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HomeMy WebLinkAboutCOI - Sharp Business Systems - Expires 2022-10-01.,® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) 05/24/2022 ~ 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) mu~t 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: ~~gNfo Evil: I FAX Ja~an Client Services IA/C Nol: 11 6 Avenue of the Americas, 36th Floor E-MAIL ADDRESS: New York, NY 10036 Attn: NewYork.Certs@marsh.com Fax: 212-948-0500 INSURER($) AFFORDING COVERAGE NAIC# INSURER A: Som,io America Insurance Company 11126 INSURED INSURER B : N/A NIA Sharp Business Systems 100 Paragon Drive INSURERC: Montvale, NJ 07645 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-008950288-68 REVISION NUMBER: 17 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEi.OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTflACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE PO;.ICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCEll BY PAID CLAIMS. lNSR ADDL SUBR POLICY EFF POLICY EXP 1.IMITS LTR TYPE OF INSURANCE o,,on u,un POLICY NUMBER IMM/DD/~ YYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY GDL40002CO 10/01/2021 10/01/2022 EACH OCCURRENCE $ 1,000,000 1 CLAIMS-MADE 0 OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 5,000 f--- PERSONAL & ADV INJURY $ 1,000,000 f--- GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 P7 □ PRO-DLoc PRODUCTS -COMP/OP AGG $ 3,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ /Ea accident! f--- ANY AUTO BODILY INJURY (Per person) $ f---OWNED ~-SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accidenl} $ f--- HIRED f---NON-OWNED PROPERTY DAMAGE $ ,_ AUTOS ONLY ~-AUTOS ONLY /Per acrndentl $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ f--- EXCESSLIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION I PER I I OTH- AND EMPLOYERS' LIABILITY STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE □ N/A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS/ 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 I ~ USA e'JM<!-, © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102239940 -------------------- LO C #: New York ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Marsh USA Inc. Sharp Business Systems 100 Paragon Drive POLICY NUMBER Montvale, NJ 07645 CARRIER I NAICCODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACO~D FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Lia 0 bility Insurance PROPERTY CONTINUED: PERILS INSURED AGAINST: Risks of direct physical loss or damage subject to the Coiyiprehensive All Risk Form policy terms, conditions and exclusions. Page 2 of 2 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights 1 The ACORD name and logo are registered marks of ACORD 0179-01-00-0000127-0002-0000454