DATE (MM/DO/YYYY)
ACORD CERTIFICATE OF LIABILITY INSURANCE 01/03/2023
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 policylies) 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 endorsements).
PRODUCER CONTACT
Petronela Massey
Marsh Risk & Insurance Services
735 Technology Drive, Suite 790 No. Eric 408 457 5614 FAC, Noy: 408 467 5699 San Jose, CA 95110 ADORESS: [email protected] INSURER(3) AFFORDINO COVERAGE NAIC
CN102488216-STND-GAWUE-22- INSURER A : Federal Insurance Company 20281 INSURED Trimble inc. INSURER B: American Casualy Company of Reading, PA 20427 Azteca Systems LLC (dba Cityworks) INSURER C: Loyd's Of London 11075 South State $24 INSURER D: Continental Insurance Company 35289 Sandy, UT 84070
INSURER E: Transportation Insurance Co 20494
INSURER F:
COVERAGES CERTIFICATE NUMBER: SEA-003879365-03 REVISION NUMBER: 4
HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO INDICATED. IOTWITHSTANDING 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.
TYPE OF INSURANCE NAD WAR POLICY NUMBER
X | COMMERCIAL OENERAL LIABILITY 35323540 12/01/2022 1201/2023 EACH OCCURRENCE 1,000,000 ANAGE TO RENTE! 1,000,000
CLAIMS-MADE OCCUR PREMISES (Ea occurrence!
MED EXP (Asy one person) 10,000
1,000,000
PERSONAL & ADV INJURY
GEVL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 X POUCY PECT LOC PRODUCTS - COMP/OP AGO S 2,000,000
OTHER:
73257020 12/01/2022 1201/2023 OMBINED SNOLE LIM 1,000,000
AUTONOR BELABUT
es steach
ANY AUTO BODILY INJURY (Per person) 1,000,000
EDULED BODILY INJURY (Per accident) 5 1,000,000
ROPERTY DAMA 1,000,000
AUTOS ONLY AUTOS ONLY
COMPICOLL DED 1,000
UMBRELLA LIAB 79724719 12/01/2022 1201/2023 2,000,000
OCCUR EACH OCCURRENCE
STOSSER
CLAIMS-MADE AGGREGATE 2,000,000
WORKERS COMPENSATION VC 7 11635746 (AO5); Ded: $250K 1201/2022 12012023 x FATUTE AND EMPLOYERS' LIABILITY 1201/2023
ANYPROPRIETOR/PARTNER EXECUTIVE WC 7 11636763 (CA) 12/01/2022 EL EACH ACCENT 1,000,000 OFFICER MEMBER EXCLUDED? NIA
W/C 7 11892854 (RETRO) 12/01/2022 1201/2023 1,000,000
(Mandatory in NH EL DISEASE • EA EMPLOYEE 5
Be RETO OPERATIONS BELON 7011892868 (STOP GAP 12/01/2022 12/01/2023 1,000,000 EL DISEASE • POLICY LIMIT 5
Technology Emors & Omissions W101C7221701 12/01/2022 1201/2023 Limt 10,000,000 Retention 2,500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remanks Sohedule, may be attached if more space le requimed
CERTIFICATE HOLDER CANCELLATION
City of Cupertino SHE EXPIRATION DATE THESE, NOCE RESE DELIVERED IN 10300 torme Aue BE DELVERED
Cuperino, CA 95014 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Marak Rist & Pusurance Sorvices
© 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CHUBB® Liability Insurance
Endorsement
Policy Period DECEMBER 1, 2022 TO DECEMBER 1, 2023
Effective Date DECEMBER 1, 2022
Policy Number 3532-35-40 SFO
Insured TRIMBLE INC.
Name of Company FEDERAL INSURANCE COMPANY
Date Issued DECEMBER 15, 2022
This Endorsement applies to the following forms:
GENERAL LIABILITY
Under Who Is An Insured, the following provision is added.
Who Is An Insured
Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obi paled pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization
However, the person or organization is an insured only:
if and then only to the extent the person or organization is described in the Schedule; :
to the extent such contract or agreement requires the person or organization to be afforded status as an insured;
• for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and
• with respect to damages, loss, cost or expense for injury or damage to which this insurance applies.
No person or organization is an insured under this provision:
that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement.
Liability Insurance Additional Insured - Scheduled Person Or Organization continued Form 80-02-2367 (Rev. 5-07) Endorsement Page 1
CHUBB®
Liability Endorsement
(continued)
Under Conditions, the following provision is added to the condition titled Other Insurance.
Conditions
Other Insurance - If you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance - Scheduled this insurance is primary and we will not seek contribution from insurance availableto such person Person Or Organization or organization.
Schedule
Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy.
All other terms and conditions remain unchanged.
Palll a
Authorized Representative
Liability Insurance Additional Insured - Scheduled Person Or Organization last page Form 80-02-2367 (Rev. 5-07) Endorsement Page 2
Workers Compensation And Employers Liability Insurance
CNA
Policy Endorsement
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Any Person or Organization on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement.
The premium charge for the endorsement is reflected in the Schedule of Operations.
All other terms and conditions of the policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below.
Form No: WC 00 03 13(04-1984) Policy No: WC 7 11892854
Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 12/01/2022 Endorsement No: 17; Page: 1 of 1 Policy Page: 59 of 83
Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606 Copyright 1983 National Council on Compensation Insurance.
Workers Compensation And Employers Liability Insurance
CNA
Policy Endorsement
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual.
Schedule
Any Person or Organization on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement.
The premium charge for the endorsement is reflected in the Schedule of Operations.
All other terms and conditions of the policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below.
Form No: WC 00 03 13(04-1984) Policy No: WC 7 11636746
Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 12/01/2022 Endorsement No: 40; Page: 1 of 1 Policy Page: 265 of 395 Underwriting Company: American Casualty Company of Reading, Pennsylvania, 151 N Franklin St, Chicago, IL 60606
Copyright 1983 National Council on Compensation Insurance.
Workers Compensation And Employers Liability Insurance
CNA
Policy Endorsement
BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
This endorsement changes the policy to which it is attached.
It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Liability Insurance H. Recovery From Others are amended by adding the following:
We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - Refer to the Schedule of Operations
The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is 2%.
All other terms and conditions of the policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below.
Form No: G-19160-B (11-1997) Policy No: WC 7 11636763
Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 12/01/2022 Endorsement No: 7; Page: 1 of 1 saming Company the conina insurance Company, 151 Fain 5, Chicago, I. 60806 Policy Page: 39 of 63 © Copyright CNA All Rights Reserved.