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HomeMy WebLinkAboutInsurance Certificate: General Information solutions A~~ °O® CERTIFICATE OF LIABILITY INSURANCE F 1i25~2018 Y' 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 FA (803)771-0166 No l: 1330 Lady Street ADDRESS:michelle.goodwin@hubinternational.com INSURERS AFFORDING COVERAGE NAIC If Columbia SC 29201 INSURERA:Travelers Insurance Co 5674 INSURED INSURERS 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 17-18/18-19 E&O 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM1DCAYYY MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 300 , 000 A CLAIMS-MADE FX_1OCCUR X X 630OD353070TIL17 /6/2017 /6/2018 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: rcontract PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY X X COMBINED SINGLE LIMIT Ea accident 1,000,000 A ANY AUTO OD38082217CAG /6/2017 4/6/2018 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED X AUTOS AUTOS Add' l Insured & Waiver BODILY INJURY (Per accident) $ PER X HIRED AUTOS Ix NON-OWNED Status only applies per P.O. cidentDAMAGE $ AUTOS written contract Uninsured motorist combined $ 1,000.000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 15,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE $ 15,000,000 DED X RETENTION$ 10,00 UPOD657852TIL17 4/6/2017 /6/2018 $ A WORKERS COMPENSATION X BOD66088117 /6/2017 /6/2018 X WC STATU- OTH- AND EMPLOYERS' LIABILITY OR, LIM TS I FIR ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N Waiver only applies per E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED' 1 N N/A (Mandatory in NH) ritten contract E.L. DISEASE- EA EMPLOYE $ 1,000,000 If yes, describe under DESCFPTION OF UPERri IONS below E.L. DISEASE - POLICY LIMIT $ 1 000, 00o B Errors & Omissions RAF54818 1/19/2018 /12/2019 Limit $2,500,000 C Errors & Omissions 2EPP30471601 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/MSG - - - ACORD 25 (2010/05) ©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, 1/19/2018 - 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 I OFREMARK COPYRIGHT 2000, AMS SERVICES INC.