HomeMy WebLinkAboutCOI - Active Network, LLC - Expires 2022-09-01,d►coRo® CERTIFICATE OF PROPERTY INSURANCE OATS (MM/DO/YYYY)
_ 09/10/2021
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.
PRODUCER CONTACT
NAME
Aon Risk Services South, Inc. PHONE FAX
Atlanta GA Office (A/C. No. Ext): (866) 283-7122 (Arc No is (800) 363-0105
3550 Lenox Road NE EMAIL
Suite 1700 ° E
Atlanta GA 30326 USA PRODUCER 570000075610
CUSTOMER ID #:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED INSURER A: AXIS Insurance Company 37273
Active Network, LLC INSURERB:
717 North Hardwood St. INSURERC:
suite 2500 INSURER 0:
Dallas TX 75201 USA INSURERE:
INSURER F:
PnVCRAr.RC r%=0TIC1f%ATC A11IRARC0• 5700Rg177f,30 QCVICIPIAI AIIIRAMCO-
LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, It more space Is required)
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
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YYYY)
POLICY EXPIRATION
DATE (MM/DD/YYYY)
COVERED PROPERTY
LIMITS
PROPERTY
CAUSES OF LOSS
DEDUCTIBLES
BUILDING
PERSONAL PROPERTY
BUSINESS INCOME
EXTRA EXPENSE
RENTALVALUE
BLANKET BUILDING
BLANKET PERS PROP
BLANKET BLDG & PP
BASIC
BUILDING
BROAD
SPECIAL
CONTENTS
EARTHQUAKE
WIND
FLOOD
INLAND MARINE
OF LOSS
NAMED PERILS
TYPE OF POLICY
CAUSES
POLICY NUMBER
X CRIME
TYPE OF POLICY
Crime • Primary
P
SIR applies per policy terms & conditions
X
Employee Dishonesty
Deductible
$5,000,000
X
$1,000,000
BOILER & MACHINERY /
EQUIPMENT BREAKDOWN
SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER
City of Gilroy
7351 Rosanna street
Gilroy CA 95020 USA
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.
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01995-2015 ACORD CORPORATION. All rights reserved.
ACORD 24 (2016/03) The ACORD name and logo are registered marks of ACORD
MSC#17755
Aon Risk Services
Po Box 1447
Lincolnshire, IL 60069
MDG2021 00000306 01
City of Gilroy
7351 Rosanna Street
Gilroy CA 95020
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