HomeMy WebLinkAbout580328 ORACLE AMERICA INC - INSURANCE CERTIFICATEacoR ® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
08/02/2017
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).
CONTACT
PRODUCER NAME:__
MARSH RISK & INSURANCE SERVICES PHONE FAX
345 CALIFORNIA STREET, SUITE 1300 / A/C No:
CALIFORNIA LICENSE NO. G437153 E-MAIL
ADDRESS:
SAN FRANCISCO, CA 94104
INSURER S AFFORDING COVERAGE NAIC #
J15699-MAX-GAWU-16-18 INSURER A : National Union Fire Ins Co Pittsburgh PA 19445
INSURED INSURER B: Safety National Casually Corp. 15105
ORACLE CORPORATION
ORACLE AMERICA, INC. INSURER C :
ATTN: BRUCE COCHRAN INSURER D :
ORACLE PARKWAY
MS50P664500 INSURER E : —_
REDWOOD CITY, CA 94065 1 INSURER F
ccA mmA01190_00 RF\/ICIr1N NI IMRFR-
THIS S TO CERTIFY THAT THE POLICIESOFINSURANCE 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.
IN
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
GL6938966
08/01/2017
08/01/2018
EACH OCCURRENCE
$ 5,000,000
DAMAGE T RENTED
PREMISES Ea occurrence
$ 5,000,000
MED EXP (Any one person)
$ 25,000
PERSONAL & ADV INJURY
$ 5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY � PRO ❑ LOC
X JECT
GENERAL AGGREGATE
$ 10A00,000
PRODUCTS - COMP/OP AGG
$ 10,000,000
A
OTHER.
AUTOMOBILE LIABILITY
CA4400100 (ADS)
08/01/2017
0810112018
CMIEa accidentSINGLE LIMIT
$ 5,000,000
BODILY INJURY (Per person)
$
A
X ANY AUTO
CA4400099 (MA)
08/01/2016
0810112018
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
28189286
08/01/2017
08/01/2018
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
DED RETENTION $PER
WORKERS COMPENSATION
_
X STATUTE 'ERH
$
B
LDW500082
04/01/2018
E L EACH ACCIDENT
$ 5,000,000
B
AND EMPLOYERS' LIABILITY YIN
ANYPROPR I ETOR/PARTNE RIEXECUT I VE
OFFICER/M EMBER EXCLUDED? N
(Mandatory in NH)
If yes describe under
DESCRIPTION OF OPERATIONS below
NIA
PS0500081 WI
( )
04/01/2017
04/01/2018
E.L. DISEASE - EA EMPLOYEE
$ 5,000,000
E.L. DISEASE - POLICY LIMIT
$ 5,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City of Fort Collins, its officers, and its employees are included as additional insureds with respect to General Liability as required by wntten contract.
CATE HO
City of Fort Collins, Utilities
P.O. Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh Risk & Insurance Services
Chandra J. Baciocco (h4?y�rC1{4"iec'to
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD