Loading...
HomeMy WebLinkAboutInsurance Certificate: Novatel Wireless Client#: 9807 NOVAWIRE ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/05/2016 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 NAME: Casey Tamashiro Marsh & McLennan Agency LLC PHONENo Ext : 858 457-3414 A/C FAX , No(858) 452-7530 A/C, Marsh & McLennan Ins Agncy LLC E-MAIL ADDRESS: casey.tamashiro@barneyandbarney.com PO Box 85638; CA Lic #01-118131 INSURER(S) AFFORDING COVERAGE NAIC # San Diego, CA 92186 INSURER A : Federal Insurance Company 20281 INSURED INSURER B : Berkley National Insurance Comp 38911 Feeney Wireless, LLC INSURER C : Novatel Wireless, Inc INSURER D 9645 Scranton Rd, Suite 205 INSURER E San Diego, CA 92121 INSURER F COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. IN -SR SUBR LTR TYPE OF INSURANCE NSRL WVD POLICY NUMBER MM DD/YYYY POLICY /YYYY LIMITS A GENERAL LIABILITY X 35818735 10/01/2016 10/01/201 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGES ( RENTED PREMISES Ea occurrence $1;0001000 CLAIMS-MADE 51OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 PRO- T LOC POLICY EC$ AUTOMOBILE LIABILITY 73528025 10/01/2016 10101/201 (Ea acccidentsINGLE LIMIT 1,000,000 A X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ OWNED X HIRED AUTOS X NON-AUTOS Per accident rOFFIER/EMBER UMBRELLA LIAB X OCCUR X 79835768 10/01/2016 10/01/201 EACH OCCURRENCE $10,000000 EXCESS LIAB CLAIMS-MADE following form AGGREGATE $10,000,000 DED RETENTION $ $ C sTATU oTH KERS COMPENSATION TWC700571211 1/01/2016 01/01/201 X WTORY LIMITS IER EMPLOYERS' LIABILITY PROPRIETOR/PARTNER/EXECUTIVE Y / N E.L. EACH ACCIDENT $1 000,000 CMEXCLUDED? NJ N / A datory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 A Professional 36028011 10/01/2016 10/01/201 Limit $10,000,000 Liability Ded $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Consultant to provide Arbitrator equipment, extended equipment warranty and on-site consulting services, per Quote #Q50020 The City of Ashland, Oregon, and its elected officials, officers and employees are included as Additional Insureds, per written contract, including Primary and Non-Contributory coverage, per form VCG207 1113. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S939399/M939391 ODOP