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Home My WebLink AboutSharp Business Systems - Insurance Certificate (2019)® DATE (MM/DD/YYYY) AeC>R" CERTIFICATE OF LIABILITY INSURANCE 05/29/2019 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). PRODUCER CONTACT Marsh USA Inc. NAME: FAX Jappan Client Services IA/CONE,HNo. Extl: (A/C, Noll: 1166 Avenue of the Americas, 36th Floor E-MAIL New York, NY 10036 ADDRESS: Attn: NewYork.Certs@marsh.com Fax: 212-948-0500 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Sompo America Insurance Company 11126 INSURED INSURER B : Mitsui Sumitomo Insurance Company Of America 20362 Sharp Business Systems 100 Paragon Drive INSURER C : National Union Fire Insurance Co Of Pittsburgh 19445 Montvale, NJ 07645 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: _ NYC-009868896-40 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVp POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY GDL40002CO 10/01/2018 10/01/2019 EACH OCCURRENCE 1 000 000 DAMAGE TO RENTED CLAIMS -MADE X OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ X PRO ❑ POLICY JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: $ A AUTOMOBILE LIABILITY ACV41064MO 10/01/2018 10/0-1/2019 COMBINED SINGLE LIMIT $ _ (Ea accident) X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) A X UMBRELLA LIAB X OCCUR CPU40752AO 10/01/2018 10/01/2019 EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ I I DIED RETENTION $ $ B WORKERS COMPENSATION WCP8530020(AOS) 06/01/2019 06/01/2020 X I PER I (OTH- B AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE WCP9110029 ( ) ME, ID 06/01/2019 06/01/2020 STATUTE ER OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under _ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Errors & Omissions 017081515 08/01/2018 08/01/2019 Limit: SIR: DESCRIPTION OF OPERATIONS / 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 $ f 1,000,000 5,000 1,000,000 1,000,000 3,000,000 1,000,000 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. I Teresa Gerwycki-Chaves ziQ ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD