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259884 ORACLE CORPORATION - INSURANCE CERTIFICATE (5)
q� oieo� CERTIFICATE OF LIABILITY INSURANCE FDATE 04IO2/2018 /YYYY) 2018 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). PRODUCER CONTACT MARSH RISK & INSURANCE SERVICES NAME: AX PHONE J 345 CALIFORNIA STREET, SUITE 1300 IA/C. o. ExU: IA/C. No): CALIFORNIA LICENSE NO.0437153 E-MAIL -- SAN FRANCISCO, CA 94104 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # J15699_MAX-GAWU_17-19 INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 INSURED INSURER B : Safe National Casual Corp. 15105 ORACLE CORPORATION _ ORACLE AMERICA. INC INSURER C : 500 ORACLE PARKWAY INSURER D REDWOOD CITY, CA 94065 - - - - - INSURER E INSURER F : COVERAGES CFRTIFICATF NIIMRFR- sFA-nnmQ.i9rn_99 RGVICInAI KIII11A09=0- 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDlYYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR GL6938966 08/01/2017 08/01/2018 EACH OCCURRENCE $ 5,000,000 DAMAGE TO RENT D PREMISES Ea occurrence _ $ 5,000,000 MED EXP (Any one person) $ 25,000 PERSONAL & ADV INJURY $ 5,0 000 GEN'L X AGGREGATE LIMIT APPLIES PER POLICY PRO- . — JECT LOC OTHER GENERAL AGGREGATE $ 10,000,000 PRODUCTS - COMP/OP AGG $ 1 O,000,000 $ A A AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS - HIRED NON -OWNED AUTOS ONLY AUTOS ONLY CA4400100 (ADS) CA4400099 (MA) 08/01/2017 08/01/2017 08/01/2018 08/01/2018 COMBINED SINGLE LIMIT accident $ 5,000,000Ea BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE 28189286 08/01/2017 08/01/2018 EACH OCCURRENCE $ I0,000,000 AGGREGATE $ 10,000,000 DID RETENTION $ $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA LDW500082 (AOS) PS0500081 (WI) 04/O1I2018 04/01/ 0019 04/01/2019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE — .-- $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1'000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / 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 written contract. CERTIFICATE HOLDER CANCELLATION 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 Bealey c-r-j— © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD