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HomeMy WebLinkAboutSungard - Insurance Certificate (2020)FIDELNAT4 ACCW L> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) I 12/19/2018 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 NAMEACT : Atlanta Certificate Request Team Commercial Lines - (404) 923-3700 PHONE 404-923-3700 I FAx ( 877-362-9069 USI Insurance Services National, Inc. (A/C, Ext): (Arc, No): ADDRESS: aticertrequest@usi.com 3475 Piedmont Road NE, Suite 800 INSURER(S) AFFORDING COVERAGE NAIC # Atlanta, GA 30305-2886 INSURER A: ACE American Insurance Company j 22667 INSURED INSURER B. ACE Property and Casualty Ins. Co. 20699 Fidelity National Information Services, Inc. & its Subs. I INSURER C : ACE Fire Underwriters Ins. Co. 2.0702 Corporate Risk Management Dept c/o FNIS INSURER D : 601 Riverside Avenue, Bldg 1 INSURER E : Jacksonville, FL 32204 INSURER F : COVERAGES CERTIFICATE NUMBER: 13739479 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP - LTR INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL. GENERAL LIABILITY A HDO G71212270 01/01/2019 01/01/2020 EACH OCCURRENCE is 1,000,000 DAMAGE TO RENTED 1,000,OUO CLAIMS -MADE OCCUR I PREMISES (Ea occurrence) I $ Host Liquor Liability MED EXP (Any one person) $ 0 PERSONAL & ADV INJURY I $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE I $ 2,000,000 PRO- X POLICY [� ECT LOC ( PRODUCTS - COMP/OP AGG I $ 2,000,000 OTHER: $ I A I AUTOMOBILE LIABILITY ^ 2 COMBINED SINGLE LIMIT Sr, H� 52.i7 �, 8 0 ,/0 „101Np 01,/01/�020 (Ea accident) I S e,0,,0 ,000 X ANY AUTO � BODILY INJURY (Per person) I $ OWNED SCHEDULED 1 BODILY INJURY Per accident I $ AUTOS ONLY AUTOS ( ) X HIRED X NON -OWNED PROPERTY DAMAGE _. AUTOS ONLY AUTOS ONLY (Per accident) I $ Is B X- UMBRELLA LIAB X OCCUR XOOG27939302 01/01/2019 01/01/2020 EACHOCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS MADE AGGREGATE $ 5,000,000 DED I I RETENTION $ $ A WORKERS COMPENSATION WI_R C6543460A 01/01/2019 01 /01 /2020 0 X I PER i I OTH- STATUTE ER - AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE SCF C65434647 01/01/2019 01/01/2020.1 E.L. EACH ACCIDENT $ 1,000,000 C OFFICER/M EMBER EXCLU DED? C N/A (Mandatory in NH) I E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I 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. CERTIFICATE HOLDER CANCELLATION 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 I The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) *CYB01 A 19I002377/02/02/010/0/0* FIDELNAT4 CERTIFICATE OF LIABILITY INSURANCE DAT/ 12/19/19/2018 Y) 018 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 I NAME.ONT�Atlanta Certificate Request Team Commercial Lines - (404) 923-3700 HONE 404 923-3700 FAX A/C No. Ext1: (A/C, No): 877-362-9069 USI Insurance Services National, Inc. DORIEss: aticertrequest@usi.com 3475 Piedmont Road NE, Suite 800 I INSURER(S) AFFORDING COVERAGE NAIC# Atlanta, GA 30305-2886 INSURERA: ACE American Insurance Company 22667 INSURED INSURER B: ACE Property and Casualty Ins. CO. 20699 Fidelity National Information Services, Inc. & its Subs. INSURERC: ACE Fire Underwriters Ins. Co. 20702 Corporate Risk Management Dept c/o FNIS INSURERD: 601 Riverside Avenue, Bldg 1 I INSURER E : Jacksonville, FL 32204 INSURER F COVERAGES CERTIFICATE NUMBER: 13739479 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL. GENERAL LIABILITY HDO G71212270 01/01/2019 01/01/2020 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED CLAIMS -MADE 1K OCCUR PREMISES (Ea occurrence) s 1,000,000 Host Liquor Liability I MED EXP (Any one person) $ 0 �PERSONAL1 & ADV INJURY $ ,000000 GEN'L AGGREGATE LIMIT APPLIES PER: NERAL AGGREGATE $ 2,000,000 X POLICY [�] ECT LOC I PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: I S A AUTOMOBILE LIABILITY 1SA H25277^,78 01/01/2019 01/01/2020 qOfA 1. 21cdeDLSINGLE LIMIT S 2,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BOUII.Y INJURY Per accident $ AUTOS ONLYN AUTOS ( ) X HIRED NON -OWNED PROPERTYDAMAGE AUTOS ONLYAUTOS ONLY (Per accident) S $ X OCCUR B UMBRELLALIAB XOOG27939302 01/01/2019 01/01/2020 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000 DED I I RETENTIONS $ A WORKERS COMPENSATION WLR GEi543460A 01/01/2019 01/01/2020 X PER1OTH- AND EMPLOYERS' LIABILITY Y / N ER ANYPROPRIETOR/PARTNEC � SCF C65434647 01/01/2019 01/01/2020. E.L EACH ACCIDENT $ 1,000,000 OF ICERMEMBER EXCLUDED?ECUTIVE NIA FIV (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE S 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I 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. CERTIFICATE HOLDER CANCELLATION 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 �t�- I 9( The ACORD name and logo are registered marks of ACORD @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 11111111 III II 111 11E1111111111 II 1111111 1� IE 1111 11� ' CYB01 Ai 9/002377/02J02/0/0/0/0'