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HomeMy WebLinkAboutInsurance Certificate: Government Computer Sales Inc. • 1 . 1 . Client#: 1045498 GOVERCOM ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY). 7/17/2023 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. I ' '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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER • _ CONTACT USI Insurance Services LLC PHONE FAX _(A/C,,No,Ext):877 678-5842 (A/C,No): 601 Union Street,Suite 1000 610-362-8503 ADDRESS: select@USLCOnI , Seattle,WA 98101 I INSURER(S)AFFORDING COVERAGE NAIC# 206 441-6300 • INSURERA:Massachusetts Bay Insurance Company 22306 INSURED INSURER B:Hanover Insurance Company 22292 Government Computer Sales Inc.DBA: INSURER Hartford-WC Multiple Issuingcos 00914 GCSIT; GCSIT Solutions; B2 Networks LLC c: P INSURER D.:National Specialty Insurance Company 22608 1654 20th Ave. • AXurIS Splus Insurance Company 26620 _ Seattle,WA 98122 • INsuRERE: P P Y INSURER F: COVERAGES CERTIFICATE NUMBER: . I 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. INSRRTYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP ' INSR WVD POLICY NUMBER (MM1DD/YYYY) (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY ZD2A94432107 06/01/2023 06/01/2024 EACHOCCURRENCE • $2,000,000 CLAIMS-MADE X OCCUR PREMISES(Ea occu ante) $100,000 MED EXP(Any one person)' $10,000 . PERSONAL&ADV INJURY $2,000,000 • GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 • • POLICY JECT LOC PRODUCTS-COMP/OPAGG $4,000,000 • . • OTHER: ./ $ A AUTOMOBILE LIABILITY ZD2A94432107 06/01/2023 06/01/2024 COMBIaaccident)NED SINGLE LIMIT j1,000,000 (E , ANY AUTO -• BODILY INJURY(Per person) $ ' OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED' PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY (Per accident) $ ' • $ . B )( UMBRELLA LIAB X OCCUR UH2D72537105 06/01/2023 06/01/2024 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 _ DED RETENTION$ - I $ _ C WORKERS COMPENSATION 52WECAA3LGE 08/01/2023 08/01/2024 X STATUTEERH AND EMPLOYERS'LIABILITY _ ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A • (Mandatory in NH) • I . DISEASE-EA EMPLOYEE $1,000,000 • If yes,describe under ' DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Cyber FLYCBCY7CRXGWT002 06/06/2023 06/06/2024 1,000,000 E E&O P00100113587701 06/01/2023 006/01/2024 3,000,000 • • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE:VMWare Health Check,Systems Evaluation,Best Practices Review,arid Future State Recommendations. , The General Liability policy includes an automatic Additional Insured endorsement that provides Additional . Insured status to City of Ashland employees,Ryan Stowasser and Kariann Olson,.only when there is a written ' Contract that requires such status,and only with regard to work performed on behalf of the named insured. CERTIFICATE HOLDER • CANCELLATION CI of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland,OR 97520 1 AUTHORIZED REPRESENTATIVE • I • 1 ©1988-2015 ACORD CORPORATION.All rights reserved. . ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S40846755/M40846638I PYBZP