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HomeMy WebLinkAboutSTERLING INFOSYSTEMS - INSURANCE CERTIFICATE (3)Client#: 1058256 STERLINF2 `DATE ACORD, CERTIFICATE OF LIABILITY INSURANCE 1 12/01/2016 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: USI Insurance Services LLC PHONE Ex t : FAX, No): 610 537-4537 333 Westchester Ave, Suite 102 E-MAIL White Plains, NY 10604 ADDRESS: Kim. ryder @usi.biz 914 459-6200 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hartford Fire Insurance CO 19682 INSURED Hartford Casualty Insurance Com 2QA9A Sterling Infosystems, Inc. And it's Subsidiaries 1 State Street Plaza, 24th Floor New York, NY 10004 INSURER B . INSURER c : Allied World Assurance (US) Inc 1 INSURER D : Allianz Global Corporate & Spec 3 COVERAGES CERTIFICATE NUMBER! RFVIRION Nl1MRFR- 20281 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. LTRR TYPE OF INSURANCE NSRADDL WVD POLICY NUMBER MM/DD/YYYYF 0/12/2016 MM/DD/YYYY 10/12/2017 LIMITS EACH $1 000 ON _ $1 00O OOO A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR _ 16UUNBI2722 �OECTCURRENCE PREMISES Eaoccu ence MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ECOT- LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2 OOO,OOO $ OTHER: A AUTOMOBILE LIABILITY 16UUNBI2722 0/12/2016 10/12/2017 Ea aoc d.D SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per er accent) $ X PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAR OCCUR 16XHUBI1936 0/12/2016 10/12/201 EACH OCCURRENCE $15,000,000 X AGGREGATE $15 000 000 FEXCESS LIAB CLAIMS -MADE 1 DED I X RETENTION $$10,000 $ 1 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXEPROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? N] N/A 16WEP13210 0/12/2016 10/12/2017 OTH- X ISPTEARTUTE EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below _ E.L. DISEASE - POLICY LIMIT $1,000 000 Cyber Liability 0/12/2016 12/11/2017 $5,000,000 Aggregate C 03092459 D E&O/Professional PPL2007831 11/16/2016 12/11/2017 $5,000,000 Aggregate E Crime 82242334 10/12/2016 10/12/2017 $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 U-M .,cam ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD #S19363349/M19360151 GSYZP 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. HR Plus Verified Volunteers Checkwell Decision Corporation (US) Sterling Intermediate Corp. Sterling Midco Holding Inc. Sterling Ultimate Parent Corp. EmployeeScreen IQ, Inc. TalentWise, Inc. Verified Person, Inc. Sterling Talent Solutions, Inc. Other Liability Information: Cyber Liability Policy #03092459 $100,000 Retention: Privacy, Network Security or Media Wrongful Acts Breach Response Services Limit of Liability 10,000,000 Individuals, $1,000,000 Retention E&O/Professional Liability Policy #PPL2007831 $250,000 Deductible Each Claim $2,500,000 Deductible Class Action Suits Crime Policy #82242334 $25,000 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 (2014/01) 2 of 2 #S19363349/M19360151