Loading...
HomeMy WebLinkAboutInsurance Cerrtificate: General Information Solutions LLC (2) /-"I ® DATE(MM/DD/YYYY) �`� CERTIFICATE OF LIABILITY INSURANCE 11/18/2025 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT 13 NAME: Aon Risk Insurance Services West, Inc. PHONE (866) 283-7122 FAX (800) 363-0105 8 Los Angeles CA Office (A/C.No.Ext): A/C.No.: -a 707 Wilshire Boulevard E-MAIL p Suite 2600 ADDRESS: _ LOS Angeles CA 90017-0460 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Valley Forge Insurance CO 20508 General Information Solutions LLC INSURER B: American Casualty Co. of Reading PA 20427 100 Centerview Drive suite 300 INSURER C: Transportation Insurance Co. 20494 Nashville TN 37214 USA INSURER D: The Continental Insurance Company 35289 INSURER E: National Fire & Marine Ins Co 20079 INSURER F: COVERAGES CERTIFICATE NUMBER: 570116722485 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 LTR TYPE OF INSURANCE INSD WVD I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS D X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE X❑OCCUR PREMISES Ea occurrence) $1,000,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 02 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 eq N X POLICY ❑JE ❑LOC PRODUCTS-COMP/OP AGG $2,000,000 c^o OTHER: o C 6083145026 06/01/2025 06/01/2026 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) 0 Z OWNED SCHEDULED BODILY INJURY(Per accident) 0 AUTOS ONLY AUTOS R Ix HIRED AUTOS X NON-OWNED PROPERTY DAMAGE V ONLY AUTOS ONLY Per accident D X UMBRELLALIAB X OCCUR 6076599220 06/01/2025 06/01/2026 EACH OCCURRENCE $5,000,000 U EXCESS LIAB CLAIMS-MADE SIR applies per policy terns & condi ions AGGREGATE $5,000,000 DED I X RETENTION A WORKERS COMPENSATION AND 6083189639 06/01/2025 06/01/2026 X PER STATUTE OTH- EMPLOYERS'LIABILITY Y/N (ADS) ER ANY PROPRIETOR/PARTNER,EXECUTIVE E.L.EACH ACCIDENT $1,OOO,OOO B OFFICER/MEMBER EXCLUDED? � N/A 6083236037 06/01/2025 06/01/2026 (Mandatory in NH) (CA) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000- E E&O - Professional Liability 42EPP31858005 11/15/2025 11/15/2026 Sublimit $5,000,000= - Primary Claims made 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. L 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 Ashland AUTHORIZED REPRESENTATIVE Attn: Kariann Olson Purchasing Representative _ An ? 90 N. Mountain Avenue e�(s�/a e/S!� 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 AGENCY CUSTOMER ID: 570000077537 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk Insurance Services West, Inc. General Information Solutions LLC POLICY NUMBER See Certificate Number: 570116722485 CARRIER NAIC CODE See Certificate Number: 570116722485 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. INSR ADDL SUBR POLICY NUMBER POLICY POLICY LIMITS LTR TYPE OF INSURANCE EFFECTIVE EXPIRATION INSD WVD DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) WORKERS COMPENSATION C N/A 7063528346 06/01/2025 06/01/2026 (HI) OTHER E cyber Liability 42EPP31858005 11/15/2025 11/15/2026 sublimit $5,000,000 claims made SIR applies per policy to ms & conditions ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD