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HomeMy WebLinkAboutInsurance Certificate: General Information Solutions LLC AC R® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 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(les)must have ADDITIONAL INSURED provisions or be endorsed.If d 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 y NAME: Aon Risk Insurance Services West, Inc. PHONE FAX Los Angeles CA Office (A/C.No.Ext): (866) 283-7122 (NC.No.): (800) 363-0105 '`0O 707 Wilshire Boulevard E-MAIL D Suite 2600 ADDRESS: _ Los Angeles CA 90017-0460 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: National Union Fire Ins CO of Pittsburgh 19445 General Information Solutions LLC INSURER B: Continental Casualty Company 20443 917 Chapin Road Chapin SC 29036 USA INSURER C: Transportation Insurance Co. 20494 INSURER D: American Casualty Co. of Reading PA 20427 INSURER E: The Continental Insurance Company 35289 INSURER F: COVERAGES CERTIFICATE NUMBER:570081975706 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. Limits shown are as requested INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY 6083326918 06/01/2020 6/01/71171 EACH OCCURRENCE $1,000,000 CLAIMS-MADE n OCCUR DAMAGE TO RENTED $1,000,000 PREMISES(Ea occurrence) MED EXP(Any one person) $15,000 I PERSONAL&ADVINJURY $1,000,000 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 N. XPOLICY 1n JECT n LOC PRODUCTS-COMP/OPAGG $2,000,000 m OTHER: N- n N- C 6083145026 06/01/2020 06/01/2021 COMBINED SINGLE LIMIT in AUTOMOBILE LIABILITY (Ea accident) $1,000,000 .. ANY AUTO BODILY INJURY(Per person) o Z OWNED -SCHEDULED BODILY INJURY(Per accident) 0) AUTOS ONLY AUTOS X HIRED AUTOS x NON-OWNED PROPERTY DAMAGE t0 —ONLY _AUTOS ONLY (Per accident) ' a) E X UMBRELLA UAB X OCCUR 6076599220 06/01/2020 06/01/2021 EACH OCCURRENCE $5,000,000 0 SIR applies per policy terms & conditions AGGREGATE $5,000,000 EXCESS LIAB CLAIMS-MADE DED X RETENTION D WORKERS COMPENSATION AND 6083189639 06/01/2020 06/01/2021 X PER STATUTE OTH- EMPLOYERS'LIABILITY Y/NER ANY PROPRIETOR/PARTNER/EXECUTIVE (ADS) E.L.EACH ACCIDENT $1,000,000 D OFFICER/MEMBEREXCLUDED? N N/A 6083236037 06/01/2020 06/01/2021 -- _-- (Mandatory in NH) (CA) E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $1,000,000— A E&O-PL-Primary 023086114 10/31/2019 10/31/2020 Sublimit $10,000,000 • SIR applies per policy terns & conditions MI DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. ti •~-i CERTIFICATE HOLDER CANCELLATION , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS: City of Ashl and AUTHORIZED REPRESENTATIVE .Fj'.- Attn: Kariann Olson CJS.-/� �i �Q ��� �i j Purchasing. ainrAvenuative L i SOK✓nGtGtILnGG e/Gfilisxd 14Ed�✓9tG o ele 90 N. Mountain Avenue Ashland OR 97520 USA ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD