HomeMy WebLinkAboutCORNERSTONE ONDEMAND - INSURANCE CERTIFICATEClient#: 308246
CORNDEMA
ACORD CERTIFICATE OF LIABILITY INSURANCE
DATE(MwDD/YYYY)
12/23/2014
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: It the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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).
PRODUCED
O C
NAME:
Hub International
PHONE g25 609-6500
Eat): ac No : 925 609-6550
HUB Int'I Insurance Serv. Inc.
E-MAIL.,
Mali°
P.O. BOX 4047
ADDRESS:
Concord, CA 94524-4047
INSURER(S) AFFORDING COVERAGE
NAIC#
INSURER A: Federal Insurance Company
20281
INSURED
INSURERS; Pacific Indemnity Company
20346
Cornerstone OnDemand, Inc.
1601 Cloverfield Blvd.,#620
INSURER C:
Santa Monica, CA 90404
INSURER D:
INSURER E
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.
INSfl
LTfl
TYPE OF INSURANCE
ADDLSUBR
INSR
MD
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MM/DDNYYY)
LIMOS
A
GENERAL LIABILITY
X1 COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 51 OCCUR
XI Ded:O
35815104
1/01/2015
01/01/201
EACH OCCURRENCE
$1,000,000
AMENT
ante
51 OOOOOO
MED EXP (Any one person)
$1O OOO
PER AD
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO_ POLICY AI J C� LOC
PRODUCTS-COMP/OP AGG
$2,000,000
S
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OS SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
T
74989783
1/01/2015
01/01/2010
EaacccdentSINGLEUMIr
1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY Per accident
( 1
$
X
PROPERTY DAMAGE
Per accident
S
A
X1
UMBRELLA UAe
EXCESS LIAR
IX
OCCUR
CLAIMS MADE
79875261
1110112015
01/01/201C
EACH OCCURRENCE
$10,000,000
AGGREGATE
$10,000,000
DED I XI RETENTION$O
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOWPARTNERIEXECUTIVE��
OFFICERIMEMBER EXCLUDED? I nl
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
71726495
1/01/2015
01/01/201
X WC STATU- OTH-
IMI
E.L. EACH ACCIDENT
$1 OOO OOO
E.L. DISEASE - EA EMPLOYEE
$1000000
E.L. DISEASE- POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / 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 8-04,
as required by written contract.
City of Fort Collins
300 Laporte Avenue
Fort Collins, CO 80524
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
ACORD 25 (2010/05) 1 Of 1
#S3263478/M3256472
01988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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