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Home My WebLink About516354 THE OMEGA GROUP INC - INSURANCE CERTIFICATEACORL)r CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `...� 01/06/2017 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 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 Marsh Risk & Insurance Services 1735 TechnolDrive, Suite 790 San Jose, CAS10 CONTACT NAME: PHONE FAX Ito. Ext): A/c NO): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # J20763-STND-GAWUE-16-17 INSURER A: Federal Insurance Company 20281 INSURED Trimble Inc. INSURER B : Travelers Property Casualty Co. Of America 25674 INSURER C : Lloyd's Of London The Omega Group 5160 Carroll Canyon Road, Suite 100 San Diego, CA 92121 INSURER D : Great Northern Insurance Company 20303 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: SEA-002727340-11 DC1/ICl/lA1 111,111 IRA930M r. 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 I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DDM/YY LIMITS A X COMMERCIAL GENERAL LIABILITY 35323540 12/01/2016 12/01/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS MADE OCCUR PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRO- ❑ POLICY ❑ LOC NPRODUCTS JECT - COMP/OP AGG $ 2,000,000 OTHER: D AUTOMOBILE LIABILITY 73257020 12/01/2016 12/01/2017 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS Ix AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE Per accident $ COMP/COLL $ 1000 A X UMBRELLA LIAB X OCCUR 79724719 12/01/2016 12/01/2017 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE DED 1 RETENTION $ $ B WORKERS COMPENSATION HC2JUB-8363M832-16 (Ded) 12101/2016 12/0112017 X PER OTH- B AND EMPLOYERS' LIABILITY Y / N STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE HRKUB-117D3437-16 (Retro) 12/01/2016 12101/2017 OFFICER/MEMBER EXCLUDED? E (Mandatory in NH) N / A Deductible: $250,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under E.L. DISEASE - POLICY LIMIT I $ 1,000,000 DESCRIPTION OF OPERATIONS below C Electronic N101C7161101 12/01/2016 12/01/2017 Limit 2,000,000 Errors & Omissions Deductible 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Evidence of Insurance City of Fort Collins Attn: Ed Bonnette, Purchasing PO 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 Petronella Massey pP,ti0►'21?jlm V 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD