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HomeMy WebLinkAboutInsurance Certificate: Inseego Corp (FKA Novatel Wireless) Client#: 9807 NOVAWIRE ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/3112017 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 & McLennan Agency LLC PHONE g58 457-3414 FAX (858) 452-7530 A/C, No, Ext : A/C, No Marsh & McLennan Ins Agncy LLC E-MAIL ADDRESS: PO Box 85638; CA Lic #OH 18131 INSURER(S) AFFORDING COVERAGE NAIC # San Diego, CA 92186 INSURER A : Federal Insurance Company 20281 INSURED Inseego Corp. (FKA Novatel Wireless) INSURER B : Berkley National Insurance Comp 38911 9605 Scranton Road INSURER C : Suite 300 INSURER D San Diego, CA 92121 INSURER E : 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A GENERAL LIABILITY 35818735 10/01/2016 10/01/201 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrrence $1,000,000 CLAIMS-MADE 1:*1 OCCUR I 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 POLICY PRO LOC $ JECT A AUTOMOBILE LIABILITY 73528025 10/01/2016 10/01/201 COMBINED SINGLE LIMIT Ea accident $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident A X UMBRELLA LIAB X OCCUR 79835768 10/0112016 10/01/201 EACH OCCURRENCE $10 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION $ $ B WORKERS COMPENSATION TWC700571212 1/01/2017 01/01/201 X WC sTATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVEI I E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? L N N ; A (Mandatory 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 Liab 36028011 10/01/2016 10/01/201 Limit $10,000,000 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 City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 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 #S1095725/M1095718 M I LA