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HomeMy WebLinkAboutCYBER 2023-2025 - Verra Mobility Corp_2SHOULD 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-MAILADDRESS: 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 THISCERTIFICATE 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 belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR 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) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 36940 MTP9039762 04 5,000,000Cyber/Professional Liability CN138000917--CyP-23-24 Marsh | U.S. Operations 05/17/2025 SEA-003966301-11 09/19/2024 11/17/2023 Limit '''SIR: $1,000,000''' Evidence of Insurance 1150 North Alma School Road Verra Mobility Corporation Mesa, AZ 85201 Indian Harbor Insurance Company FOUR EMBARCADERO CENTER, SUITE 1100 MARSH RISK & INSURANCE SERVICES SAN FRANCISCO, CA 94111 CALIFORNIA LICENSE NO. 0437153 N Bremerton, WA 98337-1873 City of Bremerton Financial Services 345 Sixth Street, Suite 600 415- 743-8461 A 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: MARSH RISK & INSURANCE SERVICES� Auto Tag of America, LLC� VM Consolidated, Inc. � Greenlight Intermediate Holding Corporation� Greenlight Holding Corporation� Verra Mobility Corporation � Greenlight Acquisition Corporation� Verra Mobility Holdings, LLC� Retro Date - 5/31/2017� �� Redflex Irish Investments Pty Ltd*� � Redflex Traffic Systems Limited*� American Traffic Solutions Consolidated, LLC� Redflex Traffic Pty Ltd*� Mulvihill ICS, Inc.� Toll Buddy, LLC� (f/k/a Verra Mobility Corp f/k/a ATS Consolidated, Inc.)� American Traffic Solutions, LLC� EPC Hungary Kft (Hungary)*� (formerly Sunshine Acquisition I, LLC)� Contractum Limited (UK)*� Auto Titles of America, LLC� 3 San Francisco Certificate of Liability Insurance T/A Go Safe Ireland*� Verra Mobility Ireland Limited*� ATS Processing Services, LLC� Redflex Traffic Systems Pty Ltd*� Verra Mobility Electrical Enterprises, Inc� Violation Management Solutions, LLC� Pagatelia, S.L.U.*� Highway Toll Administration, LLC (HTA)� EPC Finance Limited (UK)*� Redflex Enforcement Services Pty Ltd*� Verra Mobility Corporation f/k/a ATS Consolidated, Inc.� Platepass, LLC� Redflex Pty Ltd*� Euro Parking Collection plc (UK)*� Redflex Traffic Systems (Canada) Limited*� Redflex Holdings Pty Ltd� 25 Verra Mobility B.V. (Netherlands)*� Additional Named Insureds: � Redflex Traffic Systems Malaysia Sdn. Bhd.*� Redflex Traffic Systems Inc.� Lasercraft, Inc.� American Traffic Solutions, Inc.� 1150 North Alma School Road� Verra Mobility Corporation� Redflex Traffic Systems India Private Limited*� Mesa, AZ 85201 Sunshine State Tag Agency, LLC� RTS R&D Pty Ltd*� 2 CN138000917 Transtoll Pty Ltd*� Canadian Highway Toll Administration Ltd� Verra Mobility France SAS (France)*� 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: MARSH RISK & INSURANCE SERVICES� Coverage applies to subsidiaries to the extent of the policy terms and conditions� Citation Collection Services, LLC� T2 Systems Canada, Inc.� � United Public Safety, Inc.� T2 Systems Parent Corporation� Traffic Operating Services (Saudi Arabia) LLC*� T2 Holding Corp.� 3 San Francisco Certificate of Liability Insurance25 T2 Systems, Inc.� 1150 North Alma School Road� Verra Mobility Corporation� Mesa, AZ 85201 3 CN138000917