EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
GENERAL
AGGREGATE
$
COMMERCIAL GENERAL LIABILITY
PRODUCTS - COMP/OP AGG
$
CLAIMS MADE
OCCUR
PERSONAL & ADV INJURY
$
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$
FIRE DAMAGE (Any one Illegible)
$
MED EXP (Any one person)
$
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
(Per person)
$
SCHEDULED AUTOS
HIRED
AUTOS
BODILY INJURY
(Per accident)
$
NON-OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO
ONLY - EA
ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
UMBRELLA FORM
AGGREGATE
$
OTHER THAN UMBRELLA FORM
$
WORKERS COMPENSATION AND EMPLOYERS' LIABILITY
X
WC STATU-
TORY LIMITS
OTH-
ER
EACH
ACCIDENT
$
THE PROPRIETOR/
PARTNERS/EXECUTIVE OFFICERS ARE:
INCL
DISEASE - POLICY LIMIT
$
EXCL
DISEASE - EACH EMPLOYEE
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER
NYC-D02611111-D1
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
/s/ Nancy Bartolino
Nancy Bartolino
ACORD 25 (11/05)
© ACORD CORPORATION 1988
805 Middlefield Road
EXHIBIT A
First Amendment
-1-
[Cavium Networks, Inc.]