Loading...
Ventana Wildlife Society - Insurance CertificateVENTA -1 OP 'ID: JA 14C "N ®" CERTIFICATE OF LIABILITY INSURANCE DATE{MMIDJD_N- ) 04126/2016 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. IMPORTANT:. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorse_ ment A statement on this certificate. does not confer rights to the certificate, lieu of such endorsement(s). PRODUCER, • Mackey & Mackey Insurance• " Agency, Inc. License #0668959 800 Quintana Road Suite 1A 44 Morro Bay, CA 932 Matthew J. Clevenger CONTACT Matthew J. Clevenger PHONE FAX' ' A/c No Eg : 805- 772 -1799 A/c No :805- 772 -6906 E DRLE ma macke - insurance.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:State Compensation Ins. Fund 35076 INSURED Ventana Wildlife Society INSURER B: Non rofiits Insurance Alliance 19045 Portola Drive, suite F -1 Salinas, CA 93908 INSURER c CLAIMS -MADE 'OCCUR X INSURER 0: 04/14/2016 INSURER E: PREMISES (Ea R NTED bocunence INSURER F: MED EXP (Any one person) r`nVF•ROCFC CFRTIFICOTF NIIMRFR- 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, EXCLUSIONS_ AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL UB POLICY NUMBER- POLICY EFF M DD EXP LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE_ $ 1,000,00C. CLAIMS -MADE 'OCCUR X 2016- 32729 -NPO 04/14/2016 04/74/2077 PREMISES (Ea R NTED bocunence $ 500,00 MED EXP (Any one person) $ 20,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,00 PRODUCTS- COMP /OP AGG $ 2,000,00 POLICY ❑ JET LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 71000,00 BODILY INJURY (Per person) $ B X AR1Y AUTO 2016- 32729 -NPO 04/14/2016 04/14/2017 BODILY'INJURY (Peraxident) $ ALL OWNED SCHEDULED AUTOS NONIED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 B EXCESS LIAB CLAIMS -MADE 2016- 32729- UMB -NPO 04/14/2016 0411412017 -- _' -DED_. _ _ RETENTION$ $ " A WORKERS -COMP ENSATION AND EMPLOYERS. LIABILITY OFFICERIMEMBEANY IE ECUTIVE Y (Mandatory in NH) N/A 9011169 -16 04/1412016, 04/14/2017 �( STATUTE ER H E.L. EACH ACCIDENT $ 1,000,00". E.L. DISEASE , EA EMPLOYEE $ 1,00010_0 E.L. DISEASE. - :POLICY LIMIT $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below B Professional Liab. 2016 - 32729 -1406 DESCRIPTION O-F OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addltional Remarks Schedule, maybe attached H more space is required) The City of Gilroy, its officers & employees, are hereby named as additional insureds for general liability as respects their interest youth education programs - Two Day Adventures, Big Sur, CA. P`CRTICIreTF unl h1 :0 CONCFI_LOTION - -- CITYGIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy Recreation Department 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 U 1955 -ZU14 AGUKU vUKYUKA I IUN. pill ngnts reserveu. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2016- 32729 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.. ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization that you are required to All insured premises and operations. add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. 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 Wit h respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work; on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured (s) at the location of the covered operations has been completed; or CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than, another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III I : 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 shown in the Declarations; whichever is less. This endorsement shall not increaselhe._ applicable Limits of Insurance shown in the Declarations. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 MACKEYAND MACKEYINSURANCEAGENCY, INC ii''11111111111 111111oll 11111111, 0%00 W W W.MACKEY- INSURANCE. COM Certificates of Insurance: The attached certificate merely provides evidence of insurance. You may have signed contracts, leases, or other agreements requiring you to provide this certificate. In those agreements, you may assume obligations and/or liability for others. Some of these obligations are not covered by insurance. You should review these with a competent legal counsel. Additional Insureds: In addition to providing a certificate of insurance, you may also be required to name your client or customer on your policy as an additional insured. This action requires an actual endorsement / change to your policy and is possible only with the permission of the insurance company. In some cases there may be an additional premium to add additional insureds to your policy. There are other potential consequences of including additional insureds on your policy which include; but are not limited to: 1) Your policy limits are now shared with other entities; their claims involvement may reduce or exhaust your aggregate limits. 2) Your policy may provide higher limits than required by contract; but your full limits can be exposed due to the additional insured. 3) There may be conflicts in defense when your insurer has to defend both you and the additional insured. Some contracts, leases and agreements you sign may have indemnity and/or hold harmless requirements that cannot be addressed by an insurance policy. We recommend that these agreements be thoroughly reviewed by you and your legal counsel. 450 Kings County Drive, Suite 101 800 Quintana Road, Suite 1A 695 Price St., Suite 101 P.O. Box 1209 Morro Bay, CA 93442 Pismo Beach, CA 93449 Hanford; CA 93232 Phone: (805) 772 -1799 Phone: (805) 295 -6601 Phone: (559) 583 -9393 Fax: (805) 772 -6906 Fax: (805)295 -6603 Fax : (559) 582 -3903 STATE LICENSE #0668959