BNY_Mellon_COIs_for_EO_and_Cyber_to_12-1-2021.pdf
PDF 321 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 August 31, 2021, for The Bank of New York Mellon Corporation. The certificate involves multiple insurers, including XL Specialty Insurance Company, Lloyd's Syndicate No. 4711, and various other insurance providers. The primary certificate holder is the Arizona State Retirement System (ASRS) Procurement, located in Phoenix, Arizona.
The insurance coverage includes Professional Liability and Cyber Liability policies with varying limits across multiple insurers. The primary policy periods run from December 1, 2019, to December 1, 2021, with total coverage limits ranging from $10 million to $50 million across different excess and primary insurance layers. The contract number referenced is CTR054503, and the policies provide coverage for professional and cyber-related risks for The Bank of New York Mellon Corporation, with the Arizona State Retirement System named as the certificate holder.
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Text version
H o ld er
I d en ti fi e r
77777 77707
07070 00777
61616 04557
11107 66525
32602 75551
07762 11575
07341 32071
67375 61562
33100 74070
50222 67113
20743 72225
67176 66007
04367 64335
76622 07340
10760 33375
20072 25312
24016 01100
76727 24203
57720 00777
77770 70007
07007
77777 77707
07070 00735
25677 11545
60007 32111
51702 25121
07335 51003
47360 32070
23372 20253
25110 75267
72206 56315
50743 37727
13523 11107
13322 72531
73011 07022
33724 20720
11070 22337
34206 21010
77756 16335
17655 40777
77770 70007
07007 C er ti fi ca te N o
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
08/31/2021
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: 570089008324 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 LiabELU16496119 12/01/2019 12/01/2021 SIR applies per policy terms & conditions
E&O-MPL-PrimaryA $10,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Contract No. CTR054503 Aon Risk Solutions (U.S.) is authorized to generate and distribute certificates in an administrative capacity as evidence of insurance where required by clients of the Insured this applies to Carrier: Markel Bermuda Limited, Policy # MKLB25GPL0001369
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
570089008324
570089008324
Page _ of _
The Bank of New York Mellon Corporation
Insured: Markel Bermuda Limited Policy#: MKLB25GPL0001369 Policy Term Dates: 12/1/2019 - 12/1/2021 Limits: 10M xs 10M Coverage: Excess Professional
Insured: Axis Insurance Company Policy#: MNN748927012019 Policy Term Dates: 12/1/2019 - 12/1/2021 Limits: 10M xs 20M Coverage: Excess Professional
Insured: Continental Casualty Co Policy#: 596523128 Policy Term Dates: 12/1/2019 - 12/1/2021 Limits: 10M xs 30M Coverage: Excess Professional
Insured: National Casualty Company Policy#: XMO1909126 Policy Term Dates: 12/1/2019 - 12/1/2021 Limits: 5M p/o 10M xs 40M Coverage: Excess Professional
Insured: Starr Indemnity & Liability Company Policy#: 1000057483191 Policy Term Dates: 12/1/2019 - 12/1/2021 Limits: 5M p/o 10M xs 40M Coverage: Excess Professional
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
H o ld e r Id e n ti fi e r
77777
77707 07070
00777 61616
04557 11107
66525 32602
75551 07762
11575 07341
32071 67375
61562 33100
74070 50222
67113 20743
72225 67176
66007 04327
64375 72222
07704 10720
77331 20072
61356 20016
41100 76727
24203 57720
00777 77770
70007 07007
77777
77707 07070
00735 25677
11545 60007
23111 51613
34021 07324
51002 47271
33071 32363
31352 25000
74277 73316
57304 50742
26627 12522
11107 03332
72420 63100
07023 22634
20631 11070
32326 24217
31000 77756
16335 17655
40777 77770
70007 07007
C e rt if ic a te N o
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
08/31/2021
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 AA1120090Lloyd's Syndicate No. 4711INSURER 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 240 Greenwich Street 6W New York NY 10286 USA
COVERAGES CERTIFICATE NUMBER: 570089016059 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
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
Limit of LiabilityFSCEO2001660 12/01/2020 12/01/2021 SIR applies per policy terms & conditions
Cyber LiabilityA $10,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Evidence of Coverage
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.
Schedule of 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
570089016059
570089016059
Page _ of _
The Bank of New York Mellon Corporation
Insurer: Liberty Consortium #4590 Policy Number: FSCEO2002862 Policy Term: 12/1/20 - 12/1/21 Coverage: Excess Cyber Limits: 10M xs 10M
Insurer: Lloyd's Syndicate 0623 Policy Number: FSCEO2001661 Policy Term: 12/1/20 - 12/1/21 Coverage: Excess Cyber Limits: 10M xs 20M
Insurer: Lloyd's Syndicate 1686 @ 50% / Lloyd's Syndicate 0033 @35%/ Aon Underwriting Managers (ACT capacity)@15% Policy Number: FSCEO2001662 Policy Term: 12/1/20 - 12/1/21 Coverage: Excess Cyber Limits: 20M xs 30M
Insurer: Markel American Insurance Company Policy Number: MKLM7PL0002042 Policy Term: 12/1/20 - 12/1/21 Coverage: Excess Cyber Limits: 12.5M p/o 25M xs 50M
Insurer: National Casualty Co.
Policy Number: XMO2009129 Policy Term: 12/1/20 - 12/1/21 Coverage: Excess Cyber Limits: 12.5M p/o 25M xs 50M
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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