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HomeMy WebLinkAboutCORNERSTONE ONDEMAND INC - INSURANCE CERTIFICATEClient#: 308246 CORNDEMA ACORD: CERTIFICATE OF LIABILITY INSURANCE DTE 1/10/2iDD'YVVY) v1o/2o1a 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. R 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, Hub International PHONE 925 609-6500 925 609-6550 AC No E#: Art No: HUB Int'I Insurance Serv. Inc. E-NAI P.O. Box 4047 ADDRESS: Concord CA 945244047 INSURERS AFFORDING COVERAGE NAIL/ + -.. FnrinrRl Ineurenm Cmmnanar 19n.191 INSURED Cornerstone OnDemand, Inc. 1601 Cloverfield Blvd., #620 Santa Monica, CA 90404 D: E: COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR- 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDCCUCED BY PAID CLAIMS. L� TYPE OF INSUNANCE INSR WVD U POLICY NUMBER YPN�IODY EFF MYNUmYP 01/01/2015 LIMBS $1 000000 $1000000 _ $1D000 _ $1000000 s2 000,000 A GENERALUABILITY u COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR u Defi _ 35815104 1/01/2014 pEopApCCL.IHHp��OEECCCTURRENCE PREMISES a ou ence NEDEXP(Anyoneperson) PERSONAL BADVINJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICYOXL =JECLOC_ PRODUCTS-COMP/OPAGG _ s20001000 S A AUTOMOBILELIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS _ 74989763 1/01/2014 01/01=15 COMBINED SINGLE LIMBMe accident 1+000000 $ $ _ $ $ BODILY INJURY (Pat Person) er accident) BODILY INJURY (Per X —PROPERTY —DAMAGE P r acciden A X UMMELLAI" EXCESS DAB X OCCUR CLAIMS -MADE 79875261 1/01/2014 01/01/2015 EACH OCCURRENCE $10000000 $1 O 000 0DO $ AGGREGATE DED I XI RE7ENTI0N$0 B WORKERS COMPENSATION AND EMPLOYERS'UABILITY YIN ANY PROPRIET0R1PARTNER/ExECUTNE OFFICEFUMEMBER EXCLUDED? (Mandatory In NH) If yea, describe under DESCRIPTION OF OPERATIONS bebw NM �72(�95 1/D1/2D14 D1/O1/ZO1 x WC STATU- OTH- E EA_ EACH ACCIDENT 000 $1 OOO E.L. DISEASE - EA EMPLOYEE $1 000000 E.L. DISEASE -POLICY LIMIT 11000000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Service Contract. City of Fort Collins as Additional Insured as respects General Liability per attached form 80-02-2367 B-04, as required by written contract. City of Fort Collins 300 Laporte Avenue Fort Collins, CO 60524 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 C 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S2634162/M2632292 VS41 CLiability Insurance aMUss • Endorsement Policy Period JANUARY 1, 2014 TO JANUARY 1, 2015 Effective Dare JANUARY 1, 2014 Policy Number 3591-51-04 PLE Insured CORNERSTONE ONDEMAND, INC. Name of Company FEDERAL INSURANCE COMPANY This Endorsement applies to the following forma: GENERAL. LIABILITY ENMR:MA'I [ON AND NETWORK TECHNOLOGY BLENDED LIABILITY INSURANCE: Under Who Is An Insured, the following provision is added: . Who Is An Insured Scheduled Person Or Subject to all of the terms and conditions of this insurance, any person or organization shown in the Organization Schedule, acting pursuant to a written contract or agreement between you and such person or organization, is an insured; but they are insureds only with respect to liability arising out of your operations, or your premises, if you are obligated, pursuant to such contract or agreement, to provide them with such insuram:e us is afforded by this policy. I owever, no such person or organization is an insured with respect to any: assumption of liability by them in a contract or agreement. This limitation does not apply to the liability for damages for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. damages arising out of Ihdr stile negligence. Schedule PERSONS OR ORGANIZATIONS THAT YOU ARE OHL.IGATED, PURSUANT TO WRITTEN CONTRACT OR AGREEMENT BFTWEEN YOU AND SUCI I PERSON OR ORGANI7ATION,'I'O PROVIDE WITH SUCH INSURANCE AS IS AFFORDED BY THIS POLICY: HUT THEY ARE INSUREDS ONLY It- AND TO THE MINIMUM EXTENT TFIAT SUCH CON'I'RACI' OR AGREEMENT REQUIRES THE PERSON OR ORGANIZATION TO BE AbT;ORDED STATUS AS AN INSURED. • HOWEVER, NO PERSON OR ORGANIZATION IS AN INSURED UNDERTHIS Liahilify Insurance AddirionelInsured - Scheduled Person Or Organiution continued Form 60.u2-2267(Rev. 6-04) Endorsement Pager Liability Endorsement (continued) PROVISION WHO IS MORE SPECIFICALLY DESCRIBED TINDER ANY OTHER PROVISION OF THE WI 10 IS AN INSURED SEcrION OF'1'1-IiS POLICY (RE-GARDLESS 01: ANY LIMrrA-r[ON APPLICABLE THERFTO). All other tens and conditions remain unchanged. Authorized Representalne Qc-__ON,%�� Liability Insurance Additional Insured - Scheduled Person Or Organiser= last page Form 60-02-2367 (Rev. 6-04) Endorsement Page 2 101 x