agreement”). Any other documentation (if any) enclosed within the DocuSign
Envelope (“Other Documentation”) is being provided for convenience and/or administrative purposes only and is not part
of the Enclosed Agreement, unless and to the extent that such Other Documentation is specifically incorporated into the
Enclosed Agreement by its terms. If you have any questions regarding the details of the Enclosed Agreement, please
contact Chelsea Brindle at 724-416-2743.
Crown Castle now accepts digital signature. Please follow the prompts within the Enclosed Agreement for providing your
digital signature and approval. Unless otherwise indicated, any Other Documentation (if applicable) will have no digital
signature functionality within the DocuSign envelope. We will execute documents that require notarizations with digital
signatures or ink signatures as required for notary purposes.
If you choose not to execute electronically, you may instead print out two (2) complete copies of the Enclosed Agreement,
sign both in ink and mail them to Crown Castle at the address below. Please include the name, e -mail address, telephone
number, and physical street address of the individual to whom one (1) complete fully-executed version o f the Enclosed
Agreement should be returned. (Note: FedEx and UPS cannot deliver to a Post Office Box.)
Crown Castle Address for mailing signed hard copies:
Crown Castle
Attn: Contract Development Document Execution
2000 Corporate Drive
Canonsburg, PA 15317
Questions may be directed to ContractServices@CrownCastle.com or by phone at 1-833-809-8011.
Thank you,
Contract Specialist
Crown Castle
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
1
[[QAA]] [[QAD]]
SITE SUPPLEMENT
(FOR EQUIPMENT LOCATED ON THE ROOFTOP OF A BUILDING)
This Site Supplement ("Supplement") is made and entered into as of this [[PreambleDay]] day of
[[PreambleMonth]]___, [[PreambleYear]] by and between GTE Mobilnet of Indiana Limited Partnership,
an Indiana limited partnership, d/b/a Verizon Wireless with its principal offices at One Verizon Way, Mail
Stop 4AW100, Basking Ridge, New Jersey 07920 ("LESSEE"), and Crown Castle AS LLC, a Delaware
limited liability company ("LESSOR"), pursuant and subject to that certain “Master Lease Agreement”
entered into by and between Crown Communication Inc. and Cellco Partnership, dated as of November 30,
2000, as amended (the "Master Agreement"), and that certain Amendment and Volume Commitment
Agreement Regarding Tower Sites dated as of October 1, 2017 (“the October 1, 2017 Agreement”). Unless
otherwise clear from the context in which they are used, all capitalized terms used herein shall have the
meanings ascribed to them in the Master Agreement. The terms and provisions of the Master Agreement
and the October 1, 2017 Agreement are incorporated herein by reference.
1. Facilities; Site; Building; Access; Recording. The Facilities shall consist of a portion of that certain
parcel of property which comprises the "Site", which Site is located on the roof of, and/or within, and/or
adjacent to, a certain building (the "Building") located in the City of Carmel, the County of Hamilton and
the State of Indiana, which is more particularly described as a parcel containing approximately Six
Thousand Nine Hundred Forty-Five (6,945) square feet situated as more fully described in the legal
description attached hereto as EXHIBIT "1". The Facilities shall also include the non-exclusive
appurtenant rights for ingress and egress, seven (7) days a week twenty-four (24) hours a day, on foot or
motor vehicle, including trucks, and for the installation and maintenance of utility wires, poles, cables,
conduits, and pipes over, under, or along an existing right of way extending from the nearest public right
of way, commonly known as East Main Street, to the Site, said non-exclusive right-of-way for access being
substantially as described herein in EXHIBIT "2". LESSOR shall have no duty to remove snow or
otherwise maintain the access to the Site or to the Facilities except as may otherwise be set forth in the
Prime Lease. Notwithstanding the foregoing, in the event that LESSEE requires access to the Site but snow
or some other obstruction on or in the access area is preventing or otherwise materially hindering LESSEE's
access to the Site, then LESSEE may notify LESSOR of such snow or other obstruction, in which event (a)
LESSOR shall take commercially reasonable efforts to enforce any applicable provisions the Prime Lease
with respect to any LANDLORD (as defined in Section 11, below) obligations to remove snow or otherwise
maintain the access to the Site or to the Facilities, and (b) LESSOR and LESSEE shall cooperate with one
another (and with LANDLORD as may be necessary) to resolve the issue, on terms mutually agreeable to
the parties. Either party shall have the right to request that a Memorandum in the form attached to the
Master Agreement be executed and recorded in order to evidence certain matters set forth in the Master
Agreement and this Supplement. The requesting party shall be responsible for the payment of all recording
fees.
2. Lease or Sublease; Limitations. The lease or sublease described in the next sentence is subject to
(i) the terms and provisions of the Master Agreement, including, without limitation, the Special Conditions,
Site Rules and Regulations, and Access and Security Procedures for Users attached thereto, (ii) the terms
and provisions of the Prime Lease, (iii) the terms and provisions of the October 1, 2017 Agreement, and
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
01
November 2019
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
2
(iv) the approved Site Engineering Application attached hereto as EXHIBIT "3". Copies of the Building
Rules (if any) that are not attached hereto as part of EXHIBIT "5" will be provided by LESSOR to LESSEE
upon its request. Subject to the matters set out herein, LESSOR grants a lease or sublease to LESSEE of
certain space comprising the Facilities, exclusively for the purpose of installing, operating and maintaining
the communications equipment described below ("Equipment") in the locations described in this
Supplement, consistent with the specifications set forth in EXHIBITS “3” and "4".
3. Location of Equipment. The Equipment shall be contained within the Facilities, with antenna(s)
and other related Equipment located on or within the Building as described in the Site Engineering
Application and Tower Level Drawing attached hereto as EXHIBIT "3", and with an equipment shelter or
cabinet and/or generator and other related Equipment located on or within the Building as described in the
Site Plan attached hereto as EXHIBIT "4"
4. Term and Term Commencement Date. The initial term of this Supplement shall commence on the
first day of the month in which LESSEE executes this Supplement (the ‘Term Commencement Date”).
5. Basic Annual Payment. The first (1st) Basic Annual Payment due and payable by LESSEE to
LESSOR shall be Twenty-Seven Thousand and 00/100 Dollars ($27,000.00), payable in equal monthly
installments of Two Thousand Two Hundred Fifty and 00/100 Dollars ($2,250.00) beginning on the earlier
of: i) the first (1st) day of the month following LESSOR's issuance of written notice to proceed with the
installation of Lessee's Equipment at the Site, or ii) the first (1st) day of the month following the day that
is twelve (12) months after full execution of this Supplement (such earlier date, the “Rent Commencement
Date”). The Basic Annual Payment is otherwise payable in accordance with the Master Agreement, subject
to the terms of the October 1, 2017 Agreement. LESSEE acknowledges that the Basic Annual Payment is
subject to increase by two percent (2%) on every September 1st following the Rent Commencement Date
as provided in the October 1, 2017 Agreement.
6. Prime Lease. LESSEE acknowledges that LESSOR's rights in the Site and the Facilities derive
from a certain lease(s), sublease(s) or other prior agreement(s) or instrument(s) (e.g., deed) from which
LESSOR derives its rights in the Site and/or which contain(s) restrictions on use of the Site (collectively,
the "Prime Lease"), a copy of which is attached hereto as EXHIBIT “5”.
7. Reimbursement Payment. Beginning on Rent Commencement Date, LESSEE shall pay to
LESSOR Five Hundred Sixty-Two and 50/100 Dollars ($562.50) per month (the “Reimbursement
Payment”) in addition to and concurrently with the monthly installments of the Basic Annual Payment.
Said Reimbursement Payment is to reimburse LESSOR for certain payments (“Additional Lease
Payments”) that it is required to pay pursuant to the Prime Lease, as a result of the rights granted to LESSEE.
Said Reimbursement Payment shall be adjusted in the same manner as, and simultaneously with, the
periodic adjustments to Basic Annual Payment. The parties further acknowledge and agree that LESSOR’s
obligation to make the Additional Lease Payments under the Prime Lease is contingent on certain license
payments made by other third party co-locators at the Site and, accordingly, should circumstances change
with regard to those other third party co-locators at the Site, LESSOR and LESSEE may have to amend this
certain Paragraph 7 regarding Reimbursement Payments consistent with LESSOR’s obligation to make
Additional Lease Payments.
8. Acceptance of Facilities and Site. LESSEE acknowledges and agrees that, notwithstanding
anything to the contrary in the Agreement or this Supplement, LESSOR shall not be responsible for the
condition, maintenance and repair of the Facilities, Site, Building and/or Property, except as may otherwise
be explicitly set forth in both the Prime Lease and this Supplement (together with the Agreement); provided,
however, LESSOR shall not be responsible for any maintenance or repair obligations under this Supplement
(together with the Agreement) if the performance thereof would constitute an event of default under the
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
3
Prime Lease; provided, further, that if the condition of, or any failure of LANDLORD to maintain or repair,
the Building, Facilities, Site and/or Property adversely affects LESSEE's use of the Site and LESSEE
provides LESSOR with written notice of such adverse effect, then LESSOR shall take commercially
reasonable efforts to enforce any and all rights it may have under the Prime Lease with respect to any
LANDLORD obligations to maintain and repair the Building, Facilities, Site and/or Property to the extent
required to eliminate such adverse effect to LESSEE's use of the Site. In the event that such conditions
adversely affect LESSEE's use of the Site as authorized under this Supplement and the Agreement
(including but not limited to, any condition which prevents safe access to LESSEE's facilities), and such
conditions are not corrected for any reason (regardless of the extent of the rights provided to LESSOR under
the Prime Lease) within thirty (30) days after LESSOR's receipt of written notice thereof, or such longer
period as may reasonably be required provided in order for LESSOR to enforce such rights provided
LESSOR continues to diligently pursue enforcement and such conditions are eliminated within ninety (90)
days of LESSOR’s receipt of the written notice of such conditions, then LESSEE shall have the right to
terminate this Supplement by providing written notice of such termination to LESSOR; provided, however,
the foregoing right to terminate this Supplement shall expire upon the correction of such conditions within
the foregoing time period.
9. INTENTIONALLY DELETED.
10. Authorized Persons; Safety of Personnel. Notwithstanding anything to the contrary in the
Agreement, LESSEE's right of access shall be limited to authorized employees, site acquisition agents,
contractors or subcontractors of LESSEE. Notwithstanding the foregoing, and notwithstanding anything to
the contrary in the Agreement, LESSEE agrees that LESSOR shall perform all services related to the
installation, modification, and relocation of LESSEE's Equipment pursuant to and in accordance with the
terms of this Supplement and Section 8 of the Agreement.
11. Emergency Situations. If LESSOR or LANDLORD determines that an emergency situation exists
whereby the continued operation of LESSEE's Equipment shall cause substantial and immediate risk to
human health or property damage as reasonably determined by LANDLORD or LESSOR, then LESSEE
shall promptly be notified verbally, and LESSEE shall act diligently and expediently to eliminate the
emergency situation (which may include powering down the Equipment having such effect), to the extent
that such emergency situation is caused by or the result of the operation of LESSEE’s Equipment on the
Site.
12. Utilities. LESSEE shall have its own electric meter or submeter installed at the Site. LESSEE shall
be solely responsible for ordering or otherwise obtaining its own electric meter or submeter and all costs
related to LESSEE’s connection thereto and use thereof. LESSEE shall be billed directly for the cost of its
utility consumption and shall make payments directly to the public utility provider. The installation of any
electric meter or submeter at the Site and the connection of LESSEE’s Equipment thereto shall be
coordinated with LESSOR and is subject to LANDLORD’s prior consent or approval, as may be required
by LANDLORD, the Building Rules and/or the Prime Lease. LESSEE shall pay for all other utilities it
uses at the Site.
13. Fees Imposed by LANDLORD or Any Government Entity. LESSEE shall be solely responsible
for any fees (not including revenue sharing payments payable by LESSOR to the LANDLORD or any other
payments to be paid by LESSOR to LANDLORD under the Prime Lease with respect to LESSOR's use,
management or subleasing of the Site) imposed by the LANDLORD (e.g., afterhours access fees, etc.) and
that are currently set forth in the Prime Lease and/or the Building Rules (which may be attached hereto as
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
4
part of EXHIBIT "5") as of the Effective Date of this Supplement, to the extent that such fees are related to
this Supplement or LESSEE’s use of or access to the Site.
14. Interference to Users of the Building.
(a) LESSEE shall not use the Facilities or the Site in any way that causes interference with the
lawful use of the Building by LANDLORD or its tenants or other such users of the Building (the “Building
Users”) in the Building. The operation of LESSEE's Equipment shall not cause interference with the lawful
maintenance or operation of the Building or any Building systems, including, but not limited to the roof,
MATV, CATV or other video systems, HVAC systems, electronically controlled elevator systems,
computers, telephone systems, or any other system servicing the Building and/or its Building Users
(collectively, the ''Building Equipment"); provided, however, LESSOR shall take commercially
reasonable efforts to enforce any and all applicable rights it may have under the Prime Lease with respect
to the lawful use of the Facilities and Site by LESSEE, and any and all applicable restrictions or limitations
under the Prime Lease pertaining to LANDLORD’s installation or operation of any Building Equipment
that is or could cause interference with LESSEE’s use of the Facilities or Site. In the event that LESSOR
is unable to enforce such rights, restrictions or limitations under the Prime Lease, and such interference
materially adversely affects LESSEE's use of the Site as authorized under this Supplement and the
Agreement, and such interference issues are not eliminated for any reason (regardless of the extent of the
rights provided to LESSOR under the Prime Lease) within thirty (30) days after LESSOR's receipt of
written notice thereof, then LESSEE shall have the right to terminate this Supplement by providing written
notice of such termination to LESSOR; provided, however, the foregoing right to terminate this Supplement
shall expire upon the resolution of such interference within such thirty (30) day period.
(b) LESSEE shall not allow any levels of noise to be generated by its Equipment during
normal operations that exceed any limits established by applicable laws or then-existing regulatory
standards of governmental agencies having jurisdiction over the Site or that are in violation of any terms
in the Prime Lease. LESSEE will take all steps necessary to correct and eliminate the interference within
twenty-four (24) hours of receiving notice from LESSOR, at LESSEE's sole cost and expense, which
steps may include powering down the Equipment causing such interference (and later powering up such
Equipment for intermittent testing). Notwithstanding the foregoing, LESSOR and LESSEE
acknowledge and agree that, subject to the terms of the Prime Lease, the terms and conditions set forth
in the Agreement shall govern and control with respect to any interference with other lessees, sublessees
or licensees of LESSOR that are wireless carriers on the rooftop of the Building.
15. Relocation of Equipment Required by LANDLORD. In the event that relocation of LESSEE's
Equipment is required upon the demand of LANDLORD and such relocation is required pursuant to the
terms of the Prime Lease, then the terms of the Prime Lease shall apply with respect thereto (including,
without limitation, any notice provisions set forth in the Prime Lease), and such relocation shall be
performed at LESSEE's sole expense, except to the extent that LANDLORD must cover the costs as may
be otherwise set forth in the Prime Lease. LESSOR agrees to provide LESSEE with written notice of any
required relocation promptly (but no later than within five (5) business days) following LESSOR being
notified by LANDLORD of the same. LESSEE agrees to reasonably cooperate with LESSOR to facilitate
any relocation pursuant to this Section 15, and any such relocation shall be performed with reasonably
minimal disruption to LESSEE's operations and shall be evidenced by an amendment to this Supplement.
LESSEE may, upon the written approval of LANDLORD, which approval may be withheld or conditioned
by LANDLORD in its sole discretion, place a temporary cell site and antenna structure (collectively, a
"COW") on the Property during any such relocation at a mutually agreeable location to be determined by
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
5
LANDLORD, LESSOR, and LESSEE; provided, however, if the parties do not mutually agree on a location
for placement of a COW, then LESSEE may not place such COW on the Property. In the event that any
relocation required by LANDLORD, when complete, results in a material reduction or other material
alteration to the coverage or signal pattern of LESSEE's Equipment that existed prior to the change, then
LESSEE shall have the right to terminate this Supplement by providing (a) written notice of such
termination to LESSOR and (b) sufficient documentation evidencing the material reduction or other
material alteration to the coverage or signal pattern of LESSEE's Equipment that existed prior to the change.
16. RF Exposure. LESSEE agrees to reduce power or suspend operation of its Equipment if necessary
and upon reasonable prior notice to prevent exposure of workers or the public to Radio Frequency radiation
in excess of then-existing applicable regulatory standards or applicable laws, whichever is more stringent.
If LESSEE is required to permanently reduce power to, or permanently suspend operation of, its Equipment
in accordance with this Section 16, then LESSEE shall have the right to terminate this Supplement by
providing written notice of such termination to LESSOR.
17. INTENTIONALLY DELETED.
18. INTENTIONALLY DELETED.
19. Casualty. Notwithstanding anything to the contrary in the Agreement, in the event that the Site, or
any part thereof, is damaged by fire or other casualty and the Site is not repaired or restored within ninety
(90) days after the date of such damage, and the damage effectively precludes LESSEE's use of the Site as
authorized hereunder, then either party may, at its option, terminate this Supplement without further liability
to the other party, effective as of the date of the damage; provided, however, in no event shall LESSEE’s
exercise of the foregoing termination rights in any way limit LESSEE’s obligation to indemnify LESSOR
pursuant to Section 9 of the Agreement to the extent such fire or other casualty was caused by the negligent
or wrongful act or omission of LESSEE. If, for any reason whatsoever, LESSEE's use of the Site is
interrupted due to fire or other casualty, LESSEE's sole remedies shall be abatement of the Basic Annual
Payments for the period during which LESSEE's use of the Site is interrupted and the aforementioned
contingent right to terminate this Supplement; provided however, that, LESSEE shall have the right, subject
to written approval from LANDLORD (which approval may be withheld in LANDLORD's sole discretion),
and subject to all applicable governmental restrictions and any applicable restrictions in the Prime Lease or
otherwise binding on LESSEE's use of the Site, and subject to available space at the Site, to locate a COW
at a location to be determined by LESSOR and LANDLORD and acceptable to LESSEE, until the Site is
repaired or restored, provided that LESSEE shall remove any such COW within ten (10) days after receipt
of notice from LESSOR that the Site is available again for the installation and/or operation of LESSEE's
Equipment. In no event shall LESSOR be liable to LESSEE for damage to the Equipment or interruption
or termination of LESSEE's operations caused by vandalism, forces majeure or acts of God.
20. Disclosure to LANDLORD. Notwithstanding anything to the contrary in the Agreement, LESSOR
may disclose the terms of this Supplement, and/or provide a copy of this Supplement (but not the
Agreement), to LANDLORD or to the owner or manager of the Building, provided that the copy of the
Supplement to be provided (which copy may be redacted as to financial and other business terms) has been
previously approved by LESSEE, such approval not to be unreasonably withheld, conditioned or delayed,
and provided such recipients shall be prohibited from disclosing this Supplement or any information
contained herein to any third party, unless and to the extent that such disclosure is necessary for the
management or operation of the Site and Building.
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
6
21. Compliance with Laws. LESSOR assumes no responsibility for compliance with any laws,
regulations, rules, guidelines, directives or requirements promulgated by government entities, including,
without limitation any and all environmental laws (collectively, "Laws") applicable to LANDLORD,
LESSEE or any other user of the Site other than LESSOR, including, without limitation, FCC and Federal
Aviation Administration ("FAA") regulations, Laws relating to the Site, the Facilities and the Building,
Laws relating to the placement or operation of LESSEE's Equipment, and Laws relating to health, human
safety and the environment, including, without limitation, environmental Laws pertaining to hazardous
substances and worker exposure. LESSEE assumes no responsibility for compliance with the Laws
applicable to LANDLORD, LESSOR or any other user of the Site other than LESSEE. LESSOR shall not
be responsible for the removal or abatement of any hazardous substances not introduced by LESSOR, nor
shall it be responsible for correcting or abating any other violations of Laws or permits, including, without
limitation, any violations of FAA or FCC regulations or permits, except as may otherwise be required under
the Prime Lease or if any removal or abatement is required due to the acts or omissions of LESSOR. Any
and all work performed by LESSOR on behalf of LESSEE hereunder shall be performed in a good and
workmanlike manner and in compliance with all Laws. In connection with the foregoing, Section 21 of the
Agreement shall apply with respect to any work performed by or services provided to LESSOR at the Site.
22. Holdover Fee. Notwithstanding anything to the contrary in the Agreement: (a) LESSEE shall cause
its Equipment to be removed from the Site in accordance with Section 23, below: (i) at least sixty (60) days
prior to the expiration of this Supplement or (ii) subject to the terms of the Prime Lease, within thirty (30)
days after the earlier termination of this Supplement; and (b) if LESSEE fails to have LESSEE's Equipment
removed from the Site as provided herein, no tenancy or interest in the Site shall result, and all such
Equipment shall be subject to immediate removal. LESSEE shall pay to LESSOR a fee equal one and one-
half (1½) times the monthly installment of the Basic Annual Payment (based on the amount of the Basic
Annual Payment at the time of said expiration or termination), for each month or partial month during
which any portion of LESSEE's Equipment remains at the Site after the expiration or termination of this
Supplement as the result of LESSEE's failure to comply with its obligations under this Section 22. LESSEE
shall begin making such payments within thirty (30) days after LESSEE's receipt of LESSOR's demand for
payment, and LESSEE's obligation to make such payments shall be deemed to have commenced as of the
expiration of this Supplement or thirty (30) days following any earlier termination of this Supplement, as
applicable. Notwithstanding the foregoing or anything in the Agreement to the contrary, LESSEE shall not
be responsible for any holdover fees in the event that LESSEE timely engages LESSOR to remove the
Equipment but LESSOR fails to remove the Equipment in a timely manner. Further, notwithstanding
anything in this Supplement or the Agreement to the contrary, in the event that the termination of this
Supplement is a result of the termination or expiration of the Prime Lease and LESSEE receives written
permission from LANDLORD to remain at the Site (a copy of which is provided to LESSOR), LESSEE
shall have no obligation hereunder to remove its Equipment from the Site.
23. Removal of Equipment. LESSEE shall engage LESSOR, or a vendor designated by LESSEE and
approved by LESSOR, such approval not to be unreasonably withheld, conditioned or delayed, to remove
its Equipment from the Site, together with any other property placed on the Site by LESSEE. When
removing such Equipment and other property placed on the Site by LESSEE, either LESSOR or LESSEE's
approved vendor, as applicable, shall promptly repair any damage to the Site and the Facilities caused by
such removal, reasonable wear and tear excepted. In the event LESSEE engages LESSOR to remove the
Equipment and repair any damage in accordance with this Section 23, LESSEE shall reimburse LESSOR
for such removal and restoration work within thirty (30) days after LESSEE's receipt of LESSOR's invoice
and reasonably supporting documentation. In connection with any removal and restoration work to be
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
7
performed by LESSOR hereunder, LESSEE shall first review LESSOR's proposed work and approve such
work and the cost of same, which approval shall not be unreasonably withheld, conditioned or delayed.
24. INTENTIONALLY DELETED.
25. Stealthing System or Other Requirements of LANDLORD. LESSEE understands that the aesthetics
of the Building are of paramount importance to LANDLORD, and LESSEE acknowledges that its
installation may have an impact on the aesthetics of the Building. For this reason, LANDLORD may require
that a rooftop antenna stealthing or screening system be installed to conceal LESSEE's Equipment that may
be installed on the Building. The rooftop antenna stealthing or screening system installed to conceal
LESSEE's Equipment, if applicable, will be installed at LESSEE's sole cost and expense and shall become
a fixture of the Building and shall be deemed personal property of LANDLORD, except as the
LANDLORD may otherwise agree in writing. Thereafter, LESSOR shall have the right to locate other
antennas or equipment behind the rooftop antenna stealthing or screening system (but not within the
Facilities that are for LESSEE’s exclusive use as set forth herein), at its sole discretion, subject to the
interference and radio frequency radiation/emissions compliance provisions set forth in the Agreement and
this Supplement. In the event that an antenna stealthing or screening system exists at the Site as of the date
on which this Supplement is fully executed by the parties hereto, then, subject to the terms of this
Supplement, the Agreement, the Prime Lease and any applicable agreements with third parties, LESSEE
may locate its antennas or other equipment behind such system at no additional cost to LESSEE if: (a) there
is sufficient available space behind such antenna stealthing or screening system to accommodate LESSEE's
antennas or other equipment, (b) LESSOR has the right to lease such space to LESSEE, (c) such space is
part of LESSEE's Facilities identified in the EXHIBITS to this Supplement or a written amendment hereto,
and (d) LESSEE's operation of equipment within such space will not cause interference to LESSOR,
LANDLORD, LANDLORD's tenants in the Building or other users of the Site in breach of the interference
provisions set forth in the Agreement and this Supplement. LESSEE understands and acknowledges that
LANDLORD may impose other conditions to co-location by LESSEE on the Site pursuant to the Prime
Lease and agrees that it will comply with such conditions, at its sole cost and expense. Any such stealthing
or similar requirements shall be set forth in the Prime Lease or the Building Rules or otherwise
communicated to LESSEE in writing prior to the execution of this Supplement.
26. Compliance with RFE Regulations.
(a) LESSOR agrees to reasonably cooperate with LESSEE to facilitate, to the extent legally
necessary and reasonably possible, LESSEE’S compliance with all FCC regulations pertaining to Radio
Frequency Emissions ("RFE"); provided, however, LESSOR shall incur no financial responsibility related
to LESSEE’s efforts to comply with FCC regulations, and LESSEE shall reimburse LESSOR for any and
all costs and expenses incurred by LESSOR in connection therewith (except to the extent LESSOR is
otherwise legally or contractually obligated to effect such compliance). Subject to the terms of the Prime
Lease and any other agreements that pertain to the Site between LESSOR and LANDLORD, or LESSOR
and any third party, such cooperation may include, but not be limited to, allowing LESSEE to restrict access
to LESSEE's Equipment and/or the Site, allowing LESSEE to install required signage or barriers, and/or
facilitating access to the Site by LESSEE's employees, vendors and subcontractors for the purpose of
performing inspections related to RFE. LESSEE will provide LESSOR, upon request, with the portions
of any radiofrequency exposure study obtained by LESSEE with respect to the Site as necessary to
demonstrate compliance with applicable regulatory standards or applicable laws pertaining to RFE and/or
identify any mitigation measures required at the Site. However, in no event shall LESSOR require LESSEE
to provide or submit to LESSOR or to the LANDLORD, except to the extent LESSEE (or LESSOR, in
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
8
relation to LESSEE's equipment) is required to do so by applicable laws: (i) protective garments related to
RFE from the Facility; or (ii) safety training related to RFE from the Facility. LESSOR further may not
require LESSEE to comply with standards pertaining to RFE which are in excess of those imposed by FCC
regulations. Neither party to this Supplement shall be financially responsible to the other party as a result
of the other party's non-compliance with FCC regulations or with regulations enacted or enforced by the
Occupational Safety and Health Administration (OSHA) including, but not limited to, regulations
pertaining to RFE.
(b) LESSOR shall take commercially reasonable efforts to enforce the provisions of the Prime
Lease as necessary to allow LESSEE to comply with FCC regulations. In such event, LESSEE shall notify
LESSOR in writing of the measures required to allow LESSEE to effectuate such compliance, and LESSOR
shall take commercially reasonable efforts to enforce any applicable provisions of the Prime Lease in
connection therewith. If the measures required to effectuate LESSEE’s compliance with FCC regulations
applicable to the Site require the consent of LANDLORD or any other third party, LESSOR shall take
commercially reasonable efforts to obtain such consent. Notwithstanding anything in the Agreement or
this Supplement to the contrary, if at any time LESSEE reasonably determines that it is unable to make
such modifications or take such measures as are necessary to effectuate LESSEE’s compliance with FCC
regulations, despite LESSEE’s commercially reasonable efforts, then LESSEE may immediately terminate
this Supplement without further obligation for the payment to LESSOR of Basic Annual Payments, or any
other charges or fees payable by LESSEE under this Supplement or the Agreement which may be due or
payable on an early termination of this Supplement; provided, however, LESSEE shall remain obligated to
pay to LESSOR any Basic Annual Payments and other charges and fees that accrued prior to the effective
termination of this Supplement..
27. This Supplement Only. The parties acknowledge and agree that the terms contained in this
Supplement apply with respect to the Site and this Supplement only, and that nothing contained herein
shall be deemed to modify the terms of the Agreement for any other present or future site or Site
Supplement.
[ The remainder of this page intentionally left blank ]
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
9
IN WITNESS WHEREOF, the parties hereto have set their hands and affixed their respective seals
the day and year first above written.
LESSOR:
Crown Castle AS LLC,
a Delaware limited liability company
By: [[CCISign1]]_____________________________
Print Name: [[CCIPrint1]]______________________
Title: [[CCITitle1]]___________________________
Execution Date: [[CCIExecDate1]]______________
LESSEE:
GTE Mobilnet of Indiana Limited Partnership d/b/a Verizon Wireless
By: GTE Wireless of the Midwest Incorporated, Its General Partner
By: [[CustSign1]]__________________________
Print Name: [[CustPrint1]]____________________
Title: [[CustTitle1]]_________________________
Execution Date: [[CustExecDate1]]_____________
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Director - Network Engineering
11/1/2019 | 9:02:20 AM EDT
Edward Maher
11/1/2019 | 10:51:13 AM EDT
Jill Wagner
Manager, Contract Development
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
10
EXHIBIT "1" TO SITE SUPPLEMENT
LEGAL DESCRIPTION OF SITE
(See Attached)
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
11
EXHIBIT "2" TO SITE SUPPLEMENT
ACCESS RIGHT-OF-WAY LEGAL DESCRIPTION
(See Attached)
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
12
EXHIBIT "3" TO SITE SUPPLEMENT
APPROVED SITE ENGINEERING APPLICATION
AND TOWER LEVEL DRAWING
LESSEE is identified in the attached Site Engineering Application and Tower Level Drawing as ‘Verizon
Wireless’
(See Attached)
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Order Information
Order ID Submitted By Original Submit Date JDE Job Number Revision Number
455010 Justin Burgess Feb 27 2019 561554 1
Orders are subject to applicable Crown Castle engineering, regulatory, zoning/planning, and priority property-owner approval. Approval conditions may result in alternative
requirements for type and/or placement of equipment. Approval conditions may also lead to additional or revised engineering analysis at Crown Castle discretion and upon
consent of the customer.
Site Information
Site ID Crown Castle Structure Structure Height (ft) Crown Castle Site Name
818988 A 0.0 12900 Hazel Dell Pkway
Crown Castle District County
KOI Hamilton
Latitude Longitude Structure Type Site Address
39° 58' 38.68" -86° 4' 27.77" OTHER 12900 Hazel Dell Pkway
Carmel, IN 46033
Order Parameters
Who is the customer? What do you want to do? First Time Install on Site? What is the Scope of your Order?
Verizon Wireless License Agreement Yes Tower Equipment and Ground Space
What is the scope of work?
New Build -Verizon's final config: (3) NHH 65 B R2B -antenna, (6) JAHH-65B-R3B -
antenna, (6)
8843 B66/B2 -RRU, (3) 4449 B13/B5 -RRU, (3) CBC78T-DS-43-2X - Diplexer, (3)
BSAMNT-SBS-2-2 -
mount kit, (3) RRODC-3315-PF-48, (3) HCH-66244xxx hybrid Cable Frequency
1895-1900 / 1975-1980 and 2170-2180
Customer
Billing Company Billing ID Number Billing Address
Verizon Wireless 110914 180 WASHINGTON VALLEY
ROAD
BEDMINSTER, NJ 07921
Operating Legal Entity Operating Legal Entity ID
GTE Mobilnet of Indiana Limited
Partnership
469955
Verizon Site Name Verizon Site Number Verizon Job Number NG #
GN Carmel Top - C 456368 -- --
Verizon Market
GREAT LAKES
Project Management Vendor
Crown Castle - PMV
Contacts
NAME EMAIL PHONE ADDRESS
Maggie Hendricks mhendricks@cmiacquisitions.com 601-605-9214
#8
121 Village Blvd
Madison, Mississippi 39110
RF Contacts
NAME EMAIL PHONE
Jessica Maldonado jessica.maldonado@verizonwireless.comXXX
Page 1
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Configuration Review
Antennas
MCL
(ft)
ACL
(ft)
TOTAL INSTALLED PROPOSED NOT
INSTALLED
MANUFACTURER / MODEL HEIGHT
(in)
WIDTH
(in)
DEPTH
(in)
WEIGHT
(lbs)
1 65 2 0 2 0 COMMSCOPE / JAHH-65B-R3B 72.00 13.80 8.20 63.30
1 66 2 0 2 0 COMMSCOPE / JAHH-65B-R3B 72.00 13.80 8.20 63.30
1 69 2 0 2 0 COMMSCOPE / JAHH-65B-R3B 72.00 13.80 8.20 63.30
1 69 1 0 1 0 COMMSCOPE / NHH-65B-R2B 72.00 11.90 7.10 43.70
1 66 1 0 1 0 COMMSCOPE / NHH-65B-R2B 72.00 11.90 7.10 43.70
1 65 1 0 1 0 COMMSCOPE / NHH-65B-R2B 72.00 11.90 7.10 43.70
Tower Mounted Equipment
MCL
(ft)
ACL
(ft)
TOTAL INSTALLED PROPOSED NOT
INSTALLED
MANUFACTURER / MODEL TYPE HEIGHT
(in)
WIDTH
(in)
DEPTH
(in)
WEIGHT
(lbs)
1 69 1 0 1 0 COMMSCOPE / CBC78T-
DS-43-2X
DIPLEXER 6.40 6.90 9.60 20.70
1 65 1 0 1 0 COMMSCOPE / CBC78T-
DS-43-2X
DIPLEXER 6.40 6.90 9.60 20.70
1 66 1 0 1 0 COMMSCOPE / CBC78T-
DS-43-2X
DIPLEXER 6.40 6.90 9.60 20.70
1 65 1 0 1 0 ERICSSON / RADIO 4449
B13/B5
BASE
STATION
18.00 13.20 11.40 70.00
1 69 1 0 1 0 ERICSSON / RADIO 4449
B13/B5
BASE
STATION
18.00 13.20 11.40 70.00
1 66 1 0 1 0 ERICSSON / RADIO 4449
B13/B5
BASE
STATION
Frequencies
SVC TECHNOLOGY EIRP (WATTS) STANDARD FREQUENCY TRANSMIT FREQUENCY
LTE 348.00 835.000 - 845.000MHZ
880.000 - 890.000MHZ
LTE 348.00 846.500 - 849.000MHZ
891.500 - 894.000MHZ
LTE 267.00 1900.000 -1905.000MHZ
1980.000 -1985.000MHZ
LTE 130.00 1745.000 -1755.000MHZ
2145.000 -2155.000MHZ
LTE 130.00 1720.000 -1730.000MHZ
2120.000 -2130.000MHZ
LTE 67.11 746.000 - 757.000MHZ
776.000 - 787.000MHZ
All Receive frequencies are approved.
Cabinets
Number of Proposed Additional Cabinets
2
Lease Areas
Lease Area 8'0"x9'0" (72.00sq. ft.) - Proposed
There are currently no associations for this Lease Area.
Power
Do you need Crown to supply Power?
No
Battery Backup Required?
No
Equipment
Antennas
MANUFACTURER / MODEL ANTENNA
CENTERLINE
(ft)
AZIMUTH CUSTOMER
MOUNT CLASS
MOUNT
ORIENTATION
STATUS
COMMSCOPE / NHH-65B-R2B 65 10 PIPE MOUNT Mid-Mount Proposed
COMMSCOPE / NHH-65B-R2B 69 150 PIPE MOUNT Mid-Mount Proposed
COMMSCOPE / NHH-65B-R2B 66 260 PIPE MOUNT Mid-Mount Proposed
COMMSCOPE / JAHH-65B-R3B 65 10 PIPE MOUNT Mid-Mount Proposed
COMMSCOPE / JAHH-65B-R3B 69 150 PIPE MOUNT Mid-Mount Proposed
COMMSCOPE / JAHH-65B-R3B 66 260 PIPE MOUNT Mid-Mount Proposed
COMMSCOPE / JAHH-65B-R3B 65 10 PIPE MOUNT Mid-Mount Proposed
COMMSCOPE / JAHH-65B-R3B 69 150 PIPE MOUNT Mid-Mount Proposed
COMMSCOPE / JAHH-65B-R3B 66 260 PIPE MOUNT Mid-Mount Proposed
Page 3
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Tower Mounted Equipment
TYPE MANUFACTURER / MODEL TME CENTERLINE
(ft)
LOCATED ON
ANTENNA MOUNT?
MOUNT CLASS STATUS
BASE
STATION
ERICSSON / RADIO 4449 B13/B5 65 Yes Proposed
BASE
STATION
ERICSSON / RADIO 4449 B13/B5 69 Yes Proposed
JUNCTION
BOX
RAYCAP / RRODC-3315-PF-48 65 Yes Proposed
JUNCTION
BOX
RAYCAP / RRODC-3315-PF-48 69 Yes Proposed
JUNCTION
BOX
RAYCAP / RRODC-3315-PF-48 66 Yes Proposed
DIPLEXER COMMSCOPE / CBC78T-DS-43-2X 65 Yes Proposed
DIPLEXER COMMSCOPE / CBC78T-DS-43-2X 69 Yes Proposed
DIPLEXER COMMSCOPE / CBC78T-DS-43-2X 66 Yes Proposed
BASE
STATION
ERICSSON / RADIO 8843 B2/B66A 65 Yes Proposed
BASE
STATION
ERICSSON / RADIO 8843 B2/B66A 65 Yes Proposed
BASE
STATION
ERICSSON / RADIO 8843 B2/B66A 69 Yes Proposed
BASE
STATION
ERICSSON / RADIO 4449 B13/B5 66 Yes Proposed
BASE
STATION
ERICSSON / RADIO 8843 B2/B66A 69 Yes Proposed
BASE
STATION
ERICSSON / RADIO 8843 B2/B66A 66 Yes Proposed
BASE
STATION
ERICSSON / RADIO 8843 B2/B66A 66 Yes Proposed
Feedlines
TYPE MANUFACTURER / MODEL NOMINAL SIZE
(in)
ATTACHED
CENTERLINE
(ft)
LENGTH
(ft)
IN CONDUIT? STATUS
HYBRID ROSENBERGER LEONI / HCH-6624XXX 1-3/8 1 115 No Proposed
HYBRID ROSENBERGER LEONI / HCH-6624XXX 1-3/8 1 116 No Proposed
HYBRID ROSENBERGER LEONI / HCH-6624XXX 1-3/8 1 119 No Proposed
NOTICE: Structural Analysis shall be performed in accordance with the current revision of the TIA/EIA 222 standard and applicable local building permit codes and standards.
EME analysis shall be consistent with current revision of FCC/OSHA standard OETB 65. AM detuning, when required, will be performed to 47 CFR22.371. The customer
is responsible for all analysis expenses. All construction drawings are subject to Crown Castle engineering approval prior to commencement of tower attachments and
ENSW
SHEET NUMBER
SHEET TITLE
SITE ADDRESS
BUSINESS UNIT NUMBER
EZCAD
SITE NAME
SITE NAME:
SITE NUMBER:
DRAWING DATE:
DRAWN/CHECKED BY:
3/15/2019
818988
HAMILTON COUNTY
CROWN REGION ADDRESS
USA
12900 HAZEL DELL PKWAY
12900 HAZEL DELL PKWAY
CARMEL, IN 46033
US
CROWN REGION ADDRESS
USA
1 FT PROPOSED LEVE
LEVEL DRAWING | MOUNT: PM 601-1 C2
PLOT DATE: 3/FILE 21/2019 NAME: 818988_C2_1_P.dwg
EQUIPMENT CENTERLINES ARE ABOVE STEEL LEVEL (ASL) UNLESS OTHERWISE NOTED | SEE TOWER ELEVATION FOR REFERENCE
W
S
N
E
1. THESE DRAWINGS ARE FOR REFERENCE ONLY,
NOT FOR CONSTRUCTION OR DESIGN.
DRAWING NOTES
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
13
EXHIBIT "4" TO SITE SUPPLEMENT
SITE PLAN; LOCATION AND DIMENSIONS (LENGTH, WIDTH, HEIGHT)
OF EQUIPMENT BUILDING/FLOOR SPACE
AND ANY OTHER INSTALLATION AT THE SITE
LESSEE is identified in the attached Site Plan as ‘Verizon Wireless’
(See Attached)
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
W
S
N
E
CROWN LEASE AREA
COMPOUND AREA
AREA USAGE
0 SQ FT
0 SQ FT
ENSW
SCALE:
3/16"=1'
SHEET NUMBER
SHEET TITLE
SITE ADDRESS
BUSINESS UNIT NUMBER
SITE NAME
SITE NAME:
SITE NUMBER:
DRAWING DATE:
CHECKED BY:
DRAWN BY: CJL
10/01/2019
12900 HAZEL DELL PKWAY
818988
12900 HAZEL DELL PKWAY
CARMEL, IN 16033
HAMILTON
USA
CROWN REGION ADDRESS
USA
SITE PLAN
A3
PLOT DATE: FILE 10/1/2019 NAME: _SITEDETAIL_2.DWG
SITE PLAN 1
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Lessee Site Name: GN Carmel Top - C Lessor Site Name: 12900 Hazel Dell Pkway
Lessee Site No.: 456368 JDE Business Unit: 818988
TT: E 857757 East
Prepared by: D. Wisch LRF Rev #: 4
Prepared on: September 12, 2019 App Rev #: 1
Revised on:
Verizon Volume Commitment SLA
14
EXHIBIT "5" TO SITE SUPPLEMENT
PRIME LEASE AGREEMENT
(See Attached)
October 12, 2019
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
Certificate Of Completion
Envelope Id: 03FA4AA865554EF68130E7E558BC2BA2 Status: Completed
Subject: BU-818988_PLIC-718175_App-455010_Central_12900 Hazel Dell Pkway_Verizon Wireless_456368_GN Carmel To
License: 718175
ApplicationId: 455010
Area: CTA
BusinessUnit: 818988
District: KOI
Source Envelope:
Document Pages: 50 Signatures: 2 Envelope Originator:
Certificate Pages: 5 Initials: 0 Dani Wisch at Crown Castle
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
2000 Corporate Drive
Canonsburg, PA 15317
dani.wisch@crowncastle.com
IP Address: 64.213.130.241
Record Tracking
Status: Original
10/16/2019 10:44:46 AM
Holder: Dani Wisch at Crown Castle
dani.wisch@crowncastle.com
Location: DocuSign
Signer Events Signature Timestamp
Jacqueline Cano
Jacqueline.Cano@crowncastle.com
Security Level:
.Email
ID: 2cdfd6d6-c9a7-42ff-9460-9f3315cf831b
10/16/2019 4:26:51 PM
Completed
Using IP Address: 68.107.177.147
Sent: 10/16/2019 4:09:18 PM
Viewed: 10/16/2019 4:27:08 PM
Signed: 10/16/2019 4:27:33 PM
Electronic Record and Signature Disclosure:
Accepted: 10/16/2019 4:27:08 PM
ID: 451e1804-c0cc-44d2-b56e-996addc2c332
Abigail Ball
abigail.ball@verizonwireless.com
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 69.78.100.101
Sent: 10/19/2019 10:44:02 PM
Viewed: 10/29/2019 11:07:52 AM
Signed: 10/29/2019 11:34:04 AM
Electronic Record and Signature Disclosure:
Accepted: 10/29/2019 11:07:52 AM
ID: 9829547c-c294-4e64-8855-f85f892ae79e
Edward Maher
edward.maher1@verizonwireless.com
Director - Network Engineering
Security Level: Email, Account Authentication
(None) Signature Adoption: Pre-selected Style
Using IP Address: 69.78.100.101
Sent: 11/1/2019 9:00:16 AM
Viewed: 11/1/2019 9:02:04 AM
Signed: 11/1/2019 9:02:20 AM
Signer Events Signature Timestamp
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Maggie Hendricks
mhendricks@cmiacquisitions.com
Security Level: Email, Account Authentication
(None)
Using IP Address: 50.246.150.49
Sent: 10/16/2019 4:28:00 PM
Viewed: 10/19/2019 10:43:28 PM
Completed: 10/19/2019 10:44:01 PM
Electronic Record and Signature Disclosure:
Accepted: 10/19/2019 10:43:28 PM
ID: 7597ca05-11c7-4b1a-8422-7d9d23429b4f
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Michael Clust
Michael.Clust@crowncastle.com
Security Level: Email, Account Authentication
(None)
Sent: 10/16/2019 4:27:53 PM
Viewed: 10/16/2019 4:28:30 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Chelsea Brindle
Chelsea.Brindle@crowncastle.com
Security Level: Email, Account Authentication
(None)
Sent: 10/16/2019 4:27:56 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Verizon Wireless Review
VZWSareDocumentReview@verizonwireless.com
Security Level: Email, Account Authentication
(None)
Sent: 11/1/2019 9:00:20 AM
Electronic Record and Signature Disclosure:
Accepted: 11/1/2019 8:59:48 AM
ID: 9984f884-176b-4863-a3f1-ea2ddbe163c6
Verizon FE
VZWSareFEElectronicDocuments@verizonwireless.
com
Security Level: Email, Account Authentication
(None)
Sent: 11/1/2019 10:51:16 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 11/1/2019 10:51:17 AM
Certified Delivered Security Checked 11/1/2019 10:51:17 AM
Envelope Summary Events Status Timestamps
Signing Complete Security Checked 11/1/2019 10:51:17 AM
Completed Security Checked 11/1/2019 10:51:17 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
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the use of DocuSign, Inc. (“DocuSign”) electronic signing system. The terms for providing such documents for
execution and various other documents and records to you electronically through DocuSign are set forth below.
Please read the information below carefully and if you can satisfactorily access this information electronically and
agree to these terms, please confirm your agreement by clicking the “I agree” button at the bottom of this document.
Getting paper copies
At any time, you may request from us a paper copy of any document for execution or other document or record
provided or made available electronically to you by us. You will be able to download and print documents we send to
you through the DocuSign system during and immediately after each signing session and, if you elect to create a
DocuSign signer account, you may access them for a limited period of time thereafter. To request paper copies of
documents previously provided by us to you electronically, send an e-mail to esignature@CrownCastle.com,
requesting the subject paper copies and stating your e-mail address, name, US Postal address and telephone
number.
Withdrawing your consent to receive and/or execute documents electronically
If you elect to receive documents for execution and various other documents and records from us electronically, you
may at any time change your mind and tell us that thereafter you want to receive such documents only in paper
format. To withdraw your consent to electronic delivery and execution of documents, use the DocuSign 'Withdraw
Consent' form on the signing page of a DocuSign envelope, instead of signing it. Thereafter, you will no longer be
able to use the DocuSign system to electronically receive and execute documents or other records from us. You may
also send an e-mail to esignature@CrownCastle.com stating that you are withdrawing your consent to electronic
delivery and execution of documents through the DocuSign system and stating your e-mail address, name, US Postal
Address, and telephone number.
Consequences of withdrawing consent to receive and/or execute documents electronically
If you elect to receive documents for execution and various other documents and other records only in paper format,
it will slow the speed at which we can complete the subject transactions because of the increased delivery time.
Documents for execution, and other documents and records may be sent to you electronically
Unless you tell us otherwise in accordance with the procedures described herein, we may provide documents for
execution, and other documents and records electronically to you through the DocuSign system during the course of
our relationship with you. To reduce the chance of you inadvertently not receiving any document for execution or
other document or record, we prefer to provide all documents for execution, and other documents and records by the
same method and to the same address that you have given us. If you do not agree with this process, please let us
know as described below.
How to contact Crown Castle
You may contact us to let us know of any changes related to contacting you electronically, to request paper copies of
documents for execution and other documents and records from us, and to withdraw your prior consent to receive
documents for execution and other documents and records electronically as follows:
To contact us by phone call: 724-416-2000
To contact us by email, send messages to: esignature@CrownCastle.com
To contact us by paper mail, send correspondence to
Crown Castle
2000 Corporate Drive
Canonsburg, PA 15317
To advise Crown Castle and DocuSign of your new e-mail address
To let us know of a change to the e-mail address where we should send documents for execution and other
documents and records to you, you must send an email message to esignature@CrownCastle.com and state your
previous e-mail address and your new e-mail address.
In addition, you must notify DocuSign, Inc. to arrange for your new email address to be reflected in your DocuSign
account by following the process for changing e-mail in the DocuSign system.
Required hardware and software
Browsers:
Internet Explorer® 11 (Windows only); Windows Edge Current Version; Mozilla Firefox Current
Version; Safari™ (Mac OS only) 6.2 or above; Google Chrome Current Version; Note : Pre-
release (e.g., beta) versions of operating systems and browsers are not supported.
Mobile Signing: Apple iOS 7.0 or above; Android 4.0 or above
PDF Reader: Acrobat® Reader or similar software may be required to view and print PDF files
Screen
Resolution:
1024 x 768
Electronic Record and Signature Disclosure created on: 9/19/2018 4:13:00 PM
Enabled
Security
Settings:
Allow per session cookies
These minimum requirements are subject to change. If these requirements change, you will be asked to re-accept the
disclosure. Pre-release (e.g. beta) versions of operating systems and browsers are not supported.
Acknowledging your access and consent to receive documents electronically
Please confirm that you were able to access this disclosure electronically (which is similar to the manner in which we
will deliver documents for execution and other documents and records) and that you were able to print this disclosure
on paper or electronically save it for your future reference and access or that you were able to e-mail this disclosure
to an address where you will be able to print it on paper or save it for your future reference and access. Further, if you
consent to receiving documents for execution and other documents and records in electronic format on the terms
described above, please let us know by clicking the “I agree” button below.
By checking the 'I agree' box, I confirm that:
You can access and read this Electronic Record and Signature Disclosure; and
As a recipient, you can read, electronically sign and act upon this message, and you agree not to forward it
or any other DocuSign e-mail communications. In the event another party needs to be added to the
DocuSign communication, you must make a request to the e-mail originator.
Parties agreed to: Jacqueline Cano, Abigail Ball, Edward Maher, Maggie Hendricks, Verizon Wireless Review
Electronic Record and Signature Disclosure:
Accepted: 11/1/2019 9:02:04 AM
ID: a40d1bf3-c4de-497a-9368-095ac64597e5
Jill Wagner
jill.wagner@crowncastle.com
Manager, Contract Development
Crown Castle International Corp.
Signing Group: Crown Manager, Contract
Development
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 68.107.177.147
Sent: 11/1/2019 9:02:58 AM
Viewed: 11/1/2019 10:50:44 AM
Signed: 11/1/2019 10:51:13 AM
compound installations. Installation of equipment not conforming to approved drawings may violate the terms of the occupancy agreement and will be corrected at the
customer's expense. Crown Castle requires drawings for pre-construction approval and as built drawings for physical configuration validation to be submitted as unlocked
AutoCAD files (Version 2000i preferred). Because manufacturers may change equipment specifications (e.g., length, width, height, depth or weight) for a Model Number
without changing the Model Number itself, the equipment specifications for such Model Number as identified herein shall be used to determine exactly which version of
equipment with such Model Number is approved by Crown Castle herein. Crown Castle may include the suffix “CCIv” together with a number (indicating a version number)
after a Model Number, which suffix is not part of the actual Model Number, but indicative of a known change to the equipment specifications applicable to such Model Number.
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DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2
18.00 13.20 11.40 70.00
1 66 2 0 2 0 ERICSSON / RADIO 8843
B2/B66A
BASE
STATION
14.96 13.19 11.10 75.00
1 69 2 0 2 0 ERICSSON / RADIO 8843
B2/B66A
BASE
STATION
14.96 13.19 11.10 75.00
1 65 2 0 2 0 ERICSSON / RADIO 8843
B2/B66A
BASE
STATION
14.96 13.19 11.10 75.00
1 66 1 0 1 0 RAYCAP / RRODC-3315-
PF-48
JUNCTION
BOX
28.93 15.73 10.31 32.00
1 65 1 0 1 0 RAYCAP / RRODC-3315-
PF-48
JUNCTION
BOX
28.93 15.73 10.31 32.00
1 69 1 0 1 0 RAYCAP / RRODC-3315-
PF-48
JUNCTION
BOX
28.93 15.73 10.31 32.00
Feedlines
MCL
(ft)
ACL
(ft)
TOTAL INSTALLED PROPOSED NOT
INSTALLED
MANUFACTURER / MODEL NOMINAL SIZE
(in)
NOMINAL O.D.
(in)
1 1 3 0 3 0 ROSENBERGER LEONI / HCH-6624XXX 1-3/8 1.47
Page 2
DocuSign Envelope ID: 03FA4AA8-6555-4EF6-8130-E7E558BC2BA2