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HomeMy WebLinkAboutCOI - Active Network, LLC - Expires 2024-04-01ACORD® CERTIFICATE OF LIABILITY INSURANCE il..------- DATE (MM1DDlYYYY) 3/30/2023 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 Marsh & McLennan Agency, LLC 2000 Brookstone Centre Pkwy Suite 118 Columbus GA 31904 CONTACT NAME: Allison Peak PHONE FAX (NC N1�r ): 706-324-6671 (A/C, No): 706-576-5607 E-MAILDRSS: Allison.Peak@MarshMMA.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Federal Insurance Company A++ XV 20281 INSURED 30GLOBALPAYM Active Network LLC Attention: Devery Gauthier 3550 Lenox Road NE, Suite 3000 Atlanta GA 30326 INSURER B: Great Northern Insurance Company A++ XV 20303 INSURER C: ACE American Insurance Company A++XV 22667 INSURER D: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 1227805891 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 INSRTR TYPE OF INSURANCE INSD S WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MDD/YYYY) Ml LIMITS A X COMMERCIAL GENERAL LIABILITY 36048071 4/1/2023 4/1/2024 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE X LIMIT APPLIES FJEECT X PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 Gen Agg Cap $ 100,000,000 B AUTOMOBILE X _ X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY Hired Comp X SCHEDULED AUTOS NON -OWNED AUTOS ONLY Hired Coll 73614277 4/1/2023 4/1/2024 COMBINEDSINGLELIMITaaccident) (E $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ Hired Phy Dmg - ACV $ 1,000 Deds A X UMBRELLA LIAB EXCESS LIAB — OCCUR CLAIMS -MADE 79894591 4/1/2023 4/1/2024 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 DED I RETENTION $ $ C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBEREXCLUDED? (Mandatory In NH) II yes, describe under DESCRIPTION OF OPERATIONS below N/A 71750292 71750293 4/1/2023 4/1/2023 4/1/2024 4/1/2024 X PER STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) (GL) Additional Insured per form: 80-02-2367 Additional Insured Scheduled Person or Organization RE@DOWIMD APR - 5 ,.� .j GILROY CITY CLERK'S OFFICE CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna Street Gilroy CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE THE EXPIRATION DATE THEREOF, NOTICE WILL ACCORDANCE WITH THE POLICY PROVISIONS. CANCELLED BEFORE BE DELIVERED IN AUTHORIZED REPRESENTATIVE P*-ra. 7? a- 1<idk ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION The ACORD name and logo are registered marks of ACORD . All rights reserved.