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Home My WebLink AboutSTERLING INFOSYSTEMS - INSURANCE CERTIFICATEClient#: 1058256 STERLINF2 ACORD CERTIFICATE OF LIABILITY INSURANCE D10/14/ATE D014 10/14/2014 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 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 NAME: USl Insurance Services LLC PHONE g14 459-6226 61 INC,No Est : AIC No : 0 537-4537 333 Westchester Ave, Suite 102 ADDRESS: Kim.ryder@usi.biz White Plains, NY 10604 INSURER(S)AFFOROING COVERAGE I NAICs 914 459-6200 INSURER A: Great Northern Insurance Compan 120303 INSURED INSURER B: Federal Insurance Company 20281 Sterling Infosystems, Inc. INSURER C: Chubb Indemnity Insurance Compa 12777 1 State Street Plaza, 24th Floor INSURER D. (US) Allied World AUS) Inc 119489 New York, NY 10004 INSURERE:HIsCOX- Lloyd's Synd 99999 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 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 REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MM/DDNYYV LIMITS A GENERAL LIABILITY 35960141 0/12/2014 10/12/2015 EACH OCCURRENCE $1,000,000 DAMA�E TTO RENTED PREMISES Eaoccunonce $1 OOOOOO X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP (Any one parson) $1 O OOO PERSONAL&ADV INJURY $ X Contractual Liab GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 X POLICY jEo- LOC Adv In'ury $1,000,000 B AUTOMOBILE LIABILITY 73568983 10/12/2014 10/12/20151 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS X BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accitlent $ B X UMBRELLA UAS X OCCUR 79874796 0/12/2014 10/12/2015 EACH OCCURRENCE $14,000,000 AGGREGATE $14 000,000 EXCESS LIAR CLAIMS MADE DED I X I RETENTION$10000 $ C WORKERS COMPENSATION AND EMPLOYERTUABILITY Y/N ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICEWMEMBER EXCLUDED? N/A 1371738436 101121201410/12/201 X WC STATU- oTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE- EA EMPLOYEE $1 00O 000 (Mandatory In NH) II y s, tleacri muter DESCRIPTIONN OF OPERATIONS below E.L. DI$EA$E-POLICY OMIT $1 000,000 D Cyber Liability 03092459 0/12/2014 10/12/201 $5,000,000 Aggregate E B E&O/Professional Crime B1230FCO2071A14 82242334 0/12/2014 0/12/2014 10/12/201I$10,000,000 Aggregate 10/12/2015 $1,000 000 A re ate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is required) Other Liability Information Continued: Cyber Liability Policy #03092459 $100,000 Retention: Privacy, Network Security or Media Wrongful Acts (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 IMP; ACORD 25 (2010/05) 1 Of 2 #S13519888/M13519691 01988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KSRCM DESCRIPTIONS (Continued from Page 1) $1,000,000 Retention: Breach Response Services E&O/Professional Liability Policy #B1230FCO2071A14 $250,000 Deductible Each Claim $1,000,000 Deductible Class Action Suits Crime Policy #82242334 $25,000 Deductible Named Insureds: Sterling Holdings Ultimate Parent Inc. and its Subsidiaries Sterling Infosystems Holdings Inc. Sterling Infosystems Inc. Bishops Services Inc. ABSO Unisource Screening & Information Services Inc. American Background Information Services Inc. Screening International LLC The Premier Company DBA Tandem Select Sterling Infosystems- Ohio, Inc. HR Plus Verified Volunteers Certificate holder is included as additional insured. bAU111AZ0.3(ZUIU/Ub) Z 012 #S13519888/M13519691