CERTIFICATE OF LIABILITY INSURANCE
Holder Identifier :
To report a claim, please visit:
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY) 02/20/2019
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).
PRODUCER
Aon Risk Insurance Services West, Inc.
San Francisco CA Office 425 Market Street Suite 2800 San Francisco CA 94105 USA
CONTACT NAME: PHONE (A/C. No. Ext):
E-MAIL ADDRESS:
FAX (A/C. No.): INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
Uber Technologies, Inc and its subsidiaries Rasier LLC, Rasier-DC LLC, Rasier-PA LLC 1455 Market Street, 4th Floor San Francisco CA 94103 USA
INSURER A: INSURER B: INSURER C: INSURER D: INSURER E:
James River Insurance Company
12203
INSURER F:
COVERAGES
CERTIFICATE NUMBER: 570075114698
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 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.
Limits shown are as requested
INSR LTR
TYPE OF INSURANCE
ADDL SUBR INSD WVD
POLICY NUMBER
POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY)
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE
OCCUR
EACH OCCURRENCE
DAMAGE TO RENTED PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PROJECT
LOC
OTHER:
A AUTOMOBILE LIABILITY
CA436100CA-04
GENERAL AGGREGATE PRODUCTS - COMP/OP AGG
03/01/2019 03/01/2020 COMBINED SINGLE LIMIT (Ea accident)
$1,000,000
ANY AUTO
OWNED AUTOS ONLY HIRED AUTOS ONLY
SCHEDULED AUTOS X NON-OWNED AUTOS ONLY
BODILY INJURY ( Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE (Per accident) UM/UIM
$1,000,000
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
EXCESS LIAB
CLAIMS-MADE
AGGREGATE
DED
RETENTION
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below
Y / N N / A
PER STATUTE E.L. EACH ACCIDENT
OTHER
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
Certificate No : 570075114698
7777777707070700077763616065553330763716665026754607771316670407301072551744366200320760514021763131007346375732265012077363135512166500777254247613755507637156510057460077727252025773110777777707000707007 6666666606060600062606466204446200622020406224002206222004242060000062222042600420200622200406004020206200006062242000062202042600402000622222426206002006220206262062200066646062240664440666666606000606006
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Pursuant to policy terms and conditions: A. "Rideshare Driver" is an individual that is operating a motor vehicle in connection with the use of the UberPartner application. B. Covered autos are passenger autos being used following the Rideshare Driver's logged and recorded acceptance in the UberPartner application using account credentials issued under a contract with a Named Insured to provide transportation services while the Rideshare Driver is en route to the pick up location of the requested transportation services, or traveling to the final destination of the requested transportation services, including but not limited to dropping-off of passengers.
CERTIFICATE HOLDER
Uber Technologies, Inc. and its subsidiaries Rasier LLC, Rasier-CA LLC Rasier-DC LLC, Rasier-PA LLC 1455 Market Street, 4th Floor San Francisco CA 94103 USA
CANCELLATION
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
ACORD 25 (2016/03)
?1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
Holder Identifier :
To report a claim, please visit:
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY) 02/20/2019
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).
PRODUCER
Aon Risk Insurance Services West, Inc.
San Francisco CA Office 425 Market Street Suite 2800 San Francisco CA 94105 USA
CONTACT NAME: PHONE (A/C. No. Ext):
E-MAIL ADDRESS:
FAX (A/C. No.): INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
Uber Technologies, Inc and its subsidiaries Rasier LLC, Rasier-DC LLC, Rasier-PA LLC 1455 Market Street, 4th Floor San Francisco CA 94103 USA
INSURER A: INSURER B: INSURER C: INSURER D: INSURER E:
James River Insurance Company
12203
INSURER F:
COVERAGES
CERTIFICATE NUMBER: 570075114699
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 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.
Limits shown are as requested
INSR LTR
TYPE OF INSURANCE
ADDL SUBR INSD WVD
POLICY NUMBER
POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY)
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE
OCCUR
EACH OCCURRENCE
DAMAGE TO RENTED PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PROJECT
LOC
OTHER:
A AUTOMOBILE LIABILITY
ANY AUTO
OWNED AUTOS ONLY HIRED AUTOS ONLY
SCHEDULED AUTOS X NON-OWNED AUTOS ONLY
CA436200CA-05
GENERAL AGGREGATE PRODUCTS - COMP/OP AGG
03/01/2019 03/01/2020 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident)
$50,000 $100,000
$30,000
A
UMBRELLA LIAB
X OCCUR
X EXCESS LIAB
CLAIMS-MADE
DED
RETENTION
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below
Y / N N / A
CA436400CA-04 Excess Auto
03/01/2019 03/01/2020 EACH OCCURRENCE AGGREGATE
PER STATUTE E.L. EACH ACCIDENT
OTHER
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
$200,000 $200,000
Certificate No : 570075114699
7777777707070700077763616065553330763716665026754607771316670407301072551744366200320760514021763131007346375732265012077363135512166500777254247613755507273156110057020077727252025773110777777707000707007 6666666606060600062606466204446200602200424026222206220004060260020062222040602400220600202626004002006220006062040002060022240600622220620200404226020006002004262260022066646062240664440666666606000606006
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Pursuant to policy terms and conditions: A. "Rideshare Driver" is an individual that is operating a motor vehicle in connection with the use of the UberPartner application. B. Covered autos are passenger autos being used in connection with the UberPartner application using account credentials issued under a contract with a Named Insured while the Rideshare Driver 1.) has logged in to the UberPartner application and is available to receive requests for transportation services requested through the UberPartner application and 2.) has not accepted a request through the UberPartner application and is not transporting a passenger or property for a fee or other compensation.
CERTIFICATE HOLDER
Uber Technologies, Inc. and its subsidiaries Rasier LLC, Rasier-CA LLC Rasier-DC LLC, Rasier-PA LLC 1455 Market Street, 4th Floor San Francisco CA 94103 USA
CANCELLATION
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
ACORD 25 (2016/03)
?1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
Holder Identifier :
Certificate No : 570075131467
To report a claim, please visit:
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY) 02/22/2019
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).
PRODUCER
Aon Risk Insurance Services West, Inc.
San Francisco CA Office 425 Market Street Suite 2800 San Francisco CA 94105 USA
CONTACT NAME: PHONE (A/C. No. Ext):
E-MAIL ADDRESS:
FAX (A/C. No.): INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
Rasier LLC, Rasier-CA LLC, Rasier-DC LLC, Rasier-PA LLC 1455 Market Street, 4th Floor San Francisco CA 94103 USA
INSURER A: INSURER B: INSURER C: INSURER D:
James River Insurance Company
12203
INSURER E:
INSURER F:
COVERAGES
CERTIFICATE NUMBER: 570075131467
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 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.
Limits shown are as requested
INSR LTR
TYPE OF INSURANCE
ADDL SUBR INSD WVD
POLICY NUMBER
POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY)
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE
OCCUR
EACH OCCURRENCE
DAMAGE TO RENTED PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PROJECT
LOC
OTHER:
GENERAL AGGREGATE PRODUCTS - COMP/OP AGG
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT (Ea accident)
ANY AUTO
OWNED AUTOS ONLY HIRED AUTOS ONLY
SCHEDULED AUTOS NON-OWNED AUTOS ONLY
BODILY INJURY ( Per person)
BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident)
UMBRELLA LIAB
OCCUR
EXCESS LIAB
CLAIMS-MADE
DED
RETENTION
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below
Y / N N / A
A Bus Auto Damage
CA436300CA-04 Auto Physical Damage
EACH OCCURRENCE AGGREGATE
PER STATUTE E.L. EACH ACCIDENT
OTHER
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
03/01/2019 03/01/2020 Comp Deductible Coll Deductible
$1,000 $1,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Limit is lesser of Actual Cash Value and Cost of Repair. A "Rideshare Driver" is an individual operating a motor vehicle in connection with the UberPartner App. Covered autos are passenger autos used following the Rideshare Driver's logged/recorded acceptance in the UberPartner App using account credentials issued under a contract with a Named Insured to provide transportation services while the Rideshare Driver is either en route to the pickup location or traveling to the final destination of the requested transportation services. Coverage only applies if at the time of loss, the covered auto driven by the Rideshare Driver was insured for collision coverage under a personal auto policy that includes the Rideshare Driver as an insured or the auto driven by the Rideshare Driver as a covered auto.
CERTIFICATE HOLDER
Rasier LLC, Rasier-CA LLC Rasier-DC LLC, Rasier-PA LLC 1455 Market Street, 4th Floor San Francisco CA 94103 USA
CANCELLATION
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
7777777707070700077761616045571110745535136235564107663317563506320072553567354111200760507002673112207245155702275201074624131226236550773530523550003007342355132374130076727242035772000777777707000707007 7777777707070700073525677115456000723400102433116007624111561376533071332263431730100703333724207300107122336252173100070223373521721000713232635317200107022226342163111077756163351765540777777707000707007
ACORD 25 (2016/03)
?1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
................
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