HomeMy WebLinkAboutSTERLING INFOSYSTEMS INC - INSURANCE CERTIFICATEClient#: 1058256
STERLINF2
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYYY)
10/18/2013
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 be endorsed. N 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
NAME:
USllnsurance Services LLC
333 Westchester Ave.
Suite 102
White Plains, NY 10604
Np �;914�459-6228 NP.610.637-4537
E-NNL
,�oR�, kim.ryder@usi.biz
COVERAGE
TWc$
Northam Insurance
INSURER A: Greet Northam Insurance Compen
20303
INSURED
Sterling Inc.
INSURER B: Federal Insurance Company
20281
12777
INSURERC: Chubb Indemnity Insurance Compa
1 State Street Plaza, 24th Floor
Street Plaza,
INSURER D:Indian Harbor Insurance Company
36940
New York, NY 10004
36587
INSURER E: AIG National Insurance Co., Inc
INSURER F: Hiscox Insurance Company Ltd
102DO
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 CONTRACTOR 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,
AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
�NgEpXCLUSIONS
LTR
TYPE OF INSURANCE
ADDL
POLICY NUMBER
WDDY F POLICY E
LIIBTB
A
GENERAL LMUNLI Y
359N141
0/12/2013
10/12/2014
EACH OCCURRENCE
$1 000 o00
X COMMERCIAL GENERAL LIABILITY
CWM&MADE ❑X OCCUR
�g per, .np
_
01 DOO DOO
MED EXP oPe pamoco
_
$10000
PERSONAL A ADV INJURY
$
X Contractual Llsb
GENERAL AGGREGATE
$2 000 000
GENL AGGREGATE
LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGE
$2000000
X POLICY
7 PRO- Lac
Adv InJury
$1 000 000
B
AUTOMOBILE
LIABILITY
73568983
0/12/2013
10/12/2014
COMBINED SINGLE LIMITEa
_
1000000
BODILY INJURY (Par Penton)
ANY AUTO
$
IX
ALL OWNED SCHEDULED
AUTOS AUTOS
AUTOS X AAUfOSWNEDP
BODILY INJURY(PW aCddWlq
It
$
OPE
AMA EHIRED
$
B
X
MORELLA MAB
X
CCCUR
79874796
0/12I2013
10/12011
EACH OCCURRENCE
$00 14 000 0
AGGREGATE
EXCESS LIAB
CLAIMS-/MDE
$14 000 000
X
DEC) RETENnoN 1 O DDD
_
IS
I
C
WORI(ERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICEWMEMBER EXCLUDED? �
(Mandatory In NH)
NJA
71738436
1M3/2013
1a12/201
WC STATU- OTFI-
X
E.L EACH ACCIDENT
S1 00O 000
EL DISEASE - EA EMPLOYEE
$1 000 000
If yyeeaa tleacriDe under
DESCRIPTX)N OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$1000000
D
E&O Inc Cyber
MPPOO4246500
0/12/2013 10/12/201
$51M Agg/$250k Retention
E
Exc E&O Inc Cyber
014852587
0/12120111101121201
$5,000,000 xs $5M
F
Exc E&O Inc Cyber
MPL12792921301
0/12/2013 10/12/201
$5 000 000 xs $TOM
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Aa ACORD 101, Addltlonal Remarks Schadulo, H more apart 1. npuUatl)
Other Liability:
-Landmark American Insurance Company Policy #LHZ741789
Excess E&O Inc. Cyber
Effective 10/12/13
Expiration 10/12/2014
(See Attached Descriptions)
City of Fort Collins
300 Laporte Avenue
Fort Collins, CO 80521
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
,4 .
ACORD 25 (2010/05) 1 Of 2
#S11118532/M11117774
(91988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
LXGZP
DESCRIPTIONS (Continued from Page 1)
$5,000,000 xs $15,000,000
-Colony Insurance Company Policy #E0406861
Excess E&O Inc. Cyber
Effective 10/12/13
Expiration 10/12/2014
$5,000,000 xs $20,000,000
-Federal Insurance Company Policy #82242334
Employee Theft
Effective 10/12/2013
Expiration 12/12/2013
$1,000,000 Aggregate/$1,000 Deductible
Named Insureds:
STERLING INFOSYSTEMS INC. D/B/A STERLING TESTING SYSTEMS INC.
STERLING HOLDINGS ULTIMATE PARENT INC.& SUBSIDIARIES
STERLING INFOSYSTEMS HOLDINGS PARENT INC.
STERLING CREDIT SCREENING INC.
STERLING INFOSYSTEMS INC.
STERLING PROTECTIVE SYSTEMS INC.
DATA-OUICKDIRECT INC.
BISHOPS SERVICES INC.
ABSO
UNISOURCE SCREENING & INFORMATIONSERVICES INC.
AMERICAN BACKGROUND INFORMATIONSERVICES INC.
SCREENING INTERNATIONAL LLC
STERLING INFOSYSTEMS HOLDINGS INC.
THE PREMIERCOMPANY DBA TANDEM SELECT
ACXIOM INFORMATIONSECURITY SERVICES INC. (AISS)
All coverage is subject to the policy terms, conditions, and exclusions.
Certificate holder is included as additional insured.
SAGITTA 25.3 (2010/05) 2 of 2
#S11118532/M11117774