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HomeMy WebLinkAboutSharp Business Systems - Insurance Certificate (2018)AC CERTIFICATE OF LIABILITY DATE /2018 /YYYY) �' INSURANCE ( 071312018 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 Marsh USA Inc. NAME: Jappan Client Services (A/CPHO, Extl: I (AA/C. Noll: 1166 Avenue of the Americas, 36th Floor E-MAIL New York, NY 10036 ADDRESS: Attn: NewYork.Certs@marsh.com Fax: 212-948-0500 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Sharp Business Systems 100 Paragon Drive Montvale, NJ 07645 INSURER A: Sompo America Insurance Company 11126 INSURER B : Mitsui Sumitomo Insurance Company Of America 20362 INSURER C : National Union Fire Insurance Co Of Pittsburgh 19445 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-009868896-36 REVISION NUMBER: 16 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 WV D POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) I LIMITS A X COMMERCIAL GENERAL LIABILITY GDL40002GO 10/01/2017 10/01/2018 1 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 _ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY PRO- ❑ LOC JECT PRODUCTS -COMP/OP AGG $ 3,000,000 OTHER: $ A AUTOMOBILE LIABILITY ACV41064MO 10/01/2017 10/01/2018 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO I BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY AUTOS ONLY AUTOS (Per accident) $ HIRED NON -OWNED I PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) A X UMBRELLA LIAB X _ OCCUR CPU40752AO 10/01/2017 10/01/2018 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS -MADE I AGGREGATE $ 5,000,000 DIED I I RETENTION $ $ B WORKERS COMPENSATION WCP8530020 (AOS) U01/2018 06/01/2019 X I PER I 1OTH- B AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE WCP9110029 ME, ID ( ) 06/01/2018 06/01/2019 STATUTE ER E.L. EACH ACCIDENT 1,000,000 NI NIA $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) I E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Errors & Omissions 017081515 08/01/2018 08/01/2019 Limit: 5,000,000 SIR: 150,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF GILROY, ITS OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED (EXCEPT WORKERS' COMPENSATION) WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CITY OF GILROY 7351 ROSANNA STREET GILROY, CA 95020 CANCELLATION 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 of Marsh USA Inc. Teresa Gerwycki-Chaves ZJQxWA:- k )AQ7�_- CQ'm� C 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) ��. /2018 05/30/2018 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Marsh USA Inc. PHONE FAX A/C No Ext : A/C No): Japan Client Services 1166 Avenue of the Americas, 36th Floor E -MAIL New York, NY 10036 ADDRESS: DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 Altn: NewYork.Certs @marsh.com Fax: 212- 948 -0500 INSURERS AFFORDING COVERAGE NAIC # INSURER A : Som o America Insurance Company 11126 PERSONAL & ADV INJURY INSURED Sharp Business Systems INSURER B: N/A N/A INSURER C : PRODUCTS - COMP /OP AGG 100 Paragon Drive Montvale, NJ 07645 $ AUTOMOBILE INSURER D INSURER E: INSURER F : COMBINED SINGLE LIMIT Ea accident $ COVERAGES CERTIFICATE NUMBER: NYC - 008950288 -48 RFVISION NIIMRFR• 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MM /DD /YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR GDL40002CO 10/01/2017 10/01/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY PRO JECT F—] LOC OTHER: GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP /OP AGG $ 3,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRI ETOR /PARTNER /EXECUTIVE OFFICER /M EMBER EXCLUDED? r7 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- STATUTE I iER E. L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy is included as additional insured where required by written contract. CERTIFICATE HOLDER CANCFLI_ATION City of Gilroy 7351 Rosanna St. Gilroy, CA 95020 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 of Marsh USA Inc. Teresa Gerwycki- Chaves i_ C O'C'mcp @ 1988 -2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE 05130//2018 2018 IYYYY) 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 Marsh USA Inc. Japan Client Services CONTACT NAME: PHONE �X (A/C. No Ext : A/C No): E -MAIL ADDRESS: 1166 Avenue of the Americas, 36th Floor New York, NY 10036 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE XI OCCUR Attn: NewYork.Certs @marsh.com Fax: 212- 948 -0500 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Som o America Insurance Company 11126 $ 1,000,000 INSURED Sharp Business Systems INSURER B : Mitsui Sumitomo Insurance Company Of America 20362 INSURER C : National Union Fire Insurance Co Of Pittsburgh 19445 100 Paragon Drive Montvale, NJ 07645 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC - 009868896 -32 REVISION NUMBER: 16 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 TYPE OF INSURANCE INSD SUER POLICY NUMBER MM /DD/YYYY MMLDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE XI OCCUR GDL40002CO 10/01/2017 10/01/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 1,000,000 PRO- POLICY I F ❑ LOC JECT X PRODUCTS - COMP /OP AGG $ 3,000,000 $ OTHER: A AUTOMOBILE LIABILITY ACV41064MO 10/01/2017 10/01/2018 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR CPU40752AO 10/01/2017 10/01/2018 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? � (Mandatory in NH) NIA WCP8530020(ADS) WCP9110029 ( ) ME, ID 06/01/2018 06/01/2019 06/01/2019 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Errors & Omissions 017716881 08/01/2017 08/01/2018 Limit: 5,000,000 SIR: 150,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF GILROY, ITS OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED (EXCEPT WORKERS' COMPENSATION) WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION CITY OF GILROY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7351 ROSANNA STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN GILROY, CA 95020 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Teresa Gerwycki- Chaves C0 c, „ @ 1988 -2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD