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HomeMy WebLinkAbout324246 04/18/18 1 ur.C4Ab v . CITY OF CARMEL, INDIANA VENDOR: 00352999 j ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*****6,106.00* CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 324246 9y_roN- CINCINNATI;OH 45263-8720 CHECK DATE: 04/18/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4347500 179016 6,106.00 GENERAL INSURANCE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00352999 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HYLANT GROUP IN SUM OF$ CITY OF CARMEL PO BOX 638720 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CINCINNATI, OH 45263-8720 Payee $6,106.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# General Administration Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 179016 43-475.00 $6,106.00 1 hereby certify that the attached invoice(s),or 4/16/18 179016 $6,106.00 1205 101 1205 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday,April 17,2018 Crider,James Administration I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Please Return Top with Remittance To: PO Box 638720,Cincinnati,OH 45263-8720 rem V---f iii-sEff-Date µ Due Date Trans Description Amount Cyber Liability Policy# G29520963 Effective: 4/10/18 - 1/1/19 Issuing Company Federal Insurance Company 1390597 4/10/2018 4/23/2018 NEWS 18/19 Cyber Liability 10,633.00 4/10/2018 4/16/2018 APCR Batch 1778-COA (2,425.00) 4/10/2018 4/16/2018 APCR Batch 1790-COA (50.00) 4/10/2018 4/16/2018 APCR Delete 37 W.Main Street (35.00) 4/10/2018 4/16/2018 APCR Batch 1894-COA (365.25) 4/10/2018 4/16/2018 APCR Batch 1894-COA (365.25) 4/10/2018 4/16/2018 APCR Batch 1883-COA (365.25) 4/10/2018 4/16/2018 APCR Batch 1872-COA (365.25) 4/10/2018 4/16/2018 APCR Correct 18/19 GLIA Premium (556.00) Total Invoice Balance: $6,106.00 Subnn�'-ted ToC APR 17 2018 HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290 4/16/2018 City of Carmel Loan# Invoice#179016 FARWEI Page 1 of 1 CHUB Cyber Enterprise Risk.Management Binder of Insurance Contact Information To: Phone: Michael Wells 317-817-5107 Company: Email Address: Hylant Group Mike.wells@hylant.com . From: .. Date: Ania Boyko 04/13/2018 Company: Phone: Chubb 312-889753717. Pages: Email: 12 Ania.boyko@chubb.com Ucensed.Producers Hylant Group;Inc. Account Information Insured Name:. City of Carmel Insured Address: : . One Civic Square Carmel,,IN 46032: Line of Coverage: Chubb Cyber Enterprise Risk Management Policy . .Insurance Company:. ACE American InsuranceCompanX Policy Number:. G2952o963 001 .Policy Form: PF=48168.(i /16)/PF-48169(10/16) Policy Number: 00/2618.-1/oi/2o19 Dear Michael, I am pleased.to offer the attached binder for City of Carmel. Please review thus binder for accuracy and contact Chubb,prior to the effective date of policy coverage in the event'of any inaccuracies to this binder.. If Chubb does not hear from youprior to the effective date,.it will be assumed that this binder has been accepted a3 an accurate description of our agreed upon terms of coverage. Thank you for binding coverage with Chubb:..If you should have any questions,please feelfree to contact me. . Sincerely, . pp lam- Ania Boyko Underwriter Chubb-I Financial Lines Chubb. Insured. Chubb Cyber Enterprise Risk Management Policy,Binder of Insurance i Insured of 1 1 'r: G2952o963 /• Subjectivities', The Insurer hereby,confirms the coverage described below with an inception date of 04%10/2o18ob1igations the Insurer may have tinder this coverage confirmation are conditioned upon each of the following conditions having first:been met: i. The Applicant has submitted to the Insurer the-following documents;and the Insurer has received such documents no later than close of business N/A: 2. The Applicant has remitted the:preimium specified below to the Insurer.so that:the Insurer receive's the. premium no later than close of business on the Both day from the date of this Confirmation of Coverage or -the Effective Date of this policy,.whichever is later. PolicyMaximum of Insurance Maximum Single-Limit of Insurances $3,000,000" Maximum"Policy Aggregate;Limit of.Insurance: :. $30001000 First Party Insuring Agreements Limit of Insurance: Reteiition/Waiting O ber-Incident. :Check if _ Each Period Response Coach ` Included- Insuring"Agreement Incident/Aggregate Each"Incident : RetentionJ. ' _. .'Data Breach Team. . ® Cyber Incident Reponse Fund (Inside the Limit)* StandarCyber Incident Response. Team $3000,000/$3,000,000 $50;000 $0. Non-Panel Response Provider: $500,000/$500,000 $50,000 Business Interruption.Loss and ® $3;000,000/$3,000,000; ,.$50,000/8.Hours.: : N/A: . Extra Expenses Contingent Business Interruption .. ® Loss and Extra Expenses Unscheduled Providers $250,000/$250,000 $50,000/8 Hours N/A Scheduled:Providers : Not Covered - N/A ® Digital Data Recovery": $3,000,000/$3,000,000. $50,000" N/A Network.Extortion $3,000,000%$3,000,000 . $50,000. N/A . ThirdOther Party Liability Cheek if. -' - ` I unit.of Insurance Retention, Retroactive ,-,Pending_or Prior f Included Insu.nng'Agreement : : :Each Claim/Aggregate.' `Each Clain °Date- :Proceedings Date - Z. Cyber,Privacy And Network $30.00 000/$3,000,000 $50,000: Full Prior. 4/10/2018 . . Security Liability . Acts ull Prior $50,000 F Payment Card Loss $1;000,000/$1,0001000 4/10/2oi8 Acts Regulatory Proceedings $3000,000/$3,000,000 $50,000 FuAPS or 4/10/2018 Electronic;Social And Printed $3,000,000/$3,000,000 $50,000 Full.Prior Media-Liability Acts 4/10/2o18. Chubb. Insured." Chubb Cyber Enterprise Risk Management Policy,Binder of Insurance 2 Additional Information Extended Reporting Period:12 months for i00%of last.annual premium Retroactive Date(only applicable to Third Party Liability Insuring.Agreements): Full Prior Acts Pending or Prior Date(only appliable-to Third Party Insuring Agreements):4/io/i8 Total Annual- Premium: $io,633. The Following Notice(s) basic - Title : Form Number i Chubb Producer Compensation Practices&Policies ALL-20887a(63/16) Y. 2. Cyber Services for.Incident Response Notice to Policyholders. PF-48259(io/.16) 3. Cyber Services for Loss:Mitigation PF.-4826o (io/i6). 4: U.S.Treasury Department's.Office of Foreign Assets.Control("OFAC") PF-17914a(o.4/i6) Advisory Notice to Policyholders 5. IN Notice to Policyholders . . ALL-2Y81 -. The Following Endorsement(s) added basic Title Form Number i. Forms Schedule PF-48152(o.g/i6). 2. Signature Endorsement CC-iKiii(o2%i8) 3. Cap on Losses From Certified Acts of Terrorism 'PF-45354(01/15) 4. Trade or Economic Sanctions Eiidorseni ent PF-46422 (07/15) 5. Policyholder Disclosure Notice of Terrorism Insurance Coverage TRIAiid(63/16) 6.. IN Cyber Amendato �' �' . . PF 48297(ii/i6) : - 7.. Representations Amended Waiver of App Reliance.Upon Other Carrier.App .- PF748279.(io/16). Chubb. Insured." Chubb Cyber Enterprise Risk Management Policy,Binder of Insurance 3 Conditions of this Binder This binder is.valid forgo days from the Effective_Date. When signed by the Insurer,.the coverage described above is in effect from 12:oi AM (local time at the address shown. . above) of the.Effective Date listed above to 12:oi AM (local;time at the address-shown above).of the Expiration Date listed above pursuant to:the terms; conditions and exclusions of the policy form.listed above and .any policy endorsements described_above. Unless' otherwise indicated, this binder maybe:cancelled by-the-Insured, or by the Broker on behalf of the Insured;-by written notice to.the Insurer.or by thesurrender of this binder stating when such cancellation.shall be effective. Unless-otherwise indicated,.this.binder may be.cancelled by the Insurer prior, .to the. Effective Date by sending.Written notice to the Insured at the address shown above stating when such cancellationshall. be effective: .Unless' otherwise indicated,this_binder may be.cancelled by the Insurer on.or-after the Effective Date in the same manner and upon the same terms.and conditions-applicable to cancellation-of the-policy.form listed above.. If. . cancellation of the binder,by or on behalf of either the Insured or-the Insurer,is-effective after the Effective Date;.then the Insurer shall be entitled tuthe earned.premium,on a pro=rata basis,for the covered period: Issuance by the Insurer and acceptance by,or on behalf of the Insured of the policy shall render this binder void except as indicated below. Conditions precedent.to coverage afforded:.by this binder are: (i) receipt,..review:and acceptance of-the information required herein-within the stated timeframe;:and (2) that no:material change in the risk occurs-and no submission is made to:the.Insurer of a:claim or_circumstances that might give rise to a claim between the date of this binder indicated above andthe Effective.Date. 'If:such.required information,is not received,'reviewed and accepted within the stated timeframe, or such material change.in the risk is discovered or submission of a claim or circumstance is made,then the_ proposed insurance coverage will be.void ab initio("from,the beginning"). Note: If the Insuring Company noted above is either Westchester-Surplus Lines-Insurance-Company.or Illinois,Union Insurance Company;then this insurance is issued pursuant to the state Surplus Lines laws that the insured is domiciled.. Persons insured by Surplus.Lines carriers do not have the protection of the above.captioned,state's Guaranty Act to:the extent.of any.right of recovery for the obligation of an insolvent unlicensed insurer. Any applicable.taxes,surcharges or countersignature fees,etc:,are in-addition to the above bound figures. Your.office'is responsible for malting State Surplus Lines Filings-and complying,with all applicable laws: Sincerely, pQ Ania Boyko Underwriter Chubb I Financial Lines: Chubb. Insured. Chubb Cyber Enterprise Risk Management Policy,Binder of Insurance 4 CHUBB" Premium Surcharges If the issuing company indicated on the indication/quotation/binder is either ACE American Insurance Company or Westchester Fire Insurance Company, the following surcharges will apply in addition to the premium. Some exemptions apply. Premium surcharges are subject to change at the anniversary dates of multiyear policies paid in annual installments. Collection and remittance of premium surcharges for surplus lines policies, if applicable, are the responsibility of the surplus lines broker. Kentucky Insureds ➢ Premium Surcharge 1.8% ➢ Local Government Premium Tax Varies by municipality New Jersey Insureds ➢ NJ Property-Liability Insurance Guaranty Association o.6% West Virginia Insureds ➢ Premium Surcharge 0.55% All Other Insureds There are currently no premium surcharges in your state for this line of business. This is subject to change at the anniversary dates of multiyear policies paid in annual installments Ed.10/01/2016 Page 1 of i TERMS OF TRADE **PAYMENT DUE 3o DAYS FROM EFFECTIVE DATE** Payment is due, in full, within 3o days from the date of this Binder or the Effective Date of this policy, whichever is later. Failure to pay premium will result in cancellation of this policy. j Please make sure to include your Chubb Policy Number in any correspondence and on any checks. Please remit premium payment to: Genius Payments Regular Mail CHUBB Dept CH 1o678 Palatine, IL 60055-0678 Genius Overnight Address ACE American Insurance Co. Genius-1o678 5505 N. Cumberland Ave Suite 307 Chicago, IL 60656-1471 Attn: Box 1o678 Wire Payment Mellon Bank West, NA 3 Mellon Bank Center Pittsburgh, PA 15259 ABA# 043000261 Account # 093-8373 DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Disclosure Of Premium In accordance with the federal Terrorism Risk Insurance Act,we are required to provide you with a notice disclosing the portion of your premium, if any, attributable to coverage for terrorist acts certified under the Terrorism Risk Insurance Act. The portion of your premium attributable to such coverage is shown in this endorsement or in the policy Declarations. Disclosure Of Federal Participation In Payment Of Terrorism Losses The United States Government,Department of the Treasury,will pay a share of terrorism losses insured under the federal program.The federal share equals 85%for year 2015,84%beginning on January 2o16; 83%beginning on January:L 2017, 82% beginning on January 1, 2o18; 81% beginning on January 1, 2019 and 8o%beginning on January 1, 2020 of that portion of the amount of such insured losses that exceeds the applicable insurer retention. However,if aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed$loo billion in a calendar year the Treasury shall not make any payment for any portion of the amount of such losses that exceeds$loo billion. Cap On Insurer Participation In Payment Of Terrorism Losses If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $loo billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act,we shall not be liable for the payment of any portion of the amount of such losses that exceeds $loo billion, and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. COVERAGE OF"ACTS OF TERRORISM"AS DEFINED BY THE REAUTHORIZATION ACT WILL BE PROVIDED FOR THE PERIOD FROM THE EFFECTIVE DATE OF YOUR NEW OR RENEWAL POLICY THROUGH THE EARLIER OF THE POLICY EXPIRATION DATE OR DECEMBER 31, 2020. EFFECTIVE DECEMBER 31, 202o THE TERRORISM RISK INSURANCE PROGRAM REAUTHORIZATION ACT EXPIRES. Terrorism Risk Insurance Act premium: $ Authorized Representative TRIAnd(03/16) Includes copyrighted material of Insurance Services office,Inc.,with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Cap On Losses From Certified Acts Of Terrorism A. If aggregate insured losses attributable to terrorist acts certified under the federal Terrorism Risk Insurance Act exceed$ioo billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act,we shall not be liable for the payment of any portion of the amount of such losses that exceeds$ioo billion,and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. "Certified act of terrorism"means an act that is certified by the Secretary of the Treasury,in accordance with the provisions of the federal Terrorism Risk Insurance Act,to be an act of terrorism pursuant to such Act. The criteria contained in the Terrorism Risk Insurance Act for a"certified act of terrorism"include the following: 1. The act resulted in insured losses in excess of$5 million in the aggregate,attributable to all types of insurance subject to the Terrorism Risk Insurance Act;and 2. The act is a violent act or an act that is dangerous to human life,property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. B. The terms and limitations of any terrorism exclusion,or the inapplicability or omission of a terrorism exclusion,do not serve to create coverage for any"loss"that is otherwise excluded under this Policy. All other terms and conditions of this Policy remain unchanged. Authorized Representative PF-45354(01/15) Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. TRADE OR ECONOMIC SANCTIONS ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. This insurance does not apply to the extent that trade or economic sanctions or similar laws or regulations prohibit us from providing insurance,including,but not limited to,the payment of claims. All other terms and conditions of policy remain unchanged. Authorized Representative PF-46422 (07/15) Page 1 of 1 C H u S Be U.S. Treasury Department's Office Of Foreign Assets Control ("OFAC") Advisory Notice to Policyholders This Policyholder Notice shall not be construed as part of your policy and no coverage is provided by this Policyholder Notice nor can it be construed to replace any provisions of your policy. You should read your policy and review your Declarations page for complete information on the coverages you are provided. This Notice provides information concerning possible impact on your insurance coverage due to directives issued by OFAC.Please read this Notice carefully. The Office of Foreign Assets Control(OFAC) administers and enforces sanctions policy,based on Presidential declarations of"national emergency".OFAC has identified and listed numerous: • Foreign agents; • Front organizations; • Terrorists; • Terrorist organizations;and • Narcotics traffickers; as "Specially Designated Nationals and Blocked Persons". This list can be located on the United States Treasury's web site—http//www.treas.gov/ofac. In accordance with OFAC regulations,if it is determined that you or any other insured,or any person or entity claiming the benefits of this insurance has violated U.S.sanctions law or is a Specially Designated National and Blocked Person, as identified by OFAC,this insurance will be considered a blocked or frozen contract and all provisions of this insurance are immediately subject to OFAC. When an insurance policy is considered to be such a blocked or frozen contract,no payments nor premium refunds may be made without authorization from OFAC:Other limitations on the premiums and payments also apply. PF-17914a(o4/16) Reprinted,in part,with permission of Page i of i ISO Properties,Inc. CHUBS° Chubb Producer Compensation Practices&Policies Chubb believes that policyholders should have access to information about Chubb's practices and policies related to the payment of compensation to brokers and independent agents. You can obtain that information by accessing our website at h=://www.aceproducercompensation.com or by calling the following toll-free telephone number: 1-866-512-2862. ALL-20887a(03/16) CHUBB® U.S. FOREIGN ACCOUNT TAX COMPLIANCE ACT ("FATCA") The U.S.Foreign Account Tax Compliance Act,commonly known as"FATCA',became the law in the U.S.in March of 20io and becomes effective July 1,2014. Pursuant to FATCA,brokers,producers,agents and/or clients may need to obtain withholding certificates from insurance companies. For information on how to obtain the applicable withholding certificate from Chubb U.S.insurance companies,please go to the following web site: http://www2.chubb.com/us-en/u-s-foreign-account-tax-compliance-act-fatca.gVx ALL-4249ob(07/i6)