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Home My WebLink AboutInsurance Certificate: General Information Systems a~ ° CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY) 4/5/2017 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 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 NAMEACT Michelle Goodwin Keenan Suggs PHONE (803) 799-5533 FAx A1C No ; (803) 771-0166 1330 Lady Street E-MAIL m oodwin@ keenansu s . com ADDRESS: g g9 INSURERS AFFORDING COVERAGE NAIC # Columbia SC 2 9201 INSURER A :Travelers Insurance Co 5 674 INSURED INSURER B :As en S ecialt Insurance Co 10717 General Information Solutions, LLC INSURERC:HISCOX Insurance Co. 10200 INSURER D P . O . BOX 353 INSURER E Chapin SC 2 9036 INSURER F GO!!Eo.~GES CERi'iriCATE NUMBER:GI5 17-18 & 17-18 E&0 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. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDr'YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 300 , 000 A CLAIMS-MADE ~ OCCUR X X 6300D353070TIL17 /6/2017 4/6/2018 MED EXP (Any one person) $ 10 , 000 X Contrctual Liability dd"1 Insured & Waiver PERSONAL&ADVINJURY $ N/ Status only applies per GENERAL AGGREGATE $ 2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: ritten contract PRODUCTS -COMP/OP AGG $ 2 , 000 , 000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY X X EOa aBcideD SINGLE LIMIT 1 000 000 ANY AUTO AOD38082217CAG 4/6/2017 /6/2018 BODILY INJURY (Per person) $ A X ALL OWNED SCHEDULED dd' 1 Insured & Waiver AUTOS AUTOS BODILY INJURY (Per accident) $ X X NON-OWNED Status only applies per PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ ritten contract Uninsured motorist combined $ 1 000 000 X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 15,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 15, 000, 000 DED X RETENTION$ 10,00 UPOD657852TIL17 4/6/2017 4/6/2018 $ pj WORKERS COMPENSATION X BOD66088117 /6/2017 4/6/2018 X WC STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNER/EXECUTIVE Y ~ N giver only applies per E.L. EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED? N NIA ((Manda/t~oryin/~NH)L ritten contract E.L.D;SEASE-EAE?~1PLOYE' ~ iIODU 4u0 II ~eJ~ uCJrin VG 1111U5~r ~-1 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1 000 000 B Errors & Omissions RAF54817 1/19/2017 1/19/2018 Limit $2, 500, 000 C Errors & Omissions 0595E009990402017 1/19/2017 1/19/2018 Limit $2, 500, 000 DESCRIPTION OF OPERATIONS I LOCATIONS !VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mare space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED tN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Kariann Olson Purchasing Representative AUTHORIZED REPRESENTATIVE 90 N. Mountain Avenue Ashland, OR 97520 _ Darren Foy/NIDB ACORD 25 (2010105) ©1988.2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD COMMENTS/REMARKS Prof Errors & Omissions 2nd Layer QPL0043650, 1/19/2017 - 1/19/2018 - $5,000,000 Prof Errors & Omissions 3rd Layer MPE90321502, 1/19/2017 - 1/19/2018 - $5,000,000 Prof Errors & Omissions 4th Layer SPL005811202, 1/19/2017 - 1/19/2018 - $5,000,000 Prof Errors & Omissions 5th Layer 002635501, 1/19/2017-1/19/2018 - $5,000,000 Prof Errors & Omissions 6th Layer MPL149666017, 1/19/2017 - 1/19/2018 - $5,000,000 Cyber Errors & Omissions 1st Layer 075054322, 1/19/2017 - 1/19/2018 - $10,000,000 Cyber Errors & Omissions 2nd Layer MKN783179012017, 1/19/2017 - 1/19/2018 - $10,000,000 Cyber Errors & Omissions 3rd Layer QPL0017116, 1/19/2017 - 1/19/2018 - $5,000,000 Cyber Errors & Omissions 4th Layer 596651126, 1/19/2017 - 1/19/2018 - $5,000,000 Additional Named Insureds: Dexter Group Holdings LLC Backgroundchecks.com LLC Genuine Data Services LLC Global Screening, Tnc. Nena Research LLC Rayco, Inc. Rely ID, LLC Genuine Financial Holdings LLC Genuine Mid Haldings LLC OFREMARK COPYRIGHT 2000, AMS SERVICES INC.