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Active Network - Insurance Certificate (2019)
AC o® CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) 09/10/2018 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 CONTACT AOn Risk Services South, Inc. NAME: Atlanta GA Office (NC.NNo.Ext): (866) 283-7122 I (NC. No): (800) 363-0105 -. 3550 Lenox Road NE E-MAIL L. Suite 1700 ADDRESS' ar CUSTTOMER ID 5:Atlanta GA 30326 USA PRODUCER 570000075610 C INSURER(S)AFFORDING COVERAGE NAIC# ^p F-I INSURED INSURER A: AXIS Insurance Company 37273 fr Active Network, LLC INSURERS: ^C O 717 North Hardwood St. INSURER C: 0." Suite 2500 INSURER D: Dallas TX 75201 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570072959749 REVISION NUMBER: ILOCATION OF PREMISES/DESCRIPTION OF PROPERTY(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) I 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 rn 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. al L INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS ry LTR DATE(MM/DD/YYYY) DATE (MM/DD/YYYY) N. I PROPERTY BUILDING 0 J N. CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY L BASIC BUILDING BUSINESS INCOME BROAD EXTRA EXPENSE m CONTENTS - -- SPECIAL RENTAL VALUE 2 BLANKET BUILDING Z EARTHQUAKE - BLANKET PERS PROP IL WIND Q FLOOD BLANKET BLDG 8 PP 0 LL — 17- cc — 0 INLAND MARINE TYPE OF POLICY CAUSES OF LOSS - POLICY NUMBER NAMED PERILS - - A X CRIME MAN632621012018 09/01/2018 09/01/2019 x Employee Dishonesty $5,000,000 TYPE OF POLICY X Deductible $500,000 Crime-Primary — I II JBOILER&MACHINERY/ EQUIPMENT BREAKDOWN -- L .�1 s SPECIAL CONDITIONS/OTHER COVERAGES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) -.. AF. 3i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ,N DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy ei 7351 Rosanna Street z Gilroy CA 95020 USA AUTHORIZED REPRESENTATIVE /��(///�/� C e//J }� (j//�� . iN ©1995-2015 ACORD CORPORATION.All rights reserved. ACORD 24(2016/03) The ACORD name and logo are registered marks of ACORD ® DATE(MM/DD/YYYY) �'�° CERTIFICATE OF LIABILITY INSURANCE 09/10/2018 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 w certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT V NAME: Aon Risk Services South, Inc. PHONE (866) 283 7122 FAX (800) 363-0105 Atlanta GA Office (A/C.No.Ext): (NC.No.): .0 3550 Lenox Road NE E-MAIL Suite 1700 ADDRESS: _ Atlanta GA 30326 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: XL Specialty Insurance CO 37885 Active Network. LLC INSURER B: Aspen Insurance UK Ltd. AA1120337 717 North Hardwood St. Suite 2500 INSURER C: Dallas TX 75201 USA INSURER D: INSURER E: INSURER F: -COVERAGES CERTIFICATE NUMBER: 570072959798 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 TYPE OF INSURANCE ADDL SUBR W POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD VD (MMIDD/YYYY) (MMIDD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) _ MED EXP(Any one person) PERSONAL 8 ADV INJURY co rn N- GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE rn —1 POLICY JECOT- I LOC PRODUCTS-COMP/OP AGG OTHER O AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) Z OWNED —SCHEDULED BODILY INJURY(Per accident) 41 AUTOS ONLY AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE V ONLY _AUTOS ONLY (Per accident) d UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DED (RETENTION WORKERS COMPENSATION AND PEATUTE I I EOTH EMPLOYERS'LIABILITY YI N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT — A Cyber Liability ELU15749118 09/01/2018109/01/2019 Limit (1) $10,000,000 SIR applies per policy terms & condi ions DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Cyber Liability coverage is included in the E&O-PL-Primary policy. ti- CERTIFICATE HOLDER CANCELLATION nr- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE _1 POLICY PROVISIONS. �>• Ci ty of Gi 1 roy AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy CA 95020 USA e9fe.., , � ,Z ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000075610 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY NAMED INSURED Aon Risk Services South, Inc. Active Network, LLC POLICY NUMBER See Certificate Number: 570072959798 CARRIER NAIC CODE See Certificate Number: 570072959798 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S)AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR ADUL SUER EFFECTIVE EXPIRATION LTR TYPE OF INSURANCE INSU N'VD POLICY NUMBER LIMITS DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) OTHER B Cyber Liab-XS FSCE01801611 09/01/2018 09/01/2019 Limit (1) $10,000,000 ACORD 101(2008/01) ®2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD