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COI - Bandwidth Infrastructure Group - Expires 2023-09-10
AC 012 G® CERTIFICATE OF LIABILITY INSURANCE DAT (MMDYYY) 08.202, 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 Services South, Inc. Ri chmond VA Office 7325 Beaufont Springs Drive Suite 300 Richmond VA 23225 USA CONTACT NAME: PHONE (g66) 283-7122 FAX (800) 363-0105 (A/C. No. Ext): (A/C. No.): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Bandwidth infrastructure Group formerly Silica Networks 530 Lakeside Dr. Suite 190 Sunnyvale CA 94085 USA INSURER A: Sentinel Insurance Company, Ltd 11000 INSURER B: Hartford Accident & Indemnity Company 22357 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570094834470 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 INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y 145BABN7218 09/10/2022 09/10/2023 EACH OCCURRENCE $1,000,000 CLAIMS -MADE I X I OCCUR DAMAGE TO RENTED PREMISES PREMISES (Ea occurrence) MED EXP (Any one person) $10, 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY PRO-LOC JECT PRODUCTS - COMP/OPAGG $2,000,000 OTHER: B AUTOMOBILE LIABILITY Y 14 UEC AE6065 SA 09/10/2022 09/10/2023 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY ( Per person) OWNED S SCHEDULED BODILY INJURY (Per accident) A AUTOS ONLY HIRED AUTOS AUTOS NON -OWNED PROPERTY DAMAGE (Per accident) O ONLY A AUTOS ONLY Deductible $ 500 A X UMBRELLA LIAB X OCCUR 145BABN7218 09/10/2022 09/10/2023 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5 , 000 , 000 DED X RETENTION $10 000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE OTH- ER ANY PROPRIETOR / PARTNER / EXECUTIVE Y / N E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE -EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT A E&O-PL-Primary 145BABN7218 SIR applies per policy terns 09/10/2022 & conditions 09/10/2023 Aggregate SIR $1,000,000 $5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its officers, officials, employees and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. CERTIFICATE HOLDER CANCELLATION Holder Identifier : eas MI ale City of Gilroy 7351 Rosanna Street Gilroy CA 95020 USA RE AUG 16 2022 GILROY CITY CLERK'S OFFICE 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 C.X4. �! ���iOYG clGti2f V�eJ 7dG1. 570094834470 Certificate No 000000 03 03 000349 001278 P ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Certificate No: 570094834470 City of Gilroy 7351 Rosanna Street Gilroy CA 95020 USA Friday, August 5, 2022 To whom it may concern: Following a concentrated effort to reduce our environmental footprint and provide timely certificate delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format. Please utilize one of the following methods to ensure you will receive the electronic copy of your Certificate (Certificate No: 570094834470) for future renewals: - Visit aon.com/e-cert; or - Utilize the OR Code below to enter/validate your information. If your email address has changed or will be changing in the future, or you no longer require this certificate, please let us know using one of the methods above. Thank you for your cooperation and willingness to help us reduce our impact to the environment. MSC# 17755 i Aon P.O. Box 1447 Lincolnshire, IL 60069 000000 02 03 000349 001277 P