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Youth Alliance - Insurance CertificateYOUTALL -01 KIM ,d►`CO�RO` CERTIFICATE OF LIABILITY INSURANCE DATE 11/14/2017 Y) 11 /14/2017 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 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). PRODUCER Icense 0504035 CONTACT Kimberly D White, CISR Pacific Diversified Insurance, Inc. PHONE - - — - -- 15005 Concord Circle, Suite 110 (A/c No, Exit): (408) 842-21312179 FAX �- MAIL - - - - -- - - - - -- _I� IA/C,No):(408)_842 -0867 Morgan -ADDRESS: kwhite @pdins.com Morgan Hill, CA 95037 - — - -- - - --- -- - -- INSURER(S) AFFORDING COVERAGE NAIC # - -_ - INSURER A_Nonprrofits' Ins Alliance of CA 11845 INSURED INSURER B: Zurich American Insurance Co 16535 Hollister Youth Alliance _ - C /O: Diane Ortiz wsuRER_c— - Post Office Box 1291 INSURER D: _ Hollister, CA 95024 -1291 INSURE-RE: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TI-IIC IC Trl- r`CDTICV TWAT TUC Dill Ir`tCC !1C I I-- Dr1 ...... u-VC rVR Inc ruLluT rCMIUU 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. - - -- _7 INSR TR TYPE OF INSURANCE ADDCSUBR -- -- - - �OLICY EFF POD ICY EXP LIMITS POLICY NUMBER A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR - - - -- X 2017 -06291 NPO ! 11/16/2017 EACH OCCURRENCE 11/16/2018 DAMAGE TO RENTED �RE Ea occurre $ 1,000,000 $ _ 500,000 MEEXP An one person) E 2Q00_0 _J PERSONAL & ADV INJURY GENERAL AGGREGATE $ 1,000000 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT LOC PRODUCTS = COMP /OP AGG $ 2,000,000 OTHER: Liquor Liablty $ 1;000,000 AUT ANY - - COMBINED SINGLE LIMIT accident) - - -- _ $ BODILY INJURY LPer person .$ - AUEOLIABILITY OWNED SCHEDULED AUTOS .BODILY INJURY Per accident $_ P�teOa�Rde�AMAGE EE pV�/N AUT03 ONLY AUTOS ONLY — $ - UMBRELLA LIAB OCCUR EACH OCCURRENCE $ LIAB CLAIMS -MADE AGGREGATE $ REXCESS DED RETENTION$ B AND EMPLOYOERS LIABILIITY X PER OTH- ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER /MEMBER EXCLUDED? Y N /A i EE 5 71027101 04/01/2017 0410112ID18 1,000,000 E.L. EACH ACCIDENT $ (Mandatory in NH) 1,000,000 If yes, describe under E.L. DISEASE - EA EMPLOYEE _$ — DESCRIPTION OF OPERATIONS below E L DISEASE POLICY.LIMIT 1,000,000 A Hired, Non Owned _ _ _ _' - $ _ 2017- 06291NP0 11/16/2017' 11/16/2018 (Auto Liability I 1,000 000 A Improper Sexual I 2017- 06291NPO 11/1612017 11/16/2018 Conduct Liability 1,000,000 i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Renarks Schedule, may be attached I more space is required) Jobs As Per Written Contract or Agreement The City of Gilroy, its officers, representatives, agents and employees are named as additional insured, as per written contract or agreement and per carrier blanket endorsements attached. 10 Days notice of cancellation for non payment and 30 days for all other notifications. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE raa.vMly co (cu,tuus) ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2017 -06291 Named Insured: Hollister Youth Alliance COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED 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): Any person or organization that you are required to 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 with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. 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 is added to Section III — 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 increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 POLICY NUMBER: 2017 -06291 Named Insured: Hollister Youth Alliance COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED 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): The City of Gilroy,lts Officers, Representatives ,Agents,Employees Jobs As Per Written Contract or Agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I 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 with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. 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 is added to Section III — 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 increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 NONPROFITS INSURANCE ® ALLIANCE OF CALIFORNIA A Head for Insurance. A Heart far Nonprofits. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM Where you are so required in a written contract or agreement currently in effect or becoming effective during the term of this policy, we waive any right of recovery we may have against that person or organization because of payments we make for injury or damage. NIAC E26 04 17 Page 1 of 1