HomeMy WebLinkAboutCORNERSTONE ONDEMAND INC - INSURANCE CERTIFICATEClient#: 308246 CORNDEMA
ACORD: CERTIFICATE OF LIABILITY INSURANCE DTE 1/10/2iDD'YVVY)
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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.
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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
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