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259884 ORACLE CORPORATION - INSURANCE CERTIFICATE (7)
AC"Ra CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) oa/o71201 12017 � 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 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME:- _ MARSH RISK & INSURANCE SERVICES (AHONNo. Ext): - 345 CALIFORNIA STREET, SUITE 1300 E-MAIL - CALIFORNIA LICENSE NO.0437153 SAN FRANCISCO, CA 94104 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 J15699-MAX-GAWU-16-18 INSURED INSURER B : Safety National Casualty Corp. 15105 ORACLE CORPORATION INSURER C : — ---- - ---- ORACLE AMERICA, INC. ATTN: BRUCE COCHRAN ORACLE PARKWAY INSURER D : - - -- — MS50P664500 INSURER E : REDWOOD CITY, CA 94065 INSURER F : COVERAGES CERTIFICATE NUMBER: SEA-003067503-17 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE u OCCUR _ GL3796632 06/01/2016 08/01/2017 EACH OCCURRENCE $ 5,000,000 DAMAGE( RENTED PREMISESSEa occurrence) $ 5,000,000 MED EXP (Any one person) $ 25,000 PERSONAL & ADV INJURY $ 5,000,000 GENT X AGGREGATE LIMIT APPLIES PER: PRO - POLICY D JECTPRO ❑ LOC OTHER GENERAL AGGREGATE $ 10,000,000 PRODUCTS - COMP/OP AGG $ 10,000,000 $ A A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS C.A7742134 AOS ( ) CA7742133 (MA) 06/01/2016 06/01/2016 08/01/2017 08/01/2017 CO" 1,,IED SINGLE LIMIT SEa accident $ 5,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 19086942 06/01/2016 08/01/2017 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED RETENTION $ $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? F (Mandatory in NH) If yes, describe under OF OPERATIONS below N / A LDMO500082 PS0500081 (WI) 04/01/2017 04/01/2017 04/01/2018 04/01/2018 1 OTH- STATUTE ER E.L. EACH ACCIDENT _ $ 5,000,000 E.L DISEASE - EA EMPLOYE $ 5,000,000 E.L. DISEASE - POLICY LIMIT 5,000,000DESCRIPTION $ 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. l.tK 111-1k A I t r1ULUtK (GANI;tLLA I IUN 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 (4'N�71eet� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD