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HomeMy WebLinkAboutCertificate of InsuranceACC)RE CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) TYPE OF INSURANCEINaP— 12/18/2020 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 CO TACT NAME: Moira Crosby Hays Companies Inc. PHONE FAX AIC No E t : A/C No): 133 Federal Street, 4th Floor E-MAILADDRESS,mcrosby@hayscompanies.com AFFORDING COVERAGE NAIC # ECINSURERS TIERA: Hartford Fire Insurance CoMany 19682 Boston MA 02110 INSURED JAN �Lo2Q INSURER B: Hartford CasualtyInsurance Company 29424 ry Tyler Technologies, Inc. INSURERC:L10 ds of London Syndicates 4000 & INSURER D: 9667 & 5101 Tennyson Parkway Too, ,. 1686 Plano TX 75024 INSURERF: 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 MAYBE 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 INSURANCEINaP— ADDL SUBR WVDPOLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 1,000,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 10,000 08UFNAY8572 4/1/2020 4/1/2021 PERSONAL & ADV INJURY $ 1,000,000 GENIAGGREGATE LIMITAPPLIES PER: X PRO POLICY JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY Ea BINEDISINGLE LIMIT $ 1,000,000 A X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS OBUENAY8572 4/1/2020 4/1/2021 BODILY INJURY (Per person) $ BODILY INJURY Per accident $ ( ) X X NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25, 000, 000 B EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ 08XHUAZ8392 4/1/2020 4/1/2021 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ❑ If yes, describe under NIA 08WEEL5271 4/1/2020 4/1/2021 X PER OTH- STATUTE ER E. L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below C Cyber/Privacy Prof Liab B0621PTYLE000220 12/17/2020 12/17/2021 Primary Limit: $10,000,000 C Cyber/Privacy Prof Liab B0621PTYLE000320 12/17/2020 12/17/2021 Excess Limit: $10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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. v"rci IFI +m I" nvwr=rN UANI:tLLAI IVN Town of Los Altos Hills, CA Nick Pegueros 26379 Fremont Road Los Altos Hills, CA 94022 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 ames Hays/CEMITC P/111 © 1988-2014 ACORD CORPORATION. All rights ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD COMMENTS/REMARKS Cyber/Privacy Professional Liability Policy *B0621PTYLE001220 Effective 12/17/2020-12/17/2021 Lloyds of London Syndicates Excess Limit $10,000,000 (Excess of Primary Cyber Policy Limit of $10,000,000 and Excess Cyber Policy Limit of $10,000,000) OFREMARK COPYRIGHT 2000, AMS SERVICES INC. I