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HomeMy WebLinkAboutCOI - Sharp Business Systems - Expires 2020-10-01AC40REP CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 05/28/2020 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 NAME: Marsh USA Inc. PHONE AX Jappaan Client Services (A/C,No): EMAIL 1166 Avenue of the Americas, 36th Floor New York, NY 10036 ADDRESS: Attn: NewYork.Certs@marsh.com Fax: 212-948-0500 INSURERS AFFORDING COVERAGE NAIC tl INSURER A: Som o America Insurance Company 11126 INSUREDSharpBusiness Systems f INSURER B : NIA NIA 100 Paragon Drive INSURER C : INSURER D : Montvale, NJ 07645 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-008950288-55 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. N01VJITHSTANDING 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 MMIDOIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GDL40002CO 10/01/2019 10101/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE L-] OCCUR M T 1=NT1�e) PREMISES Ea occurrence $ 1,000,000 - MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L _ AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 1,000,000 X PRO - POLICY E_ JECT LOC PRODUCTS - COMP/OP AGG $ 3,000,000 $ OTHER AUTOMOBILEL;AE%ILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB—__� OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPA.'2TNERiEXECIJTIVE PER OTH- STATUTE I ER _ E.L. EACH ACCIDENT $ OFFICERiMEMBEREXCLUDED? NIA - E.L. DISEASE - EA EMPLOYEE - $ (Mandatory In NH) If as, describe under 0 SCRIPTION OF OPERATIONS below -- 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. litK 111-I1:A I C MULUtK GANGELLATION 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 zipne,oq C Qlzlt� ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD