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Insurance Certificate: General Information Solutions, LLC
A` CERTIFICATE OF LIABILITY INSURANCE F3/DATE 23/2018 ) 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 CONTACT Michelle Goodwin NAME: Keenan Suggs PHONE (803) 799-5533 A/C No: (803)771-0166 1330 Lady Street AE-MAIL DDRESS:michelle.goodwin@hubinternational.com INSURERS AFFORDING COVERAGE NAIC # Columbia SC 29201 INSURERA:Travelers Insurance Co 5674 INSURED INSURERB:AS en Specialty Insurance Co 10717 General Information Solutions, LLC INSURERC:Berkshire Hathaway 0079 INSURER D : P. 0. BOX 353 INSURER E : Chapin SC 29036 INSURER F: COVERAGES CERTIFICATE NUMBER:GIS 18-19 Master 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. EXP INSR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER MPOLICY EFF M/DD/YYYY MMIDD POLICY LTR /YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ A CLAIMS-MADE FX_1OCCUR X X 630OD353070TIL18 /6/2018 /6/2019 MED EXP (Any one person) $ 10 , 000 X Contrctual Liability dd'l Insured & Waiver PERSONAL & ADV INJURY $ N/ Status only applies per GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER rritten contract PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY X X EO M.d.n SINGLE LIMIT 1,000,000 A ANY AUTO OD38082218CAG /6/2018 /6/2019 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED dd'l Insured & Waiver X AUTOS AUTOS BODILY INJURY (Per accident) $ $ X HIRED AUTOS X NON-OWNED Status only applies per PROPERTY DAMAGE AUTOS Per accident written contract Uninsured motorist combined $ 1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 15,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 15, 000, 000 DED X RETENTION$ 10,00 UPOD657852TIL18 /6/2018 /6/2019 $ A WORKERS COMPENSATION X BOD66088118 4/6/2018 /6/2019 X WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN I TORY IIM]Tq ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A Waiver only applies per E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? written contract (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE_POLICY LIMIT $ 1 000 000 B Errors & Omissions RAF54818 1/19/2018 /12/2019 Limit $2,500,000 C Errors & Omissions 42EPP30471601 1/19/2018 /12/2019 Limit $2,500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Kariann Olson Purchasing Representative AUTHORIZED REPRESENTATIVE 90 N. Mountain Avenue Ashland, OR 97520 - Darren Foy/MDB ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD l 1 COMMENTS/REMARKS Prof Errors & Omissions 2nd Layer QPL0043650, 1/19/2018 - 2/12/2019 - $5,000,000 Prof Errors & Omissions 3rd Layer MPE903215003, 1/19/2018 - 2/12/2019 - $5,000,000 Prof Errors & Omissions 4th Layer SPL005811203, 1/19/2018 - 2/12/2019 - $5,000,000 Prof Errors & Omissions 5th Layer 002635502, 1/19/2018-2/12/2019 - $5,000,000 Prof Errors & Omissions 6th Layer MPL214860218, 1/19/2018 - 2/12/2019 - $5,000,000 Cyber Errors & Omissions 1st Layer 011188119, 1/19/2018 - 2/12/2019 - $10,000,000 Cyber Errors & Omissions 2nd Layer MAN783179012018, 1/19/2018 - 2/12/2019 - $10,000,000 Cyber Errors & Omissions 3rd Layer QPL0017116, 1/19/2018 - 2/12/2019 - $5,000,000 Cyber Errors & Omissions 4th Layer 596651126, 1/19/2018 - 2/12/2019 - $5,000,000 Additional Named Insureds: Dexter Group Holdings LLC Backgroundchecks.com LLC Genuine Data Services LLC Global Screening, Inc. Neno Research LLC Rayco, Inc. Rely ID, LLC Genuine Financial Holdings LLC Genuine Mid Holdings LLC Fingerprint Solutions, LLC OFREMARK COPYRIGHT 2000, AMS SERVICES INC.