US GCL Additional Insured.pdf

PDF 20 KB Posted

Attached to
Master Agreement AZ|CTR060124
Contract number
CTR060124
Issued by
Arizona

About this file

This document is a CNA Paramount General Liability insurance policy endorsement for Fidelity National Information Services, Inc., issued by Continental Casualty Company for the policy period of January 1, 2023 to January 1, 2024. The policy includes an Additional Insured endorsement specifically naming the State of Arizona, including its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees. The insurance is produced through AON Risk Services Central Inc., with the CNA Southern RMO branch located in Duluth, Georgia overseeing the policy.

The endorsement provides additional insured coverage for completed operations at a specific location (1789 West Jefferson Street, Phoenix, AZ 85057), with liability protection for bodily injury or property damage caused by the insured's work. The coverage is limited to the extent permitted by law and any contractual requirements, with the insurance amount being the lesser of what is required by contract or available under the policy's limits. The policy includes risk control services and claim services, with a designated Claim Client Services Manager available to assist the insured, and offers access to risk mitigation programs and online resources to help identify and manage potential operational exposures.

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Text version

CNA PARAMOUNT

Endorsement Effective Date: 01/01/2023

Insured Name:

FIDELITY NATIONAL INFORMATION SERVICES, INC.

601 RIVERSIDE AVE

JACKSONVILLE, FL 32204-2946

Policy Number: 7036257993 Policy Period: 01/01/2023 – 01/01/2024

Producer's Information:

AON RISK SERVICES CENTRAL INC Producer Code: 070048

100 N 18TH ST 16TH FL

PHILADELPHIA, PA 19103

(215)255-2000

CNA Branch Number: 620

CNA Branch Name and Address:

SOUTHERN RMO

2435 COMMERCE AVE, BLDG 2200

DULUTH, GA 30096

(800)537-6388

Thank you for choosing CNA!

With your CNA Paramount General Liability policy, you have insurance coverage tailored to meet the needs of your modern business. The international network of insurance professionals and the financial strength of CNA, rated “A” by A.M. Best, provide the resources to help you manage the daily risks of your organization so that you may focus on what’s most important to you.

Claim Services — There When You Need Us

A Claim Client Services Manager has been assigned to you and will be contacting you to discuss CNA Claim Services.

Claim Service Manager: KIMBERLY OKONIESKI, at CNA e-mail address KIMBERLY.OKONIESKI@CNA.COM or call 610-937-3539.

Risk Control Services — Help Avoid A Claim Before It Occurs

As a CNA policyholder, you have access to certified risk control professionals, risk mitigation programs and online resources to help identify and manage exposures that may disrupt your operation. We collaborate with business leaders to develop customized programs to assist you in safeguarding your assets and improving the bottom line.

To learn how our award-winning Risk Control services can help your business, please call (866) 262-0540, email us at riskcontrolwebinfo@cna.com or visit www.cna.com/riskcontrol.

When it comes to providing the coverage, service and resources paramount to your business success … we can show you more.

INSURED

Copyright CNA All Rights Reserved.

Amendment of Forms and Endorsements Schedule Addition or Deletion of Endorsements

It is understood and agreed as follows:

I. ADDITION OF FORMS OR ENDORSEMENTS

The is amended to add the following forms or endorsements effective as of theForms and Endorsements Schedule date set forth in such form or endorsement

Endm’t Form or Endorsement Name Form Number Form Number Edition

42 Amendment of Forms and Endorsements Schedule CNA62673XX 09-12

Addition or Deletion of Endorsements

43 Additional Insured - Owners, Lessees or CG 20 37 12-19

Contractors -Completed Operations

II. DELETION OF FORMS OR ENDORSEMENTS

The is amended to delete the following forms or endorsements effective as of theForms and Endorsements Schedule "deletion date" indicated below.

Endm’t Form or Endorsement Name Form Number Form Deletion Date Number Edition

41 Additional Insured - Owners, Lessees or CG 20 37 12-19 01/01/2023

Contractors -Completed Operations

The net premium change, if any, for the above endorsements in Sections and is:I. II. Included

Total change is : Included

All other terms and conditions of the Policy remain unchanged.

This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy.

CNA62673XX 09-12 7036257993Policy No:

1 1 42Page of Endorsement No:

CONTINENTAL CASUALTY COMPANY 01/01/2023Effective Date:

FIDELITY NATIONAL INFORMATION SERVICES, INC.Insured Name:

Copyright CNA All Rights Reserved.

Additional Insured – Owners, Lessees Or Contractors – Completed Operations

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s) The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees

7036257993CG 20 37 12 19 Policy No:

43Page 1 of 2 Endorsement No:

CONTINENTAL CASUALTY COMPANY 01/01/2023Effective Date:

FIDELITY NATIONAL INFORMATION SERVICES, INC.Insured Name:

Copyright Insurance Services Office, Inc., 2018

Additional Insured – Owners, Lessees Or Contractors – Completed Operations

Location And Description Of Completed Operations 1789 West Jefferson Street Phoenix AZ 85057 USA

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury or property damage caused, in whole or in part, by your work at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the products-completed operations hazard.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable limits of insurance;

whichever is less.

This endorsement shall not increase the applicable limits of insurance.

7036257993CG 20 37 12 19 Policy No:

43Page 2 of 2 Endorsement No:

CONTINENTAL CASUALTY COMPANY 01/01/2023Effective Date:

FIDELITY NATIONAL INFORMATION SERVICES, INC.Insured Name:

Copyright Insurance Services Office, Inc., 2018

END OF COPY

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