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HomeMy WebLinkAboutSungard - Insurance Certiciate303590 A� ®® CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DDIYYYY) 12/30/2016 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 Commercial Lines - (404) 923 -3700 Wells Fargo Insurance Services USA, Inc. 3475 Piedmont Road NE, Suite 800 Atlanta, GA 30305 -2886 NAME: CONTACT .Atlanta Certificate Request Team PHONE 404 -923 -3700 FAx 877 - 362 -9069 A� NO' E-MAIL ADDRESS: aticertrequest @welisfargo.com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: ACE American Insurance Company 22667 INSURED Fidelity National Information Services, Inc. &its Subs. Corporate Risk Management Dept c/o FNIS INSURER B: ACE Property and Casualty Ins. Co. 20699 INSURER C: ACE Fire Underwriters Ins. Co. 20702 INSURER D: Agri General Insurance Company 42757 601 Riverside Avenue, Bldg 1 INSURER E: $ 0 Jacksonville, FL 32204 INSURER F COVERAGES I CERTIFICATE NUMBER: 11259645 REVISION NtIMRFR• SRR hRlnw 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F-K OCCUR HDOG27861519 01/0112017 01/01/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE 0R— PREMISES' Ea occurrence S 1,000,000 X MED EXP (Any one person) $ 0 Host Liquor Liability PERSONAL 8 ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO. X POLICY F7 PRO ❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILELIABILITY ISAH09053669 01/01/2017 01/0112018 COMBINED SINGLE LIMIT Ea acci d ent $ 2,000,000 .X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident ) $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X PROPERTY DAMAGE Per accident $ $ B X UMBRELLA UAII X OCCUR XOOG27939302002 01/01/2017 01/01/2018 EACH OCCURRENCE $ 5;000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? N, NIA W LR C49109234 SCFC49109258 01 /01 /2017 01/01/2017 01 /01 /2018 01/01/2018 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,,000,000 D (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below I WLRC49109246 01/01/2017 01/01/2018 E.L. DISEASE- POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) Additional Named Insured: SUNGARD DATA SYSTEMS INC., SUNGARD CAPITAL CORP.; Its Companies 8 Subsidiaries. City of Gilroy, its officers, officials and employees are included as an additional insured for General Liability coverage if required by contract, but only with respect to activities or obligations performed under the contract and only to the limits required by the contract per the terms and conditions of the policy. City of Gilroy Attn: Scott Golden 7351 Rosanna St. Gilroy CA 95020 -6141 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 The ACORD name and logo are registered marks of ACORD ©1988 -2015 . All riahts reserved .<O"° „ " ", "" I�VAI��IRn�W�IIN�NAllllll _._..e..._ 303590 ACORDF CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 12/29/2015 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 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 Commercial Lines - (404) 923 -3700 Wells Fargo Insurance Services USA, Inc. 3475 Piedmont Road NE, Suite 800 Atlanta, GA 30305 -2886 NAME: Atlanta Certificate Request Team PHONE 404- 923 -3700 FAX 877 - 362 -9069 / A/C No E-MAIL o.com f tl t t ll acerre ues wesar ADDRESS: q @ g INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 INSURED Fidelity National Information Services, Inc. & its Subs. Corporate Risk Management Dept c/o FNIS 601 Riverside Avenue, Bldg 1 Jacksonville, FL 32204 INSURER 8: Commerce & Industry Insurance Company 19410 INSURER C: ACE Fire Underwriters Ins. Co. 20702 INSURER D: Agri General Insurance Company 42757 INSURER E : EACH OCCURRENCE INSURER F: COVERAGES CERTIFICATE NUMBER: 9951554 REVISION NUMBER: See below 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 LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MMI- DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ri� OCCUR HDO G27404182 01/01/2016 01/01/2017 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 1,000,000 X MED EXP (Any one person) $ 0 Host Liquor Liability PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY F7 PRO JECT [7 LOC X PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER A AUTOMOBILE LIABILITY ISA H08867343 01/01/2016 01/01/2017 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident) $ NON -OWNED HIRED AUTOS X AUTOS B X UMBRELLA LIAS X OCCUR 19086765 01/01/2016 01/01/2017 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I RETENTION $ A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE Y/ N OFFICER /MEMBER EXCLUDED? (Mandatory in NH) N/A WLR CC48599370 SCF C4859945A WLR C48599412 01/01/2016 01/01/2016 01/01/2016 01/01/2017 01/01/2017 01/01/2017 X STATUTE ER E.L. EACH ACCIDENT 1,000,000 1,000.000 $ E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 $ D It yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Additional Named Insured: SUNGARD DATA SYSTEMS INC., SUNGARD CAPITAL CORP. ; Its Companies & Subsidiaries. City of Gilroy, its officers, officials and employees are included as an additional insured for General Liability coverage if required by contract, but only with respect to activities or obligations performed under the contract and only to the limits required by the contract per the terms and conditions of the policy. l fa:1111aPfG\I=6:L•1IR 9a: �' • City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Scott Golden ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna St. Gilroy CA 95020 -6141 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) 1111111111111111111111 IN 111111111111 IN V/0/0 /010' ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/2=016 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 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 Central, Inc. Phi Philadelphia PA office CONTACT NAME: PHONE FAX (C No• Eari: (866) 283 -7122 AIC . No. (800) 363 -0105 E-MAIL ADDRESS: One Liberty Place 16SO Market. Street COMI&FiC_14L GENERAL LIABILITY Suite 1000 Philadelphia PA 19103 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A.' National union Fire Ins Co of.Pittsburgh 19445 SunGard Capital Corp. Its Companies &Subsidiaries 680 East Swedesford Road INSURERS: The Charter Oak Fire Insurance Company 25615 INSURERC: Travelers Property Cas Co of America 25674 Wayne PA 19087 USA INSURER D:. PREMISES Ea occurrence INSURER E: X MED EXP (Any one person) INSURER F: Contrectualtiability COVERAGES . CERTIFICATE NUMBER: 570057503541 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 INSp Yyyp _ POLICY NUMBER - MMIp M LIMITS _ - - X COMI&FiC_14L GENERAL LIABILITY bbUUD9LJ415 _ EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑,000UR PREMISES Ea occurrence $1,000,000 X MED EXP (Any one person) $10,000 Contrectualtiability PERSONAL B ADV INJURY $1,000,000. GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ❑PRO- ❑X LOC -PRODUCTS- COMP/OP AGG $2,000,000 _ OTHER: Total Aggregate per policy $10, 000; 000 C AUTOMOBILE.LIABILITY TJ- CAP- 8045XOSA- TIL -15 05/01/2015 05/01/2016 COMBINED SINGLE LIMIT Ea accident) $2,000,000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X. NON -OWNED AUTOS PROPERTY DAMAGE Per accident Comp/Coll Deductible $2.,500 A X UMBRELLALIAB X OCCUR 19961879 05/01/2015 05/01/2016 EACH OCCURRENCE $5,000,000 EXCESS LUAB CLAIMS -MADE AGGREGATE $5,.000,.000 E DED I X RETENTION 525,000 - WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR PARTNER I EXECUTIVE PER OTH- STATUTE E.L.EACH ACCIDENT - -- - OFFICERIMEMBER EXCLUDED? F-1 NIA E.L. DISEASE -EA EMPLOYEE - (Mandatory in NH) If gas, describe under 0 SCRIPTION. OF OPERATIONS below I I E.L. DISEASE- POLICY LIMIT i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) - City of Gilroy, its officers, officials and employees are included as Additional Insured in accordance with the policy provisions of the General Liability policy. THIS GENERAL LIABILITY INSURANCE IS PRIMARY AND NON- CONTRIBUTORY AS RESPECTS THE CITY, ITS OFFICERS, AGENTS, EMPLOYEES. i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED .BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy AUTHORED REPRESENTATIVE Attn: Scott Golden 7351 Rosanna St. Gilroy CA 95020 -6141 USA ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD m s~ c O1 'O m v 0 S v 0 uu' 0 °r u� a Z m V V m U ACORU ® CERTIFICATE OF LIABILITY INSURANCE DATE(fNM/DD/YYYY) 07/31/2015 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 be endorsed. If SUBROGATION 1S 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. Aon Risk Services Central, Inc. Philadelphia PA Office FAX ("01-. Ext): (866) 283 -7122 (A/C Ne : (800) 363 -0105 E-MAIL ADDRESS: One Liberty Place 1650 market street INSURER(S) AFFORDING COVERAGE NAIC # Suite 1000 Philadelphia PA 19103 USA INSURED - INSURER A.* Lloyd's Syndicate No. 2623 AA1128623 SunGard Capital Corp. Its Companies & subsidiaries 680 East Swedesford Road INSURER B: CLAIMS -MADE ❑ OCCUR INSURER C: wayne PA 19087 USA INSURER D: INSURER E: GE TO RENTED PREMISES Ea occurrence) INSURER F: MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: 570058877835 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 LTR. TYPE OF INSURANCE INSD WVD POLICY NUMBER MMM)D MMM7DM'YY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS -MADE ❑ OCCUR GE TO RENTED PREMISES Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY ❑PRO- F] LOC PRODUCTS - COMP /OP AGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT e ide BODILY INJURY ( Per person) ANYAUTO, BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS 'PROPERTY DAMAGE Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB 1 CLAIMS -MADE DED RETENTION WORKERS COMPENSATION AND PER STATUTE OTH -! EMPLOYERS'11ABILITY Y I N ER E.L. EACH ACCIDENT ANY PROPRIETOR I PARTNER I EXECUTIVE OFRCERMNEMSER EXCLUDED? ❑ NIA E.L. DISEASE -EA EMPLOYEE (Mandatory" iri NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT A mary QK1404317 07/30/2014 10/30/2015 Aggregate 55,000,000 I..E&O-PL-Pr Professional Liability SIR $5,000,000 SIR applies per policy ter s & condi ions - - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Coverage includes Network Security and Privacy Liability. `m c c m .0 m 'fs 0 O Z w N V t: m V CERTIFICATE HOLDER CANCELLATION fEf SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. SunGard Capital Corp. AUTHORED REPRESENTATIVE Its Companies & Subsidiaries 680 E. Swedesford Road 7r wayne PA 19087 USA 01988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 04/2912015 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 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 rusk Services Central, Inc. Philadelphia PA Office One Liberty Place 1650 Market Street CONTACT NAME. (Arc No. Ext): (866) 283 -7122 aC Nu : (800) 363 -0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Suite 1000 Philadelphia PA 19103 USA INSURED - INSURER A: National union Fire. Ins co of Pittsburgh 19445 Surl Capital Corp. Its Companies & Subsidiaries 680 East 5wedesford Road INSURER B: The Charter Oak Fire Insurance Company 25615 INSURER C: Travellers Property Cas Co of America - - 25674 - INSURER D: The Travelers indemnity Co. 25658 Wayne PA 19087 USA INSURER E: $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JEO- X❑ LOC OTHER: INSURER F: $2,000,000 PRODUCTS - COMPIOP AGG COVERAGES CERTIFICATE NUMBER: 570057502227 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 CONTRACTOR 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 LTR TYPE OFINSURANCE _ I p -WVD _- _POLICY NUMBER POLICYEIFIF ll (MMID LIMITS AUTHORIZED REPRESENTATIVE X' COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR Contractual Liability 660OD9Z3415 Z57IJ17= 5/UI/ZUIt - EACH OCCURRENCE $11.0001000 .PREMISES Ea occurrence $1,000,000 X MED EXP (Any one person) $10,000 PERSONAL &Am INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JEO- X❑ LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP AGG $2,000,000 I Total Aggregate per policy $10,000,000 C AUTOMOBILE LIABILITY ALL OWNED SCHEDULED AUTOS AUTOS Ix ANY AUTO HIREDAUTOS X NON -OWNED AUTOS T3- CAP- 804SX05A- TIL -15 05/01/2015 05/01/2016 COMBINED SINGLE LIMIT a accident $2,000,000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident Comp/Coll Deductible $2,.500 A X UMBRELLA UAB EXCESS LAB [XOl CLAIMS-MADE 19961879 05/01/2015 05/01/2016 EACH OCCURRENCE $4,000,000 AGGREGATE'i $4;000,000 DED I X RETENTIONS25,000 _ D' C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y!N ANY PROPRIETOR /,PARTNER i EXECUTIVE OFFICERIMEMBER EXCLUDED r (Mandatory to NM If yes, describe under DESCRIPTION OF OPERATIONS below N!A TRKUB8045XO4815 (AZ, MA,wI) TC2JUB8O45XO1215 (AOS) 05 1 2015 05/01/2015 OS 01 2617 05/01/2016 PER 0TH- X STATUTE E.L. EACH ACCIDENT $1,0001,000 E.L.DISEASE- EA'EMPLOYEE _ _ $1,000,000 - E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) - - CERTIFICATE HOLDER CANCELLATION 01988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD N 0 r 0 0 a F -- alL 1 IZP e- I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. SunGard Capitali Corp. Its companies & subsidiaries AUTHORIZED REPRESENTATIVE 680 E. Road Wayne PA A 19087 19087 US u5A 01988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD N 0 r 0 0 a F -- alL 1 IZP e- I