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Home My WebLink AboutFidelity National Information Serv. Inc. 05.30.25r- A4ra�'L® INSURANCE CERTIFICATE OF LIABILITY 0/0206 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY -CONF AND ERS 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. PO NT: If the certificate older is an AD ITIO AL INSU E ,the pel SUBROGATION IS WAicy(ies) must n8VO A DITIONALiNSURED provisions or be endorsed. If IVED, 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 Aon Risk insurance services West, inc, NAME; CONTAC�54��(6) Denver CO Office 200 Clayton street, suite 800 AIC. No.83-7122 (800) 363-0105 iv Denver CO 80206 USA E -MAL ADDRESS: b INSURER(S) AFFORDING COVERAGE NAIC f1 INSURED Fidelity National information serv. Inc. INSURERA: QBE insurance Corporation 39217 and all subsidiaries 347 Riverside Ave INSURER B: National Fire & Marine ins co 20079 Jacksonville FL 32202 USA INSURER C: cont nental Ca&ualty Company 20443 INSURERD): American Casualty Co. of Reading PA 20427 INSURER E: Transportation Insurance Co. 20494 COVERA ES CERTIFICATE NUMBER: 570112891548 INSURER P: The Continental insurance company 35289 REVISION NUMBER 1"I" THIS IS TO CERTIFY THAT THE- POLICIES U INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY INQICATED, NOTWITHSTANDING ANY REQUIREMENT, PERIOD 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 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. ALL THE TERMS, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, OF INSURANCE I SD VD POLICYNUMBER LIInItS Sht)Wn are 8S requested ' TY M ppry yy MM/DD YYYY LIMITS "CLAIMS-MADER EACH OCCURRENCE $2,000, 000 PREM SES Ea occurrence $2,000,006 MED EXP (Any one person) i $10,000 GEN'LAGGREGATE LIMITAPPLIES PER: PERSONAL &ADV INJURY $2, 000, 000 ` POLICY❑ PRO- FX� LOC JECT GENERAL AGGREGATE 4,000,000 OTHER: PRODUCTS - COMP/OPAGG $4,000,000 C AUTOMOBILE LIABILITY BUA 7036257962 04/01/2025 ~ 04/01/2026 COMBINED SINGLE LIMIT X ANYAUTO Eaaccde t $2,000,000 OWNED SCHEDULED BODILY INJURY ( Per person) 0 Z HIREAUTOS ONLY U70S AUTOS NON -OWNED. BODILY INJURY (Per acoldent) ONLYInLI ONLY AUTOS AUTOS ONLY PROPERTY DAMAGE Per accident F X UMBRELLALIAB x OCCUR 7018146359 04/01 2025 04 01/2026 EACH OCCURRENCE Ili 1 EXCESS LIAR CLAIMS -MADE $25 , 000, 000 DED X RETENTION $10, 000 AGGREGATE $25,000,000 D WORKERSCOMPENSATIONAND EMPLOYERS' LIABILITY PROPRIETOR/PARTNER/EXECUTIVE YIN WC7036257976 AOS except - 04 0 2 25 2026 - X PER STATUTE 0TH• 9 E :ANY OFFICER/MEMBEREXCLUDED9 a (Mandatory In NH) N/A - CA wc7036292615 04/01/2025 04/01/2026 - E.LEACHACCIDENT ___.. $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below AZ, MA, OR, Wi E:L. DISEASE.EA EMPLOYEE $1, 000, 000 I A Cyber Li ab I 1 i tyE.L. gPL'415139 02/01/2025 02/01/2026 DISEASE -POLICY LIMIT $1,000,006 Cy er/E&O/Aggregate Claims Made $10,000,000 -= SIR applies per policy terns & condi tIons DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mato space is required) Certificate Holder is included as an additional insured ^ for General Liability and Automobile Liability coverage if required by contract, but only with respect to activities or obligations performed under the contract and only to the limits the contract per the terms and conditions of the policies, required by s Aa CERTIFICATE HOLDER CANCELLATION _ a. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED o City Of Los Altos [fills 26379 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED A Fremont Rd. LOS Altos Hills CA 94022 USA REPRESENTATIVE t�4?G i��e../�,t4dG%Z9t�i / tlG#rl�iYG,1 e../?td g 0 88-2015 RD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000098648 LOC #: ,ADDITIONAL REMARKS SCHEDULE Page _ of NAMED INSURED AGENCY Aon Risk insurance Services West, Inc. Fidelity National Information Serv. Inc. POLICY NUMBER see certificate Number: 570112891548 NAIL CODE CARRIER EFF@CTIVE DATE; see' Certificate Number: 57011.2891548 ADDITIONAL REMARKS [FORM HIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, NUMBER: ACORD 26 FORM TITLE: Certificate of Liability Insurance ADDITIONAL POLICIES INSR INSURER(S) AFFORDING COVERAGE NAIC # INSURER G; Great Ame11 ri11 ca11 n Sp11 i11 rit Ins Co 88728 INSURER H: Everest National insurance Co 10120 INSURER - INSURER ADDITIONAL POLICIES INSR If a policy below certificate form ADDL SUBR does not include limit information, refer to the corresponding policy on the ACORD for policy limits, POLICY POLICY LIMITS POLICY NUMBER EFFECTIVE EXPIRATION IXR TYPE OF INSURANCE INSD wVD DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) EXCESS LIABILITY - Exc5867053 04/01/2025 04/01/2026 Aggregate $12,500,006 G 12.5pox25x25 xC4EX00550251 04/01/2025 04/01/2026 Aggregate $12,500,000 H 12.5pox25x25 Each $12,500,000 occurrence WORKERS COMPENSATION I N/A WC7036292601 04/01/2025 04/01/2026 0 CA N/A WCE7036298299 04/01/20 5 04/01/2026 C OH SIR applies per policy to ms & conditions OTHER UEPP15308 02 02/01/2025 02/01/2026 cyber/e&o/Ag $10,000,000 B cyber Liability -Excess �I Claims Made 10 x10 gregate O 2000 ACORD CORPORATION. All rights reserved. ACORD 101 (2000/01) i The ACORD Hams and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000098648 ' LOG #: ADDITIONAL REMARKS SCHEDULE Page - of _ AGENCY NAMEDINSURED Aon Risk insurance Services West, Inc. Fidelity National information Serv. Inc. FCLICY NUMBER See Certificate Number: 570112891548 See Certificate Number: 570112891548 EFFECTIVE DATE: ADDITIONAL REMARKS - - -_ _-.--- --"- •-y. — mama ui AUVHU I Certificate No: 570112891548 City of Los Altos Hills 26379 Fremont Rd. Los Altos Hills CA 94022 USA Friday, May 30, 2025 To whom it may concern: Following a concentrated effort to reduce our environmental footprint and provide timely certificate delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format. Please utilize one of the following methods to ensure you will receive the electronic copy of your Certificate (Certificate No: 570112891548) for future renewals: - Visit aon.com/e-cert; or Utilize the QR Code below to enter/validate your information. If your email address has changed or will be changing in the future, or you no longer require this certificate, please let us know using one of the methods above. Thank you for your cooperation and willingness to help us reduce our impact to the environment. Aon Risk Services 5801 Postal Road PO Box 818037 Cleveland, Ohio 44181-9600 N MI. n - R