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HomeMy WebLinkAboutInsurance Certificate: Government Computer Sales Inc. Client#: 1045498 GOVERCOM ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/11/2021 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 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 NAME: USI Insurance Services LLC PHONE 206-441-6300 FAX 610-362-8503 (AIC,No,Ext): (A/C,No): 601 Union Street,Suite 1000 Mass, select@usi.com Seattle,WA 98101 INSURER(S)AFFORDING COVERAGE NAIL# 206 441-6300 INSURERA:Massachusetts Bay Insurance Company 22306 INSURED INSURER B:Hanover Insurance Company 22292 Government Computer Sales Inc.DBA: INSURER C:Hartford Steam Boiler Group 29890 GCSIT; GCSIT Solutions; B2 Networks LLC INSURER D:AXIS Surplus Insurance Company 26620 1654 20th Ave. Seattle,WA 98122 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY ZD2A944321 06/01/2020 06/01/2021 EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR PREMISES(ERENTED occu once) $100,000 X WA STOP GAP 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 ECOT X LOC PRODUCTS-COMP/OP AGG $INCLUDED OTHER: $ A AUTOMOBILE LIABILITY ZD2A944321 06/01/2020 06/01/2021 COMSINGLE LIMIT (Ea aBIccNEidenDt) $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X NN-OWNED PROPERTY DAMAGE AUOTOS ONLY (Per accident) X Hired Phys D $35,000 B X UMBRELLA LIAB X OCCUR UH2D725371 06/01/2020 06/01/2021 EACH OCCURRENCE $2,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 DED RETENTION$ $ C WORKERS COMPENSATION 52WECAA3LGE 08/01/2020 08/01/2021 X PER OTH- ERAND EMPLOYERS'LIABILITY �,/N STATUTE ANY EXCLUDED?ECUTIVE N N/A E.L.EACH ACCIDENT $1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE s1;000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D E&O P00100003119503 06/01/2020 06/01/2021 $3M Each Wrongful Act Claims Made& SIR$15,000 Reported Retro Date:6/25/09 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,and 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 City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN 20 E Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland,OR 97520 AUTHORIZED REPRESENTATIVE 06• 1qa ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S31150006/M29461262 HAVZP This page has been left blank intentionally.