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Home My WebLink AboutCOI - Fidelity National Information Serv. Inc. - Expires 2022-01-01® �` �CERTIFICATE OF LIABILITY INSURANCE M/ DATE(MDD/YYYY) 01/01/2021 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 Aon Risk Services central, Inc. Phi 1 adel phi a PA Office One Liberty Place 1650 Market Street Suite 1000 Phi 1 adel phi a PA 19103 USA CONTACT NAME: WCNNo. Ext): (866) 283-7122 E FAX No): (800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Fidelity National Information Serv. Inc. and all subsidiaries 601 Riverside Ave Jacksonville FL 32204-2946 USA INSURER A: AXIS Insurance Company 37273 INSURER S: Indemnity Insurance Co of North America 43575 INSURER C: ACE American Insurance Company 22667 INSURER D: ACE Property & Casualty Insurance Co. 20699 INSURER E: INSURER F: RAGE CERTIFICATE NUMBER: 570085586969 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL-SOBR INSD WVD POLICY NUMBER POL1CYEFF (MM/DD/YYYY POLICYEXP MM/DD/YYYYL LIMITS C X COMMERCIAL GENERAL LIABILITY Y HDOG71574581 01/O1/202. Z1/01/2022 EACH OCCURRENCE $2,000,000 CLAIMS -MADE X OCCUR DAMAGE TOTIENfED PREMISES (Ea occurrence) $1,000,000 MED EXP (Any one person) Excluded PERSONAL & ADV INJURY $1,000,000 GEN'L X - AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO ❑ LOC JECT OTHER: GENERAL AGGREGATE S2,000,000 PRODUCTS - COMP/OP AGG $4,000,000 C AUTOMOBILE X - - LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY - - _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY ISA H2530908A 01/01/2021 01/01/2022 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) D X - UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X00G27939302006 01/01/2021 01/01/2022 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DEO X RETENTION S2 5 000 B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) II yes, describe under DESCRIPTION OF OPERATIONS below Y I N N N/A WLRC67808976 WC AOS SCF C6781308A WC WI 01/01/2021 01/01/2021 01/01/20 2 01/01/2022 X PER STATUTE OTH- ER E.L. EACH ACCIDENT 51,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT 51,000,000 A Cyber Liability PO0100004790603 E&0/Cyber/Prof Liab SIR applies per policy terms 11/09/2020 & condi-ions 11/09/2021 E&0/Cyber $15,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Named Insured: SUNGARD DATA SYSTEMS INC., SUNGARD CAPITAL CORP. ; Its Companies & Subsidiaries. City of Gilroy, its officers, officials and employees are included as an additional insured for General Liability coverage if required by contract, but only with respect to activities or obligations performed under the contract and only to the limits required by the contract per the terms and conditions of the policy. CERTIFICATE HOLDER CANCELLATION City of Gilroy Attn: Scott Golden 7351 Rosanna St. Gilroy CA 95020-6141 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Holder Identifier : ggi E. AUTHORIZED REPRESENTATIVE L..Q4a Mea.49ft.waw W000.4.2"..Xzet ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000080055 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Central, Inc. NAMED INSURED Fidelity National Information Serv. Inc. POLICY NUMBER See Certificate Number: 570085586969 CARRIER See Certificate Number: 570085586969 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFFECTIVE DATE IMM/DD/YYYY) POLICY ATION EXPIRATION DATE (MM/DD/YYYY) LIMITS WORKERS COMPENSATION C N/A wcuc67813121 we Ohio 01/01/2021 01/01/2022 C N/A WLRC67813042 WC CA,MA 01/01/2021 01/01/2022 ACORD 101 (2008/01) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD