CERTIFICATE OF LIABILITY INSURANCE...Mar 01, 2020 · 3 0 73 0000 7 02 33373 4 31 6 3 0000 0222 37...
3
Holder Identifier : 7777777707070700077761616045571110745535136235564107663317563506320072553567354111200764143402277512207605111746235645074224175226672110733530167110047007306311172370130076727242035772000777777707000707007 7777777707070700073525677115456000723511002522106007724001471377523070223372520730000713332724217301007123227353172010070333362430620100712223734307310007023337242163000077756163351765540777777707000707007 Certificate No : 570080581995 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/20/2020 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). 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. PRODUCER Aon Risk Insurance Services West, Inc. San Francisco CA Office 425 Market Street Suite 2800 San Francisco CA 94105 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED 19232 Allstate Insurance Co INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: FAX (A/C. No.): CONTACT NAME: Rasier LLC, Rasier-CA LLC, Rasier-DC LLC, Rasier-PA LLC 1455 Market Street, 4th Floor San Francisco CA 94103 USA COVERAGES CERTIFICATE NUMBER: 570080581995 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 POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG GEN'L AGGREGATE LIMIT APPLIES PER: PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $1,000,000 A 03/01/2020 03/01/2021 COMBINED SINGLE LIMIT (Ea accident) 648878930 EXCESS LIAB OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED UMBRELLA LIAB RETENTION E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT OTH- ER PER STATUTE Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below 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" means an individual who is operating a motor vehicle in connection with the use of the "Digital Network application". B. Covered autos are passenger autos while being used by a "Rideshare Driver" in connection with the "Digital Network application" accessed using account credentials issued under a contract with a Named Insured to provide transportation services provided the "Rideshare Driver" has recorded acceptance in the "Digital Network application" and while 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. Uninsured / Underinsured Bodily Injury included as further described in the policy. CANCELLATION CERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE Rasier LLC, Rasier-CA LLC Rasier-DC LLC, Rasier-PA LLC 1455 Market Street, 4th Floor San Francisco CA 94103 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. To report a claim, please visit: http://t.uber.com/claims
Transcript of CERTIFICATE OF LIABILITY INSURANCE...Mar 01, 2020 · 3 0 73 0000 7 02 33373 4 31 6 3 0000 0222 37...
Ho
lder
Id
enti
fier
:
7777777707
0707000777
6161604557
1110745535
1362355641
0766331756
3506320072
5535673541
1120076414
3402277512
2076051117
4623564507
4224175226
6721107335
3016711004
7007306311
1723701300
7672724203
5772000777
7777070007
07007
7777777707
0707000735
2567711545
6000723511
0025221060
0772400147
1377523070
2233725207
3000071333
2724217301
0071232273
5317201007
0333362430
6201007122
2373430731
0007023337
2421630000
7775616335
1765540777
7777070007
07007C
erti
fica
te N
o :
5700
8058
1995
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
02/20/2020
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).
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.
PRODUCER
Aon Risk Insurance Services West, Inc.San Francisco CA Office425 Market StreetSuite 2800San Francisco CA 94105 USA
PHONE(A/C. No. Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED 19232Allstate Insurance CoINSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
FAX(A/C. No.):
CONTACTNAME:
Rasier LLC, Rasier-CA LLC,Rasier-DC LLC, Rasier-PA LLC1455 Market Street, 4th FloorSan Francisco CA 94103 USA
COVERAGES CERTIFICATE NUMBER: 570080581995 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
POLICY EXP (MM/DD/YYYY)
POLICY EFF (MM/DD/YYYY)
SUBRWVD
INSR LTR
ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
GEN'L AGGREGATE LIMIT APPLIES PER: PRO-JECT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED AUTOS ONLY
SCHEDULED AUTOS
HIRED AUTOS ONLY
NON-OWNED AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE(Per accident)X
BODILY INJURY (Per accident)
$1,000,000A 03/01/2020 03/01/2021 COMBINED SINGLE LIMIT(Ea accident)
648878930
EXCESS LIAB
OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
UMBRELLA LIAB
RETENTION
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT
OTH-ER
PER STATUTE
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A
WORKERS COMPENSATION AND EMPLOYERS' LIABILITY
If yes, describe under DESCRIPTION OF OPERATIONS below
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" means an individual who is operating a motor vehicle in connection with the use of the "Digital Network application". B. Covered autos are passenger autos while being used by a "Rideshare Driver" in connection with the "Digital Network application" accessed using account credentials issued under a contract with a Named Insured to provide transportation services provided the "Rideshare Driver" has recorded acceptance in the "Digital Network application" and while 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. Uninsured / Underinsured Bodily Injury included as further described in the policy.
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVERasier LLC, Rasier-CA LLCRasier-DC LLC, Rasier-PA LLC1455 Market Street, 4th FloorSan Francisco CA 94103 USA
ACORD 25 (2016/03)©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
To report a claim, please visit: http://t.uber.com/claims
Ho
lder
Id
enti
fier
:
7777777707
0707000777
6161604557
1110745535
1362355641
0766331756
3506320072
5535673541
1120076414
3402277512
2076051117
4623564507
4224175226
6721107335
3016711000
7407702711
5727741300
7672724203
5772000777
7777070007
07007
7777777707
0707000735
2567711545
6000722411
1134331071
0762410046
1267533070
2232634317
3000071223
3625217310
0071233372
4307300007
0233373431
6300007022
2372421621
1107023337
3431721100
7775616335
1765540777
7777070007
07007C
erti
fica
te N
o :
5700
8058
2000
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
02/20/2020
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).
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.
PRODUCER
Aon Risk Insurance Services West, Inc.San Francisco CA Office425 Market StreetSuite 2800San Francisco CA 94105 USA
PHONE(A/C. No. Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED 19232Allstate Insurance CoINSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
FAX(A/C. No.):
CONTACTNAME:
Rasier LLC, Rasier-CA LLC,Rasier-DC LLC, Rasier-PA LLC1455 Market Street, 4th FloorSan Francisco CA 94103 USA
COVERAGES CERTIFICATE NUMBER: 570080582000 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
POLICY EXP (MM/DD/YYYY)
POLICY EFF (MM/DD/YYYY)
SUBRWVD
INSR LTR
ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
GEN'L AGGREGATE LIMIT APPLIES PER: PRO-JECT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED AUTOS ONLY
SCHEDULED AUTOS
HIRED AUTOS ONLY
NON-OWNED AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE(Per accident)X
BODILY INJURY (Per accident)
$50,000
$100,000
$25,000
A 03/01/2020 03/01/2021 COMBINED SINGLE LIMIT(Ea accident)
648878929
EXCESS LIAB
OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
UMBRELLA LIAB
RETENTION
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT
OTH-ER
PER STATUTE
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A
WORKERS COMPENSATION AND EMPLOYERS' LIABILITY
If yes, describe under DESCRIPTION OF OPERATIONS below
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 "Digital Network application". B. Covered autos are passenger autos being used in connection with the "Digital Network application" using account credentials issued under a contract with a Named Insured while the Rideshare Driver 1.) has logged in to the"Digital Network application" and is available to receive requests for transportation services requested through the "Digital Network application" and 2.) has not accepted a request through the "Digital Network application" and is not transporting a passenger or property for a fee or other compensation.
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVERasier LLC, Rasier-CA LLCRasier-DC LLC, Rasier-PA LLC1455 Market Street, 4th FloorSan Francisco CA 94103 USA
ACORD 25 (2016/03)©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
To report a claim, please visit: http://t.uber.com/claims
Ho
lder
Id
enti
fier
:
7777777707
0707000777
6161604557
1110745535
1362355641
0766331756
3506320072
5535673541
1120076414
3402277512
2076051117
4623564507
4224175226
6721107335
3016751444
3007706311
5723745300
7672724203
5772000777
7777070007
07007
7777777707
0707000735
2567711545
6000732411
0024321171
0762511146
0367422071
2333735206
3101070333
3734207310
1070223263
5207311107
1233362521
7300007023
3372430720
0007023336
3421720000
7775616335
1765540777
7777070007
07007C
erti
fica
te N
o :
5700
8058
2004
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
02/20/2020
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).
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.
PRODUCER
Aon Risk Insurance Services West, Inc.San Francisco CA Office425 Market StreetSuite 2800San Francisco CA 94105 USA
PHONE(A/C. No. Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED 19232Allstate Insurance CoINSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
FAX(A/C. No.):
CONTACTNAME:
Rasier LLC, Rasier-CA LLC,Rasier-DC LLC, Rasier-PA LLC1455 Market Street, 4th FloorSan Francisco CA 94103 USA
COVERAGES CERTIFICATE NUMBER: 570080582004 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
POLICY EXP (MM/DD/YYYY)
POLICY EFF (MM/DD/YYYY)
SUBRWVD
INSR LTR
ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
GEN'L AGGREGATE LIMIT APPLIES PER: PRO-JECT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED AUTOS ONLY
SCHEDULED AUTOS
HIRED AUTOS ONLY
NON-OWNED AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE(Per accident)
BODILY INJURY (Per accident)
COMBINED SINGLE LIMIT(Ea accident)
EXCESS LIAB
OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
UMBRELLA LIAB
RETENTION
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT
OTH-ER
PER STATUTE
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A
WORKERS COMPENSATION AND EMPLOYERS' LIABILITY
If yes, describe under DESCRIPTION OF OPERATIONS below
Comp Deductible03/01/2020 03/01/2021648878930Auto Physical Damage $1,000Coll Deductible
Bus Auto DamageA $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 "Digital Network application". Covered autos are passenger autos used following the "Rideshare Driver's" logged/recorded acceptance in the "Digital Network application" 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 comprehensive and/or 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.
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVERasier LLC, Rasier-CA LLCRasier-DC LLC, Rasier-PA LLC1455 Market Street, 4th FloorSan Francisco CA 94103 USA
ACORD 25 (2016/03)©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
To report a claim, please visit: http://t.uber.com/claims
