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HomeMy WebLinkAbout516354 THE OMEGA GROUP INC - INSURANCE CERTIFICATE (3)A�RDCERTIFICATE OF LIABILITY INSURANCE DATE (/2016 YYY) 12i152016 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 Technology Drive, Suite 790 San Jose, CA 95110 CONTACT NAME: PHONE FAX (A/C. No. Ext): A/C No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC N INSURER A: Federal Insurance Company 20281 J20763-STND-GAWUE-16-17 _ INSURED Trimble Inc. The Omega Group INSURER B : Travelers Property Casualty Co. Of America 25674 INSURER C : Lloyd's Of London INSURER D : Great Northern Insurance Company 20303 5160 Carroll Canyon Road, Suite 100 San Diego, CA 92121 -- INSURER E : INSURER F : COVFRAGES CERTIFICATE NUMBER: SEA-002727385-09 REVISION NUMBER:2 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 MMIDD/YYYY MM/DDYYYY LICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY 35323540 12/01/2016 12/01/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJJRY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ PRO- ❑ JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER- D AUTOMOBILE LIABILITY 73257020 12/01/2016 12/01/2017 COEaMBINED ccidentSINGLE LIMIT$ a 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED AUTOS SUTOS CHEDULED _ A X X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ COMP/COLL $ 1,000 A X UMBRELLA LIAB X OCCUR 79724719 12/01/2016 12/0112017 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE (MandatoryOFFICERIMin H) EXCLUDED? (Mandatory in NH) N / A HC2JUB-8363M832-16(Ded) HRKUB117D3437-16 Retro ( ) Deductible: $250,000 12/01/2016 12/01/2016 12/01/2017 12/01/2017 X I SPER J TATUTE EERH E.L. EACH ACCIDENT 1,000,000 _ E.L. DISEASE - FA EMPLOYE _$ $ 1,000.000 E.L. DISEASE - POLICY LIMIT $ 1.000.000 If yes, describe under DESCRIPTION OF OPERATIONS below C Electronic W101C7161101 12/01I2016 12/01/2017 Limit 2.000,000 Errors & Omissions Deductible 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: GIS Mapping. The City of Fort Collins, its officers, agents and employees, and The Poudre Fire Authority are included as additional insured (except workers' compensation) where required by written contract. CFRTIFIrtATF Wnl n1=R CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 N Mason Street ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins. CO 80522 AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Petronella Massey © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD