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HomeMy WebLinkAboutCOI - Sharp Business Systems - Expires 2023-10-01ACORO® CERTIFICATE OF LIABILITY INSURANCE O12107/2022 vr) 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 Marsh USA Inc. JalIIran Client Services CONTACT NAME: PHONE 11 a No: E-MAIL ADDRESS: 1166 Avenue of the Americas, 361h Floor Navy York, NY 10036 Attn: NewYork.Cerls@marsh.wm Fax: 212-948-0500 INSURERSAFFORDING COVERAGE NAIC# INSURER A: Sum o America Insurance Company 11126 INSUREDSharpBusiness Systems INSURER B : N/A N/A INSURER C : 100 Paragon Drive Montvale, NJ 07645 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-008950288-70 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. INSft LTR TYPE OF INSURANCE AD BR POLICYNUMBER POLICY EFF MM/DD/YYYY) POLICY EXP QMMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY GDL40002GO 10/01/2022 10/0112023 EACH OCCURRENCE If 1,000,000 CLAIMS -MADE I -XI OCCUR DAMAGE TO RENTED PREMISES Ea a¢urrence $ 1,000,000 MED EXP (Any one Persom $ 15,000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY ❑ PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 3,000,000 $ OTHER: AUTOMOBILELIABIUTY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Par person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PRO PERI; DAMAGE Per eaident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA UAS OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DELI I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN IPER OTH- STATUTE ER OFFICERMEMBEREXC UDEO ANYPROPRIETORIPARTNERIEXECUrIVE ❑ NIA E.L. EACH ACCIDENT If E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / 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 mitten contract. M6GOWMD DEC 2 0 2022 GILROY CITY CLERK'S OFFICE Cityof 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 ©1988-2016ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD i7wn 0 ..►� 0 D� ch = '< N (D 0 p{', AGENCY CUSTOMER ID: CN102239940 LOC #: New York ACORD® ��. ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY Marsh USA Inc. NAMED INSURED Sharp Business Systems 100 Paragon Drive Montvale, NJ 07645 POUCY NUMBER CARRIER NAIC CODE [EFFECTIVE DATE: ADDITIONAL REIYIA THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER- 25 FORM TITLE: Certificate of Liability Insurance PROPERTY CONTINUED: PERILS INSURED AGAINST: Risks of direct physical loss or damage subject to the Comprehensive All Risk Form policy terms, conditions and exclusions. ACORD 101 (2008/01) 0494-01-00-0000634-0002.0001594 © 2008 ACORD CORPORATION. All rights i The ACORD name and logo are registered marks of ACORD