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HomeMy WebLinkAboutCertificate of Insurance (2)AC4OR6r CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 16. 3/28/2019 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 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 Moira Crosby Hays Companies Inc. 133 Federal Street, 4th Floor PHONE FAX _(A/C. No, Ext): (A/C. IN E-MAIL DDRESS: Y Yatom mcrosb @ha anies.com AP INSURERS AFFORDING COVERAGE NAIC # Boston MA 02110 INSURER A:Hartford Fire Insurance Company 19682 INSURED INSURER B:HartfOrd Casualty Insurance Company 29424 Tyler Technologies, Inc. 5101 Tennyson Parkway INSURERC:Lloyds of London Syndicates 048337 & INSURER D: 048945 INSURER E : MED EXP (Any one person) Plano TX 75024 INSURER F: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY1 POLICY EXP fMM/DD/YYYYJ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 11000,000 MED EXP (Any one person) $ 10,000 08URNAY8572 4/1/2019 4/1/2020 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- ❑ JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY CO BINEtDSINGLE LIMIT $ 11000,000 A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 08UENAY8572 4 1/2019 / 4/1/2020 BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 25, 000, 000 B EXCESS LIAB CLAIMS -MADE AGGREGATE $ 25, 000, 000 DED I RETENTION$ $ OBXHUAZ8392 4/1/2019 4/1/2020 B WORKERS COMPENSATIONX AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under N/A OGWEEL5271 4/1/2019 4/1/2020 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS below C Cyber/Privacy Prof Liab B0621PTYLE000218 12/17/2018 12/17/2019 Occurence Limit $20,000,000 C Cyber/Privacy Prof Liab B0621PTYLE000318 12/17/2018 12/18/2019 Aggregate Limit $20,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate holder its officers officials employees and volunteers are included as additional insureds on a primary and non-contributory basis under the general and automobile liability policies when required by written contract. Waiver of subrogation applied under the workers' compensation policy in favor of the additional insureds. Town of Los Altos Hills, CA Nick Pegueros 26379 Fremont Road Los Altos Hills, CA 94022 yM114VGLLFI 1 Rill 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 S Hays/MCROSB 'J 1asu-YU94 ACORU CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD