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HomeMy WebLinkAboutSTERLING INFOSYSTEMS INC - INSURANCE CERTIFICATE (4)Client#: 1058256 STERLINF2 ACORDT, CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDYYYY) 12/03/2018 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER ,CONTACT NAME: USI Insurance Services LLC PHONE No, Ext), (A/C, No): 610 537-4537 333 Westchester Ave, Suite 102 ADDRESS: Klm.ryder@usi.com White Plains, NY 10604 INSURER(S)AFFORDING COVERAGE NAICir 914 459-6200 INSURER A Hartford Fire Insurance Co 19682 INSURED Sterling Infosystems, Inc. And it's Subsidiaries 1 State Street Plaza, 24th Floor New York, NY 10004 INSURER B : Hertford Casualty Insurance Company INSURER C : Allied World Assurance (US) Inc. INSURER D : AIRS- Global Corporate & Specialty AG INSURER E : Federal Insurance Company 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. LTR TYPE OF INSURANCE ADDLSUBR NSR WVD POLICY NUMBER MM/DD/YYYF MM/DD/YYYP LIMITS A X COMMERCIAL GENERAL LIABILITY 16UUNBI2722 0/12/2018 10/12/2019 OCCURRENCE $1 000,000 CLAIMS -MADE I ^I OCCUR PEACH PREMISES Eaocourence $1 000000_ MED EXP (Any one person) $10 000 _ PERSONAL & ADV INJURY $1 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 POLICY ❑ JECOT 7 LOC - PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: - -- AUTOMOBILE LIABILITY A 16UUNBI2722 0/12/2018 10/12/201 COMBINED SINGLE LIMIT Ea aaident 1 000 000 r BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS X AHIRED UTOS ONLY X NON -OWNED AUTOS ONLY PROPERTY DAMAGE Per accident _- $ $ )3 X UMBRELLA LIAB X OCCUR 16XHUBI1936 0/12/2018 10/12/201 EACH OCCURRENCE $15,000,000 AGGREGATE $15 00O 000 EXCESS LIAB CLAIMS MADE $ _ DED XI RETENTIONQ_10_0_oO B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY VIM ANY PROPRIETOR/PARTNER/EXECUTIVE Y OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) N/A 16WEPI3210 10/12/2018 10/12/201 X PER OTH- S E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE -- -- $1,000,000 E.L. DISEASE - POLICY LIMIT $1 000,000 _ If yes, describe under DESCRIPTION OF OPERATIONS below _ _- $5,000,000 Aggregate C Cyber Liability 03116048 11/11/2018.03/01/202 D E&O/Professional USF00230918 11/11/2018 03/01/202 $5,000,000 Aggregate E I Crime I82242334 10/12/2018 10/12/2019, 1 $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Named Insured Continued: Sterling Infosystems Holdings Inc. Sterling Credit Screening Inc. Sterling Protective Systems Inc. Data -Quick Direct Inc. (See Attached Descriptions) City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Department ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE a j ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S24408853/M24407804 PYBZP DESCRIPTIONS (Continued from Page 1) 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. Verified Volunteers Sterling Intermediate Corp. Sterling Midco Holding Inc. Sterling Ultimate Parent Corp. EmployeeScreen IQ, Inc. TalentWise, Inc. Verified Person, Inc. Sterling Talent Solutions, Inc. STS SID LLC DBA SurelD LLC Other Liability Information: Cyber Liability Policy #03116048 $100,000 Retention: Privacy, Network Security or Media Wrongful Acts Breach Response Services Limit of Liability 10,000,000 Individuals, $1,000,000 Retention Excess Cyber Liability: Illinois National Insurance Company Policy #028335106 Effective 11/11/18 03/01/2020 Limit: $5,000,000 xs $5,000,000 E&O/Professional Liability Policy #USF00230918 $250,000 Deductible Each Claim $2,500,000 Deductible Class Action Suits Excess E&O/Professional Liability: Aspen American Insurance Company Policy #LX004W418 Effective 11/11/18 - 03/01/2020 Limit: $5,000,000 xs $5,000,000 Crime Policy #82242334 $50,000 Deductible The General Liability and Auto Liability policies include an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder only when there is a written contract that requires such status, and only with regard to work performed on behalf of the named insured. SAGITTA 25.3 (2016/03) 2 Of 2 #S24408853/M24407804