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HomeMy WebLinkAboutSTERLING INFOSYSTEMS INC - INSURANCE CERTIFICATE (5)INSR ADDL SUBR LTR INSR WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXP TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: JECT LOC COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS AUTOS ONLY HIRED PROPERTY DAMAGE $ AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SAGITTA 25.3 (2016/03) 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 SureID 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. 2 of 2 #S27374349/M26848222 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ POLICY NON-OWNED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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 CONTRACT OR 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. 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). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORDTM CERTIFICATE OF LIABILITY INSURANCE Hartford Fire Insurance Co Hartford Casualty Insurance Company Allied World Assurance (US) Inc. Allianz Global Corporate & Specialty AG Federal Insurance Company 12/16/2019 USI Insurance Services LLC 333 Westchester Ave, Suite 102 White Plains, NY 10604 914 459-6200 610 537-4537 Kim.ryder@usi.com Sterling Infosystems, Inc. And it's Subsidiaries 1 State Street Plaza, 24th Floor New York, NY 10004 19682 29424 19489 35300 20281 A X X 16UUNBI2722 10/12/2019 10/12/2020 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 A X X 16UUNBI2722 10/12/2019 10/12/2020 1,000,000 B X X X 10000 16XHUBI1936 10/12/2019 10/12/2020 15,000,000 15,000,000 B N 16WEPI3210 10/12/2019 10/12/2020 X 1,000,000 1,000,000 1,000,000 C D E Cyber Liability E&O/Professional Crime 03116048 USF00230918 82242334 11/11/2018 11/11/2018 10/12/2019 03/01/2020 03/01/2020 10/12/2020 $5,000,000 Aggregate $5,000,000 Aggregate $3,000,000 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 215 N. Mason Street Fort Collins, CO 80522 1 of 2 #S27374349/M26848222 Client#: 1058256 STERLINF2 BFSZP 1 of 2 #S27374349/M26848222