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HomeMy WebLinkAboutCOI - Fidelity National Information Serv. Inc. - Expires 2021-01-01�.1 ® �'` o CERTIFICATE OF LIABILITY INSURANCE DATE(MNVDD/YYYY) 11/20/2020 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 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 Aon Risk Services Central , Inc. Philadelphia PA Office One Liberty Place 1650 Market Street Suite 1000 Philadelphia PA 19103 USA NAME: 13HONE (866) 283-7122 FAX (800) 363-0105 (A/C. No. Ext): (NC. No.): 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: ACE Property & Casualty Insurance Co. 20699 INSURER B: ACE American Insurance Company 22667 INSURERC: ACE Fire Underwriters Insurance Co. 20702 INSURER D: AXIS Insurance company 37273 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570085003844 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 ADM INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY1 POLICY EXP (MWDD/YYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY Y . HDOG7123442 3 01/01/2020 01/01/2021 EACH OCCURRENCE $2,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) S1,000,000 MED EXP (Any one person) Excluded PERSONAL & ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 1 POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $4 , 000 , 000 OTHER: B AUTOMOBILE LIABILITY ISA H25287526 01/01/2020 01/01/2021 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 X ANY AUTO BODILY INJURY ( Per person) .__._ OWNED — SCHEDULED AUTOS BODILY INJURY (Per accident) — AUTOS ONLY HIRED AUTOS —..— NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) _ ONLY ,_ A X UMBRELLALIAB ' X OCCUR XOOG27939302005 01/01/2020 01/01/2021 EACH OCCURRENCE $10,000,000 EXCESS LIAR CLAIMS -MADE AGGREGATE $10,000,000 QED X RETENTION 525 000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WLRc66038890 01/01/2020 01/01/2021 x PER STATUTE 0TTH- C ANY PROPRIETOR / PARTNER / EXECUTIVE Y / N N N/A WC AOS SCFC66038932 01/01/2020 01/01/2021 E.L. EACH ACCIDENT $1,000,000 OFFICEREMBEREXCLUDED? IM (Mandatory in NH) WC WI Only E.L. DISEASE -EA EMPLOYEE $1,000,000 II s, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 $1,ION D Cyber Liability P00100004790603 E&O/Cyber/Prof Liab SIR applies per policy terns 11/09/2020 & condi-ions 11/09/2021 E&O/Cyber $15,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it 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 Holder Identifier : 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. AUTHORIZED REPRESENTATIVE tSZas Meatet9fit Wsketerecffea ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Aotv Aon Client Services 4 Overlook Point Lincolnshire, IL 60069 MDG2020 00000660 01 illiuliliilllllIiiiiIii111111.11I11II'I1iiuillitlilllilli111111ll City of Gilroy Attn: Scott Golden 7351 Rosanna St. Gilroy CA 95020 6141 000000 01 01 000660 000852 P