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HomeMy WebLinkAboutEPC IT Solutions - Insurance Certificate (2020)___"N EPCCO-1 OP ID: TT2 14A17"JzCERTIFICATE OF LIABILITY INSURANCE I DATE(M10/04/2019 /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 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 San Jose Insurance Agency Inc. NAME: Tina Tremain X340 O Atlantic -Pacific Ins. Brokers c IC No, Extr408-371-3700 (AA/C, No): 2542 S. Bascom Ave #280 ADORIe Campbell, CA 95008 ss: tins@sanjoseins.com San Jose Insurance Agency I INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hanover Insurance Company 22292 INSURED EPC Computer Solutions, I 1324 El Camino Real INSURER B : Belmont, CA 94002 INSURER C INSURER D INSURER E I INSURER F : J COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 LTR INSR WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00O A X COMMERCIAL GENERAL LIABILITY X 970188607 10/01/2019 10/01/2020 I DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 CLAIMS -MADE � OCCUR MED EXP (Any one person) $ 10,0001 PERSONAL & ADV INJURY $ 1,000,0001 GENERAL AGGREGATE $ 2,000,000 GGEEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 Jl POLICY JE� n LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,U00 A X ANY AUTO AWFD39174602 10/04/2019 10/04/2020 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED - AUTOS AUTOS BODILY INJURY accident) ( ) BODPer ident $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE (PER ACCIDENT) $ $ UMBRELLA LIAB OCCUR HCLAIMS-MADE EACH OCCURRENCE $ EXCESS LIAB AGGREGATE $ I I ' DED RETENTION $ $ WORKERS COMPENSATION WC STATU- I IOTH- AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional E&O 970188607 10/01/2019 10/01/2020 PEO 1,000,000 Ded 5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is named as additional insured with respects to the insured operations CERTIFICATE HOLDER City of Gilroy, its officers, officials and employees 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010/05) CITYGIL CANCELLATION 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 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 02/04/2020 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 be endorsed. If SUBROGATIONIS 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 CONTACT NAME: PAYCHEX INSURANCE AGENCY INC 76210760 PHONE (800)472-0072 FAX (585)389-7894 150 SAWGRASS DRIVE (A/C, No, Ext): (A/C, No): ROCHESTER NY 14620 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Hartford Fire and Its P&C Affiliates 00914 INSURED INSURER B : EPC COMPUTER SOLUTIONS INC I INSURERC: 1324 EL CAMINO REAL BELMONT CA 94002-3908 I INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 NUMBER POLICY EFF POLICY EXP ILIMITS LTR INSR WVD (MMIDDIYYYY) IMMIDD/Y YYYI COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- ❑ LOC JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED i SCHEDULED _ AUTOS AUTOS HIRED NON -OWNED AUTOS AUTOS u UMBRELLA LIAB � OCCUR EXCESS LAB CLAIMS - MADE IIDED RETENTION $ WORK s C MPENSATION AND EMPLOYERS' LIABILITY ANY YIN A PROPRIETOR/PARTNER/EXECUTIVE NIA OFFICERWEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG I COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) I EACH OCCURRENCE (AGGREGATE _ I X ( PER STATUTE I IEORH E.L. EACH ACCIDENT $1,000,000I 76 WEG AC4K9T 01/02/2020 01/02/2021 I E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION The City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED its Officers, officials and employees BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 7351 Rosanna Street IN ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy CA 95020 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE HARTFORD BUSINESS SERVICE CENTER THE 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 The City of Gilroy its Officers, officials and employees 7351 Rosanna Street Gilroy CA 95020 Account Information: Policy Holder Details : EPC COMPUTER SOLUTIONS INC February 4, 2020 %Q Contact Us Business Service Center Business Hours: Monday - Friday (7AM - 7PM Central Standard Time) Phone: (877) 287-1312 Fax: (888) 443-6112 Email: aaencv.services(d)thehartford.com Website: httos://business.thehartford.com Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns. Sincerely, Your Hartford Service Team WLTRO05 v u v v1 O' C O E Q c O W O u U O U N � a m LU v O o O O N a)L V O -O O O O N u U o 7O Q v C U i u O >v O Lu U > LA Q o� C ++ E 4-� y i 4J y a.., 0 E _ �"'+ .�. to c � @ @ w E v c L o c }, � O V - N t N U � L � vi C � O 0 "0 @ O +� N O E 0 a V) -0 o 0 0 N O +2 C ut N � � C in O o •- O �O N 4-1 � O L L lb bA C c v bA - N O c (u -0 E N N @ L � N H c � (U L Vi U to O C U O O �+- L a)u 0 � a) ro N L1 N N y O N C v � E v .O - -0 N O O O N E E c, C � L L m Qj > S ._ CU v 7 4J v bA c C: Q f� U N 0 .� : E 0 E L 0 Q a o LL a n Z Z W L1 O co u LU" M IH rH LP1 Cr) Lo f6 V N Ln O C L O 0 LL t C N LU m C Q) l6 E a 0 a, E L 0 a, 0 v v c @ a, 3 c v 'a u v v v s v @ 0 T @ c o o c a, 0 0. c c 0 ±° a, C c O u c >O @ to a, OD � v r N W � V V I- v o Z O J Q � F � Z p w s 2 o LL a z a o n V, 7 u O @J O O N O O Ur N 4 06 O L V -0 O 0 aJ U -0 0 0 4- O O U E 4U C li cA �j*epc • IT S0LUT1,0k1l5 1324 El Camino Real • Belmont, CA 94002 • 650-592-4372 Professional Services Statement of Work October 9, 2019 Prepared for: Scott Golden — IT Director City of Gilroy Prepared By Scott Cornell Sales Manager cornell@epcits.com/408-300-4983 epc. i'r 5oi a ri��r. the necessary network cable infrastructure for optimum performance in a modern organization. 3. Procurement of City core,wired network infrastructure. Proof of concept testing for Cisco and Meraki infrastructure, and development of Cisco/Meraki approved Bill of Materials ($70,841.91) 4. Procurement of City edge wired network infrastructure. Proof of concept testing for Cisco and Meraki infrastructure, and development of Cisco/Meraki approved Bill of Materials ($83,407.12) ***End of document ePC IT Solutions -Confidential Page 3 of 3 October 9, 2019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM Name Of Person Or Organization CITY OF GILROY, ITS OFFICERS, OFFICIALS AND EMPLOYEES SCHEDULE Location And Description Of Completed Operations 7351. ROSANNA ST GILROY, CA 95020 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) For the purpose of coverage provided by this endorsement, the following changes are made to SECTION II - LIABILITY: A. The following is added to SECTION II - LIABILITY, C. Who Is An Insured: Any person or organization shown in the Schedule above is also an additional insured, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule above, performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. The following is added to SECTION II - LIABILITY, D. Liability And Medical Expenses Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. 391-1602 08 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1