HomeMy WebLinkAboutSDI Presence - Insurance Certificate (2020)ACC>Roo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
�...•�'' 6/l/2020 6/ 1 /2019
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).
CONTACT
PRODUCER
LOCKTON COMPANIES NAME:
500 West Monroe, Suite 3400 PHON o, EXt): FAX Nor
CHICAGO IL 60661 I E-MAIL
(312) 669-6900 ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A.. Atlantic Specialty Insurance Company 27154
INSURED SDI PresenceLLC INSURERB: Travelers Property Casualty Co of America 25674
1449836 200 E. Randolph St I INSURER C : Federal Insurance Company 20281
Ste 3550
Chicago IL 60601 I INSURER D
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 15954257 REVISION NUMBER: XXXXXXX
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 Y N 711-01-58-83-0002 6/1/2019 6/1/2020 EACH OCCURRENCE $ 1,000,000
CLAIMS -MADE OCCUR DAMAGE TO RENTED
PREMISES (Ea occurrence) $ 1,000,000
IMED EXP (Any one person) $ 10,000
(PERSONAL & ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
X POLICYFI
JEPRO � LOC
OTHER:
A AUTOMOBILE LIABILITY N N 711-01-58-83-0
X ANY AUTO
OWNED ! SCHEDULED
_ AUTOS ONLY _ AUTOS
X AUTOS ONLY X AUUTOS ONLY
A X UMBRELLA LIAB I X ]CLAIMS-MADE
OCCUR N N 711-01-58-83-0
EXCESS LIAB I
DED I I RETENTION $
WO KERS COMPENSATION
A AND �EMPLOYERS' LIABILITY Y/ N N 406-04-45-94-0
ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NJ N / A
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
B Technology E/O N N ZPL 15T85868
C Crime 8249-8873
002
002
002
PRODUCTS - COMP/OP AGG $ 2,000,000
6/1/2019 6/l/2020
(EaaocdentSINGLE LIMIT
$ 1,000,000
IBODILY INJURY (Per person)
$ XXXXXXX
(BODILY INJURY (Per accident
$ XXXXXXX
(PROPERTY DAMAGE
(Per accident)
$XXXXXXX
$XXXXXXX
6/1/2019 6/l/2020
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
$XXXXXXX
6/ 1 /2019 6/l/2020
X I STATUTE I I OER
IE.L. EACH ACCIDENT
$ 1,000,000
IE.L.DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. ,DISEASE - POLICY LIMIT
R 1,000,000
6/1/2019 6/l/2020
$1 OM Each Claim & Agg Limit,Ded
$50,000
6/l/2019 6/1/2020
$5,000,000, Retention $25,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Service Agreement: Consulting services related to the City's Geographic Information System (GIS), including an analysis of the current GIS system
and services, and recommendations for a GIS Roadmap for the future, City of Gilroy, its officers 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.
CERTIFICATE HOLDER CANCELLATION See Attachment
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
15954257 AUTHORIZED REPRESENTATIVE
City of Gilroy
7351 Rosanna Street
Gilroy, CA 95020
ACORD 25 (2016/03) 19n-2G4,6 ACORD tv6RPO N. All rights reserved
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