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HomeMy WebLinkAboutPAYODA INC - INSURANCE CERTIFICATE (3)ACC " CERTIFICATE OF LIABILITY INSURANCE si2i/2oi6Y) 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 Highpoint Insurance Group, LLC. 1150 Clear Lake City Blvd #201 Houston TX 77062 CONTACTSydney Ste NAME: PP PHOFA IC,NE o_ExtI. (281)204-8770 A/C No:(281)204-8810 AppIL .sstepp@hpigrp.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Travelers Property Casualty Co 25674 INSURED Payoda Inc; Payoda Technologies Pvt Ltd 5068 W Plano Pkwy Suite 300, Plano, TX 75093 Tidel Park, Coimbatore-641 014 INSURERB:The Standard Fire Insurance Cc 19070 INSURER C: INSURER D: INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER:16/17 MASTER CERT 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 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. INSR LTR OF INSURANCE ADDLTYPE [NSg SUER POLICY NUMBER EFF MM/ POLIDY/YYYY L ICY EXP MMDDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 300 , 000 A CLAIMS -MADE FX OCCUR PP-14P92685-16-I5 /23/2016 /23/2017 VIED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ `a' ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED -4B954810-16-TEC 3/23/2016 3/23/2017 AUTOS AUTOS PROPERTY DAMAGE Per accident $ X X NON -OWNED HIRED AUTOS AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,00 $ UP-14P2704-16-I5 /23/2016 3/23/2017 B WORKERS COMPENSATION X I WC STATU- OTH- ORYLIMIT AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N I A CUB-6B67036-0-16 /23/2016 /23/2017 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Professional Liability ZLP-15N44168-16-I5 /23/2016 /23/2017 Each Wrongful Act & Aggregate $5,000,000 A 3rd Party Fidelity Bond 105842973 9/27/2015 9/27/2016 Employee Theft of Client Prop $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The General Liability and Auto policies include a blanket automatic additional insured endorsement CGD425 & CGD417. The General Liability includes a blanket primary endorsement CGD425. The General Liability, Auto, and Workers Compensation policies include a blanket automatic waiver of subrogation endorsement. All such coverages are provided to the certificate holder only when there is a written contract or agreement between the named insured and the certificate holder that requires such status and/or coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins Purchasing Division AUTHORIZED REPRESENTATIVE 215 N . Mason St. 2nd Floor Fort Collins, CO 80522 c`3Ytta.Q`� H Smyrl, CPCU, CIC/SY ACORD 25 (2010/05) INS025 (201005).01 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD