HomeMy WebLinkAbout259884 ORACLE CORPORATION - INSURANCE CERTIFICATE (3)A�� DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 0810212017
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. Extl: _ A/c No):
CALIFORNIA LICENSE NO.0437153 E-MAIL
ADDRESS:
SAN FRANCISCO, CA 94104
INSURER S AFFORDING COVERAGE NAIC #
J 1 5699-MAX-GAWU-16-18 INSURER A: National Union Fire Ins Co Pittsburgh PA 19445
- ---
INSURED INSURER B : Safety National Casualty Corp. 15105
ORACLE CORPORATION
ORACLE AMERICA, INC. INSURER C : _
ATTW BRUCE COCHRAN INSURER D :
ORACLE PARKWAY
MS50P664500 INSURER E:
REDWOOD CITY, CA 94065 INSURER F
QCA_nn1AQ1%,n-)n RFVICI0N 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.
INSR
LTR
A
TYPE OF INSURANCE
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE L� OCCUR
L�
ADDL
SUBR
POLICY NUMBER
GL6938966
POLICY EFF
MMlDD/YYYY
0810112017
POLICY EXP
MM/DD/YYYY
08/01/2018
LIMITS
EACH OCCURRENCE
$ 5,000,000
TED
DAMAG—ETUREPREMISES Ea occurrence) ence
$ 5,025,000
MED EXP (Any one person)
$ 25,000
PERSONAL & ADV INJURY
$ 5,000,000
GENERAL AGGREGATE
$ 10,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑PRO ❑ LOC
X JECT
PRODUCTS -COMP/OP AGG
$ 10,000,000
A
OTHER.
AUTOMOBILE LIABILITY
CA4400100 (ADS)
08/01/2017
08/01/2018
COMBINED SINGLE LIMIT
Ea accident
$ 5,000,000
BODILY INJURY (Per person)
$
A
X ANY AUTO
CA4400099 (MA)
08/01/2016
08/01/2018
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
H _
X STATUTE OER
$
B
LDM0500082
04101/2018
DED RETENTION $
WORKERS COMPENSATION
E.L EACH ACCIDENT
$ 5,000,000
B
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER 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 written contract.
GEK I IFIGA I t F1UL
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 �Qja2�e-p
w rr�on nf%Mnr%0ATIf1W All Ahfc —a—arl
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD