Censys_Technologies_COI_CTC022025.pdf
PDF 200 KB Posted
- Attached to
- Master Agreement AZ|CTR074457
- Contract number
- CTR074457
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Foundation Risk Partners for Censys Technologies Corporation, with the State of Minnesota listed as the certificate holder. The insurance coverage involves multiple insurers, including Progressive Express Insurance Company, Bridgefield Casualty Insurance Company, Scottsdale Indemnity Company, Evanston Insurance Company, American Alternative Insurance Corporation, and Lloyds. The certificate provides comprehensive insurance coverage across multiple liability categories, including commercial general liability, automobile liability, umbrella liability, workers' compensation, directors & officers liability, aviation liability, and professional liability.
The insurance policies cover various risk areas with significant liability limits, including a $1,000,000 general liability policy effective from 2/2/2025 to 1/15/2026, a $1,000,000 automobile liability policy active from 11/12/2024 to 11/12/2025, and additional specialized coverages such as a $5,000,000 professional liability policy with computer network security and privacy liability coverage. The document also notes a product liability policy with a $2,000,000 each occurrence limit and an excess automobile liability policy providing $1,000,000 in additional coverage. The certificate confirms that the State of Minnesota is an additional insured under the general liability policy, with coverage spanning multiple risk management and operational domains for Censys Technologies Corporation.
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Text version
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
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)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
2/5/2025
Foundation Risk Partners, Corp. dba Foundation Risk Partners of Florida 780 W. Granada Blvd.
Ormond Beach FL 32174
Certificates 386-677-4761 386-673-5370 certs@foundationrp.com
License#: L100460 Progressive Express Insurance Company 10193 CENSTEC-01 Bridgefield Casualty Insurance Company 10335
Censys Technologies Corporation 1808 Concept Ct. Suite 200 Daytona Beach FL 32114
Scottsdale Indemnity Company 15580 Evanston Insurance Company 35378 American Alternative Insurance Corporation 19720 Lloyds
794188201
D X 1,000,000 X 100,000
5,000
1,000,000
2,000,000 X
2AA422585 2/2/2025 1/15/2026
A 1,000,000
X X X
01381684 11/12/2024 11/12/2025
D X 1,000,000* X
EZXS3187185 2/2/2025 1/15/2026
1,000,000*
B X196-57681 4/1/2024 4/1/2025
1,000,000
1,000,000
1,000,000 C E F
Directors & Officers Aviation Liability*** Professional Liability**
EKI3558119
9049131
B0621PCENS000124
1/15/2025 12/4/2024 11/22/2024
1/15/2026 12/4/2025 11/22/2025
Limit of Liability Each Occurrence Limit of Liability
1,000,000 5,000,000 2,000,000
*Excess Liability Policy #EZXS3187185 is excess over underlying General Liability Policy 2AA399781 only.
**Professional Liability Policy B0621PCENS000124 Includes Insuring Clause D (Computer Network Security Coverage) and Insuring Clause E (Privacy Liability Coverage)
***Aviation Liability Policy 9049131 DESCRIPTION OF INSURED AIRCRAFT: The insurance afforded is only as respects the scheduled aircraft shown in the Aircraft Schedule(s) made part of this policy and to any newly acquired aircraft.
See Attached...
State of Minnesota 50 Sherburne Avenue, Room 112 St Paul MN 55155
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:
CENSTEC-01
1 1
Foundation Risk Partners, Corp. dba Foundation Risk Partners of Censys Technologies Corporation 1808 Concept Ct. Suite 200 Daytona Beach FL 32114
25 CERTIFICATE OF LIABILITY INSURANCE
Product Liability: Policy #9049294 / Effective 11/22/2024 - 11/22/2025 / Insurer(s): American Alternative Insurance Corporation - NAIC#19720; National Indemnity Company of the South - NAIC #42137; Tokio Marine America Insurance Company - NAIC #10945; American Commerce Insurance Company - NAIC #19941.
Each Occurrence Limit - $2,000,000 Medical Expense Limit - $5,000 Personal and Advertising Injury Aggregate Limit - $2,000,000 Products-Completed Operations Aggregate Limit - $2,000,000
Excess Automobile Liability: Policy #IXG681635 / Effective 2/2/2025-11/12/2025 / Insurer: General Star Indemnity Company - NAIC #37362 $1,000,000 in excess of underlying Automobile Policy #01381684
Certificate holder is additional insured with respect to General Liability per form CG 20 12 05 09
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