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