2024-05-01_COI.pdf

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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).

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2016 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

A

1,000,000

GLA 3906538-00

ATL-005690727-07

1,000,000

25,000,000

X

37540

25,000,000 of Marsh USA LLC

ATLANTA, GA 30326

N

X05/01/2023

05/01/2024

12/15/2023

05/01/2024

GLA 3906538-00

Professional Liability/

A

2,000,000

1,000,000

Syndicates 2623/623 at Lloyd's

1,000,000

X

B

X

01/13/2024

15,000,000

05/01/2023

RE: Co #: 039 - Kount, Inc.

State of Arizona is included as additional insured on the general liability and auto liability policies where required by written contract. Waiver of subrogation is applicable where required by written contract.

X

Phoenix, AZ 85007

State of Arizona

A

CN101920890-EQUIF-50e&o-23-24

10,000

05/01/2024

1,000,000

AUC-3850189-00

Cyber/Media Liability

2,000,000

16535

1,000,000

1,000,000

12/15/2024

WC-4257158-00 (AOS)

TWO ALLIANCE CENTER

MARSH USA, LLC.

X

3560 LENOX ROAD, SUITE 2400

Attn: Atlanta.CertRequest@marsh.com / Fax: 212-948-4321

Kount, Inc.

Equifax Inc. & All Subsidiaries

Boise, ID 83702 1005 W Main St

X

W20485231201

05/01/2023

1110 W Washington, Suite 230, 05/01/2023

A

05/01/2024

Zurich American Insurance Company

Johnson, Andrew 01 Pencil

Johnson, Andrew 01 Pencil

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

Effective Date: 12/15/23 – 12/15/24 �

Limit: $10M po $35M xs $15M �

Effective Date: 12/15/23 – 12/15/24�

Carrier: HCC �

Atlanta

Effective Date: 12/15/23 – 12/15/24� Carrier: Berkshire �

Limit: $10M po $35M xs $15M� Policy # 42-EPP-304290-07�

Excess Professional Liability�

1st Excess Layer $35M xs $15M �

Certificate of Liability Insurance

Limit: $10M po $35M xs $15M �

CN101920890

Effective Date: 12/15/23 – 12/15/24 �

Limit: $5M po $35M xs $15M �

Carrier: Nationwide �

Policy # XMS2301550�

Policy # EO5NABWNRT005�

MARSH USA, LLC.�

Kount, Inc.� Equifax Inc. & All Subsidiaries�

Boise, ID 83702 1005 W Main St�

Carrier: Ironshore �

Policy # 14-MG-23-A16293�