COI.Exp.12.04.2023.pdf

H o ld e r Id e n ti fi e r

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77777

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70007 07007

C e rt if ic a te N o

CERTIFICATE OF LIABILITY INSURANCE

DATE(MM/DD/YYYY)

04/06/2023

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.

New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA

PHONE

(A/C. No. Ext):

E-MAIL

ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #

INSURED 20478National Fire Ins. Co. of HartfordINSURER A:

35289The Continental Insurance CompanyINSURER B:

20494Transportation Insurance Co.INSURER C:

41386Chubb Insurance Company of New JerseyINSURER D:

16535Zurich American Ins CoINSURER E:

INSURER F:

FAX

(A/C. No.):

ACE American Insurance Company 22667

CONTACT

NAME:

Solix, Inc.

10 Lanidex Plaza, Suite 300 Parsippany NJ 07054 USA

COVERAGES CERTIFICATE NUMBER: 570098947904 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, 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

X

X

X

GEN'L AGGREGATE LIMIT APPLIES PER:

$1,000,000

$1,000,000

$15,000

$1,000,000

$2,000,000

$2,000,000

A 11/04/2022 12/04/20237036119824

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)

X

BODILY INJURY (Per accident)

$1,000,000A 11/04/2022 12/04/2023 COMBINED SINGLE LIMIT

(Ea accident)

BUA 7036119144

EXCESS LIAB

X OCCUR

CLAIMS-MADE AGGREGATE

EACH OCCURRENCE

DED

$25,000,000

$25,000,000

11/04/2022UMBRELLA LIABB 12/04/20237036125610

RETENTION

X

E.L. DISEASE-EA EMPLOYEE

E.L. DISEASE-POLICY LIMIT

E.L. EACH ACCIDENT $1,000,000

X OTH-

ER

PER STATUTEC 11/04/2022 11/04/2023

$1,000,000

Y / N

(Mandatory in NH)

ANY PROPRIETOR / PARTNER /

EXECUTIVE OFFICER/MEMBER N / AN

WORKERS COMPENSATION AND

EMPLOYERS' LIABILITY

If yes, describe under DESCRIPTION OF OPERATIONS below

$1,000,000

7036121279

Each LimitD95609363 12/04/2022 12/04/2023 Claims Made $250,000SIR

Aggregate Limit $5,000,000

E&O - Professional Liability - Excess

F

SIR applies per policy terms & conditions

$5,000,000

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

State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents and employees are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. A Waiver of Subrogation is granted in favor of State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents and employees in accordance with the policy provisions of the General Liability and Automobile Liability and Workers' Compensation policies.

CANCELLATIONCERTIFICATE HOLDER

AUTHORIZED REPRESENTATIVEAdministrator of the Arizona Universal Service Fund 1200 W. Washington Street Phoenix AZ 85007-2927 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.

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:

570098947904

570098947904

Aon Risk Services Northeast, Inc.

570000091861

ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits.

INSURER

INSURER

INSURER

INSURER

INSURER(S) AFFORDING COVERAGE

Page _ of _

NAIC #

Solix, Inc.

TYPE OF INSURANCE

POLICY NUMBER LIMITS

OTHER

F E&O - Professional Liability - Excess

D95609363 12/04/2022 12/04/2023

F E&O - Professional Liability - Primary

D95609363 12/04/2022 12/04/2023

F Cyber Liability D95609363 12/04/2022 12/04/2023

D Directors & Officers-Primary 82119184 11/04/2022 12/04/2023

E Cyber Liability - Excess EOC253729904 12/04/2022 12/04/2023

SIR $250,000

Aggregate $5,000,000

Each Claim $5,000,000

SIR $250,000

Aggregate $5,000,000

Each Claim $5,000,000

SIR $250,000

Aggregate Limit

$5,000,000

Aggregate Limit

$5,000,000

Claims Made

Claims Made

Claims Made

ADDL

INSD

INSR

LTR

SUBR

WVD

POLICY

EFFECTIVE DATE

(MM/DD/YYYY)

POLICY

EXPIRATION DATE

(MM/DD/YYYY)

SIR applies per policy terms & conditions

SIR applies per policy terms & conditions

SIR applies per policy terms & conditions

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD