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HomeMy WebLinkAboutSDI Presence - Insurance Certificate (2019)ACORO` CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 111.� 6/1/2019 5/30/2018 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 LOCKTON COMPANIES CONTACT 500 West Monroe, Suite 3400 CHICAGO IL 60661 (312) 669 -6900 arc No Ext : A FAX No E -MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # 6/1/2018 INSURERA: Atlantic Specialty Insurance Company 27154 1,000,000 INSURED SDI Presence LLC 1427688 200 E. Randolph St Ste 3550 INSURER B Travelers Property Cnsualty Co ofAmerica 25674 INSURER C : INSURER D Chicago IL 60601 INSURER 1 000 000 INSURER F, 1 O 000 CnVPRAnPA r..FRTIFIRATF All IAA RCR• 1 SdZrASZQ ocxnctnr.r ur ueo— VVVVVVv 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 POLICY EXP /DD LIMITS • X COMMERCIAL GENERAL LIABILITY Y N 711- 01 -58 -83 -0001 6/1/2018 6/1/2019 OCCURRENCE 1,000,000 CLAIMS -MADE OCCUR ISES (Ea occurrrence E 1 000 000 XP An one erson 1 O 000 ONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY❑ PELT XX LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER: • AUTOMOBILE LIABILITY N N 711- 01 -58 -83 -0001 6/1/2018 6/1/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ )C(XX)M ANY AUTO Ix OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident $ XXXXXXX AUTOS ONLY X AUUTOS ONLYY Pe�acc denDAMAGE $ XXX��X3�X $ XXXxxxx • X UMBRELLA LIAB X OCCUR N N 711- 01 -58 -83 -0001 6/1/2018 6/1/2019 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXxxxx A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EN (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA N 406- 04 -45 -94 -0001 6/1/2018 6/1/2019 PER OTH- X STATUTE I I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- FA EMPLOYEE 1,000,000 E.L. DISEASE- POLICY LIMIT 1 1-000,000 B Professional Liability/Technology E &O/ Cyber N N ZPL 15T85868 6/1/2018 6/1/2019 1 O each claim & aggregate Iarut, $50,000 deductible DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Land Management System (LMS) Procurement and Implernentation Project Management. City of Gilroy, its officers, officials and employees are included as additional insured as required by written contract with respect to general liability per the terms and conditions of the policy. v�r� i rrrvhr nvw�r� L AN6rCLLA 1 IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 15436489 AUTHORIZED REPRESENTATIVE City of Gilroy its officers, officials and employees 7351 Rosanna Street Gilroy CA 95020"" 2 -� ACORD 25 (2016/03) @ I SWM4 A ORD RPO N. All rights reserved The ACORD name and logo are registered marks of ACORD (8) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (a) The exceptions contained in Subparagraphs 4. or 6.; or (b) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. (9) Any vendor, person or organization if the "products- completed operations hazard" is excluded either by the provisions of the Coverage Form or by endorsement. b. This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. 2. ADDITIONAL INSURED —CONTRACT, AGREEMENT OR PERMIT a. Section II -Who Is An Insured is amended to include as an additional insured any persons) or organization(s) with whom you agreed in a written contract, written agreement or permit to provide insurance such as is afforded under this Coverage Part: 1. with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of "your work" for the additional insured(s) at the location designated in the contract, agreement or permit; or (b) In the maintenance, operation or use of equipment leased to you by such person(s) or organization(s), or (c) In connection with premises you own, rent, lease or occupy. 2. with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf and occurring after: (a) All work on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured at the site of the covered operations has been completed; or (b) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as part of the same project. This insurance applies on a primary or primary and non - contributory basis if that is required in writing by the contract, agreement or permit. b. The insurance provided to the additional insured herein is limited. This insurance does not apply: 1. Unless (a) the written contract, agreement or permit is currently in effect or becomes effective during the term of this policy; and (b) the contract or agreement was executed or permit issued prior to the "bodily injury", "property damage ", or "personal and advertising injury' 2. To any person or organization included as an insured under the Additional Insured - Broad Form Vendors provision of this endorsement; 3. To any person or organization included as an insured by an endorsement issued by us and made part of this Coverage Part; 4. To any person or organization if the "bodily injury', "property damage ", or "personal and advertising injury" arises out of the rendering of or failure to render any professional architectural, engineering or surveying services by or for you including: (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Supervisory, inspection, architectural or engineering activities. VCG 207 11 13 Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 8 Copyright, OneBeacon Insurance Group LLC