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
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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
AUTOS ONLY AUTOS
NON-OWNED
OWNED SCHEDULED
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- STATUTEPER
(MM/DD/YYYY) LIMITS POLICY EXP (MM/DD/YYYY)
POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER 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 PROJECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
B
1,000,000
04/01/2022
6024186090
Elizabeth Stapleton
X
NYC-009924528-21
1,000,000
5,000,000
6024186087 (CA)
X
X
35289
5,000,000
of Marsh USA Inc.
Attn: [email protected] Fax: 212-948-4377
N
X
Comp/Coll. Deductibles
04/01/2021
26 04/01/2022
04/01/2021
20427
04/01/2022
6024186106
E&O Network Technology Blended
D
2,000,000
1,000,000
X
20494
Continental Insurance Company
1,000,000
A
100/1,000
04/05/2021
04/01/2021
10,000,000
Evidence of Insurance
X
04/01/2021
Burlington, MA 01803
Everbridge, Inc.
American Casualty Company of Reading PA NAIC
10,000
A
Transportation Insurance Co
CN109012298--caspx-21-22
Limit: (see add'l page)
15,000
04/01/2022
1,000,000
6024186042
B
2,000,000
20443
1,000,000
1,000,000
04/01/2022
6024186056 (AOS)
99 HIGH STREET
MARSH USA, INC.
X
BOSTON, MA 02110
Attn: Elliot Mark
Everbridge Inc.
Burlington, MA 01803
25 Corporate Drive
X
X
596673563
04/01/2021
25 Corporate Drive
X
04/01/2021
X
C
04/01/2022
Continental Casualty Company
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:
$5,000,000 Each Claim
Retro Date for $5M Limit: 2/15/2001
Policy Period: 04/01/2021 - 04/01/2022
3rd Layer
Privacy Event Expense $10,000,000 - Ded $250,000 each claim Evanston Insurance Company (Markel)
First Party BI w/EE $10,000,000 - Ded $250,000 each network impairment and 12 Hour BI WP Policy Number: MTE903259105
2 Excess E&O Limit: 4,000,000
Crum & Forster Specialty Insurance Company
4th Layer
2 Network Security Liability: $10,000,000 - Ded $250,000 each claim Media Liability: $10,000,000 - Ded $250,000 each claim
Boston
Aggregate Limit $10,000,000
Technology and Professional Liability: $10,000,000 - Ded. $250,000 each claim --------------------------------------------
E&O Network Technology Blended Liability continues:
Certificate of Liability Insurance
CN109012298
Policy Number: EOL-231766
Privacy Injury Liability: $10,000,000 - Ded. $250,000 each claim Excess E&O Limit:
Privacy Regulation Fines: $1,000,000 - Ded $250,000 each claim $5,000,000 Policy Aggregate
Retro Date for $10M Limit: 2/15/2007
Extortion Demand: $10,000,000 - Ded $250,000 each claim Reimbursement Coverages:
Policy Period: 04/01/2021 - 04/01/2022
Policy Number: MKLV1XEO000134
2nd Layer
Greenwich Insurance Company
MARSH USA, INC.
Excess E&O Limit: $5,000,000 excess of $15,000,000
Attn: Elliot Mark
Everbridge Inc.
Burlington, MA 01803
25 Corporate Drive
Privacy Regulation Investigation $10,000,000 - Ded $250,000 each claim E&O Excess Layer Policies:
Policy Period 04/01/2021 - 04/01/2022
25 Privacy Regulation Proceeding: $10,000,000 - Ded $250,000 each claim