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Home My WebLink AboutCOI - Fidelity National Information Serv. Inc. - Expires 2023-01-01® " o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 11/11/2022 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(les) 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. hia PA Office CONTACT NAME: PHONE 1Philadel (AC.Nm E%I: (866) 283-7122 aC. No.: (800) 363-0105 E-MAIL ADDRESS: 100 North 18th street 15th Floor INSURER(S) AFFORDING COVERAGE NAIC Is Philadelphia PA 19103 USA INSURED INSURER A: ACE American Insurance Company 22667 Fidelity National Information Serv. Inc. and all subsidiaries 601 Riverside Ave INSURER B: Indemnity Insurance CO of North America 43575 INSURER C: ACE Fire Underwriters insurance Co. 20702 xacksonville FL 32204-2946 USA INSURER D: The Continental Insurance Company 35289 INSURER E: Axis Insurance company 37273 INSURER F: COVERAGES CERTIFICATE NUMBER: 570096469872 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 LTR TYPE OF INSURANCE INSD WVO PODGY NUMBER MMDDIYYY MMIDD/YLIGY d. LIMITS X COMMERCIAL GENERAL LIABILITY HOOG EACH OCCURRENCE $2, 000, 000 CLAIMS -MADE ❑X OCCUR PREMISES Ea coeunenee 51, 000,000 MED EXP(Any one Person) EXCluded PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000, 000 X POLICY ❑JEPRCTO- ❑ LOC PRODUCTS - OOMP.!OP AGG $4,000,000 OTHER: A OMOBILE LIABILITY ISA H25551801 01/01/202201/01/2023 COMBINED SINGLE LIMB a i n $2,000,000 BODILY INJURY( Par person) X ANYAUTO BODILY INJURY IPor accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED PROPERTYDAMAGE ONLY AUTOS ONLY (Per accident) D X UMBRELLALIAB X OCCUR 7018146359 Ol 01 022 1 01/2023 EACH OCCURRENCE $10,000,000 EXCESS LIAR CLAIMS -MADE AGGREGATE $10,000,000 DED I % RETENTION 310, 000 B WORKERS COMPENSATION AND WLRC6892167 Ol Ol 2022 Ol Ol 2023 X PER STAME OTH- R EMPLOYERS'LIABIDTY Y/N WC ADS E.L. EACNACCIDENT $1,000,000 O ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEWMEMBER EXCLUDED? El N/A SCFC68921752 01/01/2022 01/01/2023 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) WC WI If Kos. doscribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 E Cyber Liability P00100004790605 11/09/2022 11/09/2023 E&O/Cyber 115,0001000 E&O/Cyber/Prof Liab SIR applies per policy ter s & conditions DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If nrore space Is required) Additional Named Insured: SUNGARD DATA SYSTEMS INC., SUNGARD CAPITAL CORP. i xts 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy AUTHORQED REPRESENTATIVE IliceiF Attn: Scott Golden DEC 0 1 2022 cf��33 7351 Rosanna St. Gilroy CA 95020-6141 USA LILROYCITYCLERICSOFFICE �p�y J �gytLta4�j _li 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000080055 LOC #: ACORO® �-- ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk services Central, Inc. NAMED INSURED Fidelity National Information Serv. Inc. POLICY NUMBER See Certificate Number: 570096469872 CARRIER See Certificate Number: 570096469872 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I 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 SOUR WVD POLICY NUINI 3ER POLICY EFFECTIVE DATE (N].%I/DD/YYYY) POLICY EXPIRATION DATE (11\1/DD/YYYY) LINIrrs WORKERS COMPENSATION A N/A WCUC6892179A we ohio 01/01/2022 01/01/2023 A N/A WLRC68921715 WC CA, MA 01/01/2022 01/01/2023 ACORD 101 (2008/01) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Certificate No: 570096469872 /N,, ( �- City of Gilroy Attn: Scott Golden 7351 Rosanna St. Gilroy CA 95020-6141 USA Monday, November 14, 2022 To whom it may concern: Following a concentrated effort to reduce our environmental footprint and provide timely certificate delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format. Please utilize one of the following methods to ensure you will receive the electronic copy of your Certificate (Certificate No: 570096469872) for future renewals: - Visit aon.com/e-cert; or - Utilize the QR Code below to enter/validate your information. If your email address has changed or will be changing in the future, or you no longer require this certificate, please let us know using one of the methods above. Thank you for your cooperation and willingness to help us reduce our impact to the environment. MSC# 17755 1 Aon P.O. Box 1447 Lincolnshire, IL 60069 MSC#17755 Aon Risk Services PO Box 1447 Lincolnshire, IL 60069 MDG2022 00000643 01 . N City of Gilroy Attn: Scott Golden 7351 Rosanna St. Gilroy CA 95020 6141 a m S Q