Community Crime Prevention Associates - Insurance Certificate,4��ezo® CERTIFICATE OF LIABILITY INSURANCE
01 /16 /2017YVV) DATE
of /ls/2o17
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 policy0es) must 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).
PRODUCER
CONTACT
AUTOMATIC DATA PROCESSING INSURANCE AGCY INC
(A/CNNo. Ext): (877) 677 -0428 INC, No): (877) 677 -0430
1 ADP BLVD MS 625
ROSELAND, NJ 07068
E -MAIL
: spcbicadp@travelers.com
INSURER(S) AFFORDING COVERAGE
NAICdf
(877) 677 -0428
INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
=2a. RENTED
$
INSURED
INSURER B:
COMMUNITY CRIME PREVENTION
INSURER C
ASSOCIATES
INSURER D
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY E PRO -
JECT �LOC
OTHER:
1815 CLEMENT AVE, BLDG 26
INSURER E
PRODUCTS - O MP P A
ALAMEDA, CA 94501
INSURER F
COVERAGES CERTIFICATE NUMBER: 202204058381610 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
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM /DD /YYYY
POLICY EXP
MM/DO /YVYY
'LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE [7 OCCUR
EACH OCCURRENCE
$
=2a. RENTED
$
MED EXP (Any one person)$
PERSONAL & ADV INJURY
$_
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY E PRO -
JECT �LOC
OTHER:
GENERAL AGGREGATE
$
PRODUCTS - O MP P A
$
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS NON -OWNED
AUTOS
COMIND
Is acc dentSINGLE LIMIT
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
S
PROPERTY DAMAGE
(Per accident)
$
UMBRELLA LIAB
IXCESS UAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION $
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR /PARTNER /EXECUTIVE ❑
OFFICER /MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
UB- 2142X949 -17
01/0112017
01/01/2018
X PER TUTE OTH-
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE .- EA EMPLOYEE
$1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
I ➢N1111:�
CITY OF GILROY
7351 ROSANNA ST
GILROY, CA 95020
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE •`r,
c 1988 -2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD