HomeMy WebLinkAbout2026 Konica Minolta InsuranceDATE (MM/DD/YYYY)
A� p® CERTIFICATE OF LIABILITY INSURANCE
10/03/2025
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 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 rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
MARSH USA, LLC. NAME:
1166 Avenue of the Americas PHONE FAX
fA/C No. Eat• (A/C. Nor:
New York, NY 10036 E-MAIL
ADDRESS:
CN1 01 223113--AWP-25-26
INSURED
Konica Minolta Business
Solutions, U.S.A., Inc.
500 Day Hill Road
Windsor, CT 06095
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: Sompm America Insurance Company 11126
INSURER B : Arch Insurance Coml -any 11150
INSURER C : Endurance_ Amneric n Insurance ComDarn 10641
INSURER D : Somim Ametis,B.Er�l�ti6e Insurance Company . 38997
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: NYC-010774105.21 REVISION NUMBER: 2
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 TYPE OF INSURANCE ADDLSUBR POLICY EFF ' POLICY EXP LIMITS
LTR 1N D WVD POLICY NUMBER fMM/DD/YYYY) (MWDD/YYYY)
B COMMERCIAL GENERAL LIABILITY y y NPL0067432-04 10/01/2025 10/0112026 EACH OCCURRENCE $
X I CLAIMS -MADE OCCUR
X TECH E&O
X Deductible: $2,500,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY 7
PRO- ❑
PRO-JECT LOC
OTHER:
A AUTOMOBILE LIABILITY
A X ANY AUTO
OWNED
SCHEDULED
AUTOS ONLY
AUTOS
HIRED
NON -OWNED
AUTOS ONLY
AUTOS ONLY
Y Y AAL30011364804 (AOS)
AAL30098533300 (MA,TX)
i
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS -MADE
DED RETENTION $
A WORKERS COMPENSATION Y
AND EMPLOYERS' LIABILITY Y / N
D ANYPROPRIETOR/PARTNER/EXECUTIVE
A OFFICE R/MEMBER EXCLUDED? LNJ N/A
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
C TECH E&O EXCESS:
Comprehensive Ded: $5,000
Collision Ded: $5,000
AWL30098558800 (WI)
AWL30098549700 (ADS)
AWL30098862700 (NY)
CNX30098562600
10101 /2025 10/01 /2026
10101 /2025 10/0112026
10/01/2025 10/0112026
10/01 /2025 10101 /2026
10/01/2025 10/0112026
10101 /2025 10/0112026
DAMAGE TO RENTED
PREMISES (Ea occurrence:
$
VIED EXP (Any one pereon)Y
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
$
LIMIT:
$
COMBINED SINGLE LIMIT
$
Ea accident
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
$
Per accident,
EACH OCCURRENCE $
AGGREGATE $
X PER
EERH
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
LIMIT:
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
The City of Sebastian is included as additional insured (except Workers' Compensation) where required by written contract. Waiver of subrogation is applicable where required by written contract.
CERTIFICATE HOLDER CANCELLATION
10,000,000
1,000,000
1,000,000
1,000,000
1,000,000
10,000,000
City of Sebastian SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
1225 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Sebastian, FL 32958 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
�D �- J K `ff"t '6 Pi1•,�
0002648 SP 017B-001-P02649.1
City of Sebastian
1225 Main Street
Sebastian, FL 32958
0178-01.00.0002648-0001.0005499