HomeMy WebLinkAboutCOI - Sharp Business Systems - Expires 2021-10-01AC(aRO® CERTIFICATE OF LIABILITY INSURANCE
DATE 12020 IYYYY)
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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 endorsements).
PRODUCER
Marsh USA Inc.
Japan Client Services
1166 Avenue of the Americas, 36th Floor
New York, NY 10035
CONTACT
NAME:
PHONE FA(A/C, No):
E-MAIL
ADDRESS:
Attn: NewYork.Ceds@marsh.com Fax: 212-948-0500
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A : Sompo America Insurance Company
11126
INSURED
Sharp Business Systems
INSURER B : WA
N/A
INSURER C :
100 Paragon Drive
Montvale, NJ 07645
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: NYC-008950288-62 REVISION NUMBER: 17
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.
INSR
LTR
TYPE OF INSURANCE
ADDL
UBR
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MMIDDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
GDL40W2C0
10/01/2020
10/01/2021
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea occurrence
$ 1,000,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L
%(1:1
AGGREGATE LIMIT APPLIES PER:
PRO POLICY LOC
JECT
OTHER:
GENERAL AGGREGATE
$ 1,000,000
PRODUCTS -COMP/OP AGG
$ 3 000,000
$
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEO I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRI ETOR/PARTNER/EXECUT I VE
OFFICER/MEMBER EXCLUDED? a
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
PER OTH-
STATUTE I ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I 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
7351 Rosanna St.
Gilroy, CA 95020
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
of Marsh USA Inc.
Teresa Gerwycki-Chaves zleywAow - r
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD
Dear Certificate Molder:
As many companies have moved to a remote working environment, mailing Certificates of
Insurance to a physical address can cause unnecessary delays in providing you proof of
insurance. To streamline deliveryand in an effort to support our firm's commitment to
sustainability, going forward, we would like to distribute your Certificates of Insurance
electronically if possible.
We are kindly requesting Certificate Holders provide us an email address where we can deliver
your COI in the future.
Please send your response to: USOperations.email@marsh.com and provide the following
information so that we can expedite your COI delivery:
Certificate # (Shown below Insured Name--e.g.: ABC-123456789-01)
• i -Mail for future delivery:
For undeliverable email addresses, our system is configured to automatically redirect the
Certificate for deliveryvia USPS.
Lastly, if you no longer need this COI please respond to USOperations.emailpmarsh.com with
the Certificate number and we will inactive the record in our system to avoid future automatic
delivery.
Thank you.
US Operations, Marsh USA, Inc.
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