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HomeMy WebLinkAboutSharp Business - Insurance Certificate (2018)ACoORDO 07/31/2018 CERTIFICATE OF LIABILITY INSURANCE I DATE /YYYY) 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 Marsh USA Inc. NAME: FAX Japan Client Services I lAN r- Ext): (A/C. No): 1166 Avenue of the Americas, 36th Floor I EMAIL New York, NY 10036 ADDRESS: Attn: NewYork.Certs@marsh.com Fax: 212-948-0500 I 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MMIDD/YYYYI IMM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GDL40002CO 10101/2017 10/01/2018 EACH OCCURRENCE $ 1,000,000 = CLAIMS -MADE Lfl OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: XPOLICY ❑ PRO - POLICY ❑ LOC OTHER: A AUTOMOBILE LIABILITY ACV41064MO X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLALIAB OCCUR CPU40752AO EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ B WORKERS COMPENSATION WCP8530020 (ADS) AND EMPLOYERS' LIABILITY B Y / N WCP9110029 (ME, ID) ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? ❑N NIA (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below C Errors & Omissions 017081515 DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OPAGG $ 1,000,000 $ 5,000 $ 1,000,000 $ 1,000,000 $ 3,000,000 10/01/2017 10/01/2018 I COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE $ (Per accident) 10/01/2017 10/01/2018 EACH OCCURRENCE (AGGREGATE U6/01/2018 06/01/2019 06/01/2018 06/01/2019 f l:)��'zIS f:=11:7r1y r%zty �'1 X STATUTE IEERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ Limit: SIR: DESCRIPTION OF OPERATIONS I 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 5,000,000 5,000,000 1,000,000 1,000,000 1,000,000 5,000,000 150,000 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 zJQ714'0a /AQ7w&-- C�grrca ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD i 1 ® ACOR® CERTIFICATE OF LIABILITY INSURANCE llk - DATE(MM/DDNYYY) 12115/2017 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. Man Client Services ap 1166 Avenue of the Americas, 36th Floor New York, NY 10036 CONTACT NAME: PHONE FAX AIC No EMAIL ADDRESS: X COMMERCIAL GENERAL LIABILITY Attn: NewYork.Cwts@marsh.com Fax: 212- 948-0500 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Sompo America Insurance Company 11126 EACH OCCURRENCE IN Sharp Business Systems INSURER B :NIA WA 100 Paragon Drive INSURER C : INSURER D DA AGE To RENTED PREMISES reoccurrence Montvale, NJ 07645 INSURER E: MED EXP (An one person) $ 5,000 INSURER F: cnVFRArFS CFRTIFICATF NUMBER: NYC-008950288 -43 REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE DD R POLICY NUMBER MM/DD� MMIUDCAfYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GDL40002GO 10/0112017 10/01/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DA AGE To RENTED PREMISES reoccurrence $ 1,000,000 MED EXP (An one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY ❑ PRO F LOC JECT PRODUCTS - COMP/OP AGG $ 3,000,000 $ OTHER: AUTOMOBILELIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) - $ PROPERTY DAMAGE Per accident - _ $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE PER STATUTE ER E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED9 ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If as, describe under DESCRIPTION.OF OPERATIONS. below E.L. DISEASE - POLICY LIMIT a DESCRIPTION OF OPERATIONS / LOCATIONS I 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 CANCELLATION City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7351 Rosanna St 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 Z342YW oA xSQ7w'k- C �gNC n ©1988 -2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD