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HomeMy WebLinkAboutSTERLING INFOSYSTEMS INC - INSURANCE CERTIFICATE (9)Client#: 1058256 STERLINF2 ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/12/2017 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(les) 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 USI Insurance Services LLC 333 Westchester Ave, Suite 102 CONTACT NAME: PHONE FAX No): 610 5374220 ;-- RIEss: Kim.ryder@usi.com White Plains, NY 10604 914 459-6200 -- INSURER(S) AFFORDING COVERAGE NAIC x 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 : Hanford Casualty Insurance Company 29424 INSURER c : Allied World Assurance (US) Inc. 19489 INSURER D : AM— Global Corporate & Specialty AG 35300 INSURER E : de Feral Insurance Company INSURER F 20281 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DD/YYY LIMBS A X COMMERCIAL GENERAL LIABILITY 16UUNBI2722 0/12/2017 10/12/2018 EEAACH�,OECTCURRENCE $1000000 CLAIMS -MADE FXOCCUR PREMISES Ea occurrence $1 000 000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICYI ECOT- LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 16UU''NBI2722 0/12/2017 10/12/201 Eaaccciden SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRES ONLY X NON -OWNED AUTOS ONLY ix BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB X OCCUR 16XHUB11936 0/12/2017 10/12/2018 EACH OCCURRENCE $15,000,000 AGGREGATE s15,000,000 EXCESS LIAB CLAIMS -MADE . DED I X RETENTION $1 O 000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE[A] OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 16WEP13210 10/12/2017 10/12/201 IPER OTH- E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE - $1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1 000 000 C Cyber Liability 03092459 12/11/2017 12/11/2018 $5,000,000 Aggregate D E&O/Professional PPL2010777 12/11/2017 12/11/2018 $5,000,000 Aggregate E Crime 82242334 10/12/2017 10/12/2014 $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. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522 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 (2016/03) 1 of 2 #S22055402/M22054664 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BTRZP DESCRIPTIONS (Continued from Page 1) Data -Quick Direct Inc. 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. 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 Excess Cyber Liability: Illinois National Insurance Company Policy #038779069 Effective 12/11/17-18 Limit: $5,000,000 xs $5,000,000 E&O/Professional Liability Policy #PPL2010777 $250,000 Deductible Each Claim $2,500,000 Deductible Class Action Suits Excess E&O/Professional Liability: Aspen American Insurance Company Policy #LX004W417 Effective 12/11/17-18 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 #S22055402/M22054664