Certificate of Liability Insurance 02/22/2019 This Certificate Is Issued As a Matter of Information Only and Confers No Rights Upon the Certificate Holder
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DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT NAME: Marsh USA, Inc. PHONE FAX 1301 5th Avenue, Suite 1900 (A/C, No, Ext): (A/C, No): Seattle, WA 98101 E-MAIL ADDRESS: Attn: Julie Metzger (206) 214-3076 INSURER(S) AFFORDING COVERAGE NAIC # CN103030681-STND-GAWU-19-20 INSURER A : Zurich American Insurance Company 16535 INSURED INSURER B : Liberty Insurance Underwriters Inc. 19917 Amazon.com, Inc. Attn: Risk Management INSURER C : American Zurich Insurance Company 40142 2121 7th Ave INSURER D : Seattle, WA 98121 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: SEA-003302655-14 REVISION NUMBER: 17 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A COMMERCIAL GENERAL LIABILITY GLO736771400 01/01/2019 EACH OCCURRENCE $ 5,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ SELF INSURED RETENTION MED EXP (Any one person) $ 0 X $2,000,000 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 PRO- X POLICY JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: $ A AUTOMOBILE LIABILITY BAP4678512-06 COMBINED SINGLE LIMIT 01/01/2020 (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY AUTOS ONLY (Per accident) $ B UMBRELLA LIAB OCCUR TH7621095303019 01/01/2019 01/01/2020 EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTION $ $ C WORKERS COMPENSATION WC4678509-06 AOS 01/01/2019 PER OTH- STATUTE ER AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE WC4678510-06 MA, WI 01/01/2020 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N / A (Mandatory in NH) WC0028430-03 MN E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Automatic Additional Insureds Primary Coverage. Additional Insured is provided as respects your interest in the operations of the named insured as required by written contract. Waiver of Transfer of Rights of Recovery Against Others To Us (Waiver of Subrogation) any person or organization with whom you have entered into a written contract. Primary and Non-Contributory is available to an additional insured if required by a written contract. CERTIFICATE HOLDER CANCELLATION Amazon.com, Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 440 Terry Avenue North ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 81226 Seattle, WA 98108-1300 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Jean Aguirre © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN103030681 LOC #: Seattle ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY NAMED INSURED Marsh USA, Inc.� Amazon.com, Inc.� Attn: Risk Management� POLICY NUMBER 2121 7th Ave� Seattle, WA 98121 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance �� Coverage applies to Amazon.com, Inc. and all of its subsidiaries, including:� Amazon.com Services, Inc.� A100 US LLC� A2Z Development Center, Inc.� A9.com, Inc.� A9 Innovations LLC� Acorn Development LLC� AF Operations LLC� AF Retail Services LLC� Amazon Canada Fulfillment Services, ULC� Amazon Commercial Services Pty Ltd� Amazon Corporate LLC� Amazon Corporate Services Pty Ltd� Amazon France Logistique SAS� Amazon France Transport SAS� Amazon Fulfillment Services, Inc.� Amazon Logistics, Inc.� Amazon Payments, Inc.� Amazon Pickup Points LLC� Amazon Retail, LLC� Amazon Robotics LLC� Amazon Services LLC� Amazon Spain Fulfillment, S.L.� Amazon Studios LLC� Amazon Trust Services LLC� Amazon UK Services Ltd� Amazon Web Services, Inc.� Amazon.com, Inc.� Amazon.com.azdc LLC� Amazon.com.dedc, LLC� Amazon.com.indc, LLC� Amazon.com.ksdc, LLC� Amazon.com.kydc, LLC� Amazon.com.nvdc, LLC� AmazonFresh LLC� Audible, Inc.� AZ Live LLC� BOP LLC� Brilliance Audio Holdings, Inc.� CloudEndure Inc.� CloudEndure Ltd� Elemental Technologies LLC� Fabric.com, Inc.� Fulfilco.ILDC LLC� Fulfilco.tnds LLC� Golden State FC LLC� llili Newco, Inc.� IMDB.com, Inc.� PillPack, LLC� ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN103030681 LOC #: Seattle ADDITIONAL REMARKS SCHEDULE Page of 3 AGENCY NAMED INSURED Marsh USA, Inc.� Amazon.com, Inc.� Attn: Risk Management� POLICY NUMBER 2121 7th Ave� Seattle, WA 98121 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Quidsi, Inc.� Ring LLC, a Delaware limited liability company� Ring Protect Inc., a Delaware corporation� Ring of Security Asia Co., Ltd. (Taiwan)� Ring of Security Limited, a Private Limited Company (UK)� Rooftop Media LLC� TenMarks Education LLC� Twitch Interactive, Inc.� Twitch Services, LLC� VADATA, Inc.� Whole Foods Market, Inc.� Wireless Environment, LLC, an Ohio limited liability company� Wireless Environment Lighting Shenzhen Co., LLC, a Hong Kong limited liability company (China)� Woot, Inc.� Woot Services, LLC� Zappos Merchandising, Inc.� Zappos.com, Inc.�� ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD.