BNY_Mellon_COI_for_EO_PL_to_12-1-2024.pdf
PDF 60 KB Posted
- Attached to
- Master Agreement AZ|CTR054503
- Contract number
- CTR054503
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Aon Risk Services Northeast, Inc. on 12/12/2023, covering The Bank of New York Mellon Corporation and its subsidiaries. The certificate is for the Arizona State Retirement System (ASRS), with XL Specialty Insurance Company serving as the primary insurer. The document references Contract No. CTR054503 and includes multiple additional insurers providing excess professional liability coverage.
The insurance policy provides Professional Liability (Errors & Omissions) coverage with a $10,000,000 limit, effective from 12/01/2023 to 12/01/2024. The policy includes a Self-Insured Retention (SIR) that applies per policy terms and conditions. The Additional Remarks Schedule reveals multiple excess professional liability insurers, each providing layered coverage with limits ranging from 10M x 10M to 10M x 90M, including insurers such as Markel Bermuda Limited, AXIS Insurance Company, Berkley Insurance Company, and several others, creating a comprehensive multi-tiered professional liability insurance program.
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Text version
H o ld e r
Id e n ti fi e r
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C e rt if ic a te
N o
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
12/12/2023
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.
PRODUCER
Aon Risk Services Northeast, Inc.
Morristown NJ Office 44 Whippany Road, Suite 220 Morristown NJ 07960 USA
PHONE
(A/C. No. Ext):
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED 37885XL Specialty Insurance CoINSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
FAX
(A/C. No.):
(800) 363-0105
CONTACT
NAME:
The Bank of New York Mellon Corporation And all of its subsidiaries including but not limited to BNY Mellon, NA 240 Greenwich Street- 6W New York NY 10286 USA
COVERAGES CERTIFICATE NUMBER: 570103009798 REVISION NUMBER:
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. Limits shown are as requested
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
(MM/DD/YYYY)
SUBR
WVD
INSR
LTR
ADDL
INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO-
JECT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
SCHEDULED
AUTOS
HIRED AUTOS
ONLY
NON-OWNED
AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE
(Per accident)
BODILY INJURY (Per accident)
COMBINED SINGLE LIMIT
(Ea accident)
EXCESS LIAB
OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
UMBRELLA LIAB
RETENTION
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT
OTH-
ER
PER STATUTE
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/MEMBER EXCLUDED? N / A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
If yes, describe under DESCRIPTION OF OPERATIONS below
Professional LiabELU19400023 12/01/2023 12/01/2024 SIR applies per policy terms & conditions
E&O - Miscellaneous Professional-Primary
A $10,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Contract No. CTR054503
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVEArizona State Retirement System ASRS Procurement 3300 N Central Ave Phoenix AZ 85012 USA
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
Additional Coverages
AGENCY CUSTOMER ID:
ADDITIONAL REMARKS SCHEDULE
LOC #:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
EFFECTIVE DATE:
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSUREDAGENCY
See Certificate Number:
See Certificate Number:
Aon Risk Services Northeast, Inc.
570000073397
570103009798
570103009798
Page _ of _
The Bank of New York Mellon Corporation
IInsured: Markel Bermuda Limited Policy#: MKLB25GPL0005072 Policy Term Dates: 12/1/2023 - 12/1/2024 Limits: 10M x 10M Coverage: Excess Professional
Insured: AXIS Insurance Company Policy#: P00100021878603 Policy Term Dates: 12/1/2023 - 12/1/2024 Limits: 10M x 20M Coverage: Excess Professional
Insured: Berkley Insurance Company Policy#: BPRO8102078 Policy Term Dates: 12/1/2023 - 12/1/2024 Limits: 10M x 30M Coverage: Excess Professional
Insured: Starr Indemnity & Liability Company Policy#: 1000057483231 Policy Term Dates: 12/1/2023 - 12/1/2024 Limits: 10M x 40M Coverage: Excess Professional
Insured: National Casualty Company Policy#: XMO2309126 Policy Term Dates: 12/1/2023 - 12/1/2024 Limits: 10M x 50M Coverage: Excess Professional
Insured: Allianz Global Risks U.S. Insurance Company Policy#: USF01178323 Policy Term Dates: 12/1/2023 - 12/1/2024 Limits: 10M x 60M Coverage: Excess Professional
Insured: Midvale Indemnity Company Policy#: EEO01230101 Policy Term Dates: 12/1/2023 - 12/1/2024 Limits: 10M x 70M Coverage: Excess Professional
Insured: Ascot Insurance Company Policy#: FIXS23100003490 Policy Term Dates: 12/1/2023 - 12/1/2024 Limits: 10M x 80M Coverage: Excess Professional
Insured: Atlantic Specialty Insurance Company Policy#: FIN0008380001 Policy Term Dates: 12/1/2023 - 12/1/2024 Limits: 10M x 90M Coverage: Excess Professional
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
File details come from the government source that posted it. Updated .