Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
COI - YMCA of Silicon Valley - Expires 2022-07-15
INSR ADDL SUBR LTR INSR WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: LOCJECT COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person) $ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS AUTOS ONLY HIRED PROPERTY DAMAGE $AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below POLICY NON-OWNED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 any rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) ACORDTM CERTIFICATE OF LIABILITY INSURANCE United States Fire Insurance Company North River Insurance Company Berkshire Hathaway Homestate Ins Co 8/24/2021 Marsh & McLennan Agency LLC Marsh & McLennan Ins Agency LLC 1340 Treat Blvd #250 Walnut Creek, CA 94597 Felicia McAroy 925-482-9337 925-482-9390 Felicia.McAroy@MarshMMA.com YMCA of Silicon Valley 80 Saratoga Avenue Santa Clara, CA 95051 21113 21105 20044 A X X X PD Ded: $25,000 X X 5069022327 07/15/2021 07/15/2022 1,000,000 1,000,000 10,000 1,000,000 3,000,000 1,000,000 A X X X 5069022327 07/15/2021 07/15/2022 1,000,000 B X X X 0 5821171317 07/15/2021 07/15/2022 1,000,000 1,000,000 C N YMWC202071 07/01/2021 07/01/2022 X 1,000,000 1,000,000 1,000,000 RE: Gilroy Senior Center, 7371 Hanna Street, Gilroy, CA. The City of Gilroy, its agents, officers and employees are included as Additional Insured (General Liability), per the attached. Insurance is primary and non-contributory. City of Gilroy, its officers, officials,employees and voluntees 7351 Rosanna Street Gilroy, CA 95020 1 of 1 #S8615204/M8520136 YMCASILICClient#: 443977 WXAQD 1 of 1 #S8615204/M8520136 DocuSign Envelope ID: 19755D66-9719-4228-BB01-01EC9016FB09 INSURED: POLICY #: POLICY PERIOD: TO YMCA of Silicon Valley 5069022327 07/15/2021 07/15/2022 As Required By Written Contract DocuSign Envelope ID: 19755D66-9719-4228-BB01-01EC9016FB09 INSURED: POLICY #: POLICY PERIOD: TO: YMCA of Silicon Valley 5069022327 07/15/2021 07/15/2022 DocuSign Envelope ID: 19755D66-9719-4228-BB01-01EC9016FB09 LEASE 1. Parties. This lease ( "Lease ") is entered into as of the 1st day of January, 2017 Commencement Date "), by and between THE CITY OF GILROY, a municipal corporation ( "City ") and YMCA OF SILICON VALLEY, a California nonprofit corporation ( "Tenant "). 2. Lease of Leased Premises. 2.1 Leased Premises. City hereby leases -to Tenant and Tenant leases from City that portion of the Building located at 7371 Hanna Street, Gilroy California ( "Building "), that is identified as the "Leased Premises" on the attached Exhibit "A" and is referred to herein as the "Leased Premises. ". Other portions of the Building shall remain in control of City or tenants thereof. Tenant shall have the non - exclusive right to use the parking area located adjacent to the Building and such other portions of the Building, designated from_ time to time as common area by City, in connection with the conduct of Tenant's business in the Leased Premises, subject to such reasonable rules and regulations as may be promulgated by City from time to time. Without limiting the foregoing, the restrooms within the Building shall be considered common area, subject to nonexclusive use by Tenant, City and other users designed by City. Tenant acknowledges that City may, in its sole discretion, utilize all common areas and any other portion of the Building which is not leased to Tenant pursuant to this Lease, provided that the Tenant's use of the common areas as permitted under this Lease is not unreasonably impaired. 2.2 Condition of Leased. Premises. Tenant agrees that the Leased Premises are leased in an As Is" condition, without representation or warranty of any kind, express or implied. On the Commencement Date (defined in Section 3.1 below), Tenant shall be deemed to have accepted the Leased Premises as being in good and sanitary working order, condition and repair and to have accepted the Leased Premises in its existing conditions, subject to all applicable laws, covenants, restrictions, easements and other matters of public record. Tenant acknowledges that neither City nor City's agents have made any representation or warranty as to the suitability of the Leased Premises for the conduct of Tenant's business, the condition of the Leased Premises, or the use or occupancy which may be made and Tenant has independently investigated and is satisfied that the Leased Premises are suitable for Tenant's intended use and that the Leased Premises meet all governmental requirements for such intended use. Tenant shall not make any alterations or additions to the Leased Premises without the consent of City, which approval may be withheld in City's sole discretion. 3. Term. 3.1 Lease Term. The term of this Lease ( "Lease Term ") shall commence on the Commencement Date and end on December 31, 2020, subject to earlier termination as set forth in this Lease. In no event shall Tenant have the option to extend this Lease Term beyond December 31, 2020, notwithstanding any provision of this Lease to the contrary. Notwithstanding the foregoing, City shall have the right to terminate this Lease prior to its natural expiration by giving Tenant not less than thirty 30) days prior written notice, which notice shall set forth the effective date of termination. 3.2 Holdover. If Tenant holds over after the termination of this Lease without the consent of City, Tenant shall indemnify, defend and hold City harmless from and against any claim, loss, damage, expense or liability resulting from Tenant's failure to surrender the Leased Premises. 4. Rent. City agrees to lease the Leased Premises to Tenant at no cost, except as otherwise expressly set forth in this Lease, in exchange for services to be provided by Tenant, which services are more particularly described in Section 7 below. Such services shall be provided without charge to City. 5. Compliance with Law. Tenant's obligation to comply with applicable laws shall not include a requirement that Tenant make any structural alterations, changes, additions, or improvements to the Leased Premises, or any non - structural alterations, changes, additions, or improvements unless such non - structural requirement results from Tenant's specific use or manner of use of the Leased Premises, as compared with any general use of the Leased Premises as permitted under applicable law. If Tenant becomes aware that structural alterations (or non - structural alterations for which City would be responsible as the case may be) are legally required, Tenant shall so inform City. City shall thereafter either make such alterations at its Own cost and expense, or terminate this Lease on thirty (30) days notice, unless shorter notice is legally required. 6. Maintenance of Leased Premises. City agrees to maintain and repair, at City's cost, the Leased Premises except that Tenant shall be responsible for the any and all costs arising from the 1TMORELLIt131292.2 1 010213: 04706012 DocuSign Envelope ID: 19755D66-9719-4228-BB01-01EC9016FB09 activities of Tenant, Tenant's agents, employees, contractors or invitees on the Leased Premises. Tenant shall pay to City any costs incurred by City to correct damage or injury to the Leased Premises for which Tenant is responsible (including fines or other penalties, if any) pursuant to the prior sentence not later than ten (10) days after receiving City's invoice for such costs. 7. Use. Tenant shall use the Leased Premises solely for the operation of a Senior Nutrition Program, providing the services described in Exhibit "B" and for no other purpose. Tenant acknowledges that the programs to be instituted at the Leased Premises shall be limited to those described in Exhibit "B ". Any additional programs and/or services beyond those expressly described in Exhibit "B ", shall be subject to approval or disapproval by the City of Gilroy Community Services Director or its designee prior to implementation. In no event shall Tenant bring, allow, use or permit upon the Leased Premises, or generate or create at or emit or dispose from the Leased Premises any hazardous or toxic materials, wastes or substances. 8. Utilities, Equipment and Services. City shall provide janitorial services and janitorial supplies, which shall be provided on a daily basis, and shall arrange for water, garbage, gas, sanitary sewer, and electric .service to the Leased Premises. All other services and utilities needed by Tenant, (except for the services to be provided by City pursuant to Exhibit "C ") shall be arranged and paid for by Tenant in a timely manner. City shall provide the equipment and services further described in Exhibit "C ", attached hereto. 9. Notices. City's address for notices and payments due from Tenant shall be 7351 Rosanna Street, Gilroy, California 95020, which address may be changed from time to time by giving Tenant written notice of such change. Tenant's address for notices shall be at the Leased Premises, with a copy to Tenant at 1922 The Alameda, 3rd Floor, San Jose, CA 95126. 10. Damage and Destruction. City shall have no obligation to rebuild, restore or repair all or a portion of the Leased Premises in the event of any damage or destruction thereto. In the event of damage or destruction to the Leased Premises City and Tenant shall each have the option to terminate this Lease immediately as of the date of such damage or destruction by written notice given to the other party within thirty (3 0) days after the occurrence of such damage or destruction. 11. Tenant's Insurance; Waiver of Subrogation. 11.1 Tenant's Insurance. Tenant shall, at no cost to City, obtain and maintain throughout the term of this Agreement: (a) Commercial General Liability Insurance, including coverage for owned and non -owned automobiles, with a minimum combined single limit coverage of $1,000,000 per occurrence for all damages due to bodily injury, sickness or disease, or death to any person, and damage to property, including the loss of use thereof ;, which policy shall name City as an additional insured. Additionally, Tenant agrees to provide workers' compensation insurance for Tenant's employees and agents and agrees to hold harmless, defend with counsel acceptable to City and indemnify City, its officers, representatives, agents and employees from and against any and all claims, suits, damages, costs, fees, demands, causes of action, losses, liabilities and expenses, including without limitation attorneys' fees, arising out of any workers compensation claims against City by any of Tenant's employees. 11.2 Waiver of Subrogation. The parties hereto release each other and their respective agents, employees, successors, and assignees from all liability for damage to any property that is caused by or results from a risk which is required to be insured against under this Lease, or which would normally be covered by a policy of "Special Form" casualty insurance (whether or not the property is actually insured), without regard to the negligence or willful misconduct of the entity so released. All of City's and Tenant's repair and indemnity obligations under the Lease shall be subject to the waiver contained in this paragraph. 12. Indemnification. Tenant shall indemnify, defend and hold City harmless from any and all loss, cost, liability, claims, damages, and expenses (including without limitation reasonable attorneys' fees), penalties and fines arising as a result of Tenants breach of any of its obligations under this Lease. 13. Property Loss: Damage. City shall not be liable for (i) any loss of or damage to any property of Tenant, including loss or damage by theft or otherwise; or (ii) any injury or damage to persons or property resulting from any cause of whatsoever nature, except to the extent caused by or due to the active negligence or willful misconduct of City. Tenant shall have the sole responsibility to ensure that the Leased Premises and all persons using any portion of the Leased Premises and appurtenant areas of the Leased Premises are protected against theft, physical injury, loss or damage. 1TMORELL11131292.2 2 010213-04706012 DocuSign Envelope ID: 19755D66-9719-4228-BB01-01EC9016FB09 14. Transfers. Tenant shall not voluntarily, involuntarily or by operation of law (i) assign, sell or otherwise transfer all or any part of the Tenant's interest in this Lease or in the Leased Premises, or (ii) permit any part of the Leased Premises to be sublet, occupied or used by anyone other than Tenant, in either case without the prior consent of the City, which consent may be withheld by City in City's sole discretion. 15. Condemnation Award. Any award for the taking of all or any portion of the Leased Premises or the Leased Premises under the power of eminent domain shall be the property of City, whether such award shall be made as compensation for diminution in value of this Lease or the taking of the fee, and the Tenant shall have no right to recover any portion of such award.. In no event shall City be obligated to make any repairs or perform any restoration or other work required as a result of a taking. In the event of taking of the Leased Premises, City and Tenant each shall have the option to terminate this Lease effective as of the date of such taking by written notice given to the other party within thirty (30) days after the occurrence of such taking. 16. Consent; Lease Limitations. 16.1 Consent. Tenant acknowledges that as to certain matters set forth in this Lease, City has rights of approval or disapproval. If any matter requiring City's approval is submitted to City by Tenant. for City's approval, City shall respond to Tenant within the time required by this Lease, or if no time is stated, within a reasonable time. Notwithstanding any other provisions of this Lease, where Tenant is required to obtain the consent of City to do any act, or to refrain from the performance of any act, Tenant agrees that if Tenant is in default with respect to any term, condition, covenant or provision of this Lease, then City shall be deemed to have acted reasonably in withholding its consent if said consent is, in fact, withheld. 17. City's Right to Perform Tenant's Covenants. Except as otherwise provided herein, if Tenant shall at any time fail to make any payment or perform any other act required to be made or performed by Tenant under this Lease, City may -, upon two (2) days written notice to Tenant, but shall not be obligated to and without waiving or releasing Tenant from any obligation under this Lease, make such payment or perform such act, and in connection therewith, pay expenses and employ counsel. All sums so paid by City and all penalties, interest and costs incurred in connection therewith shall be due and payable by Tenant upon demand by City. 18. General. 18.1 Interpretation of Terms. Words in the neuter, masculine and feminine gender include the other when the context so requires. 18.2 Governiniz Law. This Lease shall be construed and enforced in accordance with the laws of the State of California. 18.3 Joint and Several Liability. If Tenant is more than one person or entity, each such person or entity shall be jointly and severally liable for the obligations of Tenant hereunder. 18.4 Construction of Lease Provisions— This Lease shall not be construed either for or against Tenant or City, but shall be construed in accordance with the general tenor of the language to reach a fair and equitable result. 18.5 No Partnership or Joint Venture. Nothing in this Lease shall be construed as creating a partnership or joint venture between City, Tenant, or any other party, or cause City to be responsible for the debts or obligations of Tenant or any other party. 18.6 Attorneys' Fees. In the event of any Lease, the prevailing party shall be entitled to reasonable attorneys' fees incurred in such action. legal action between the parties in connection with this recover all reasonable costs and expenses, including 19. Condition Precedent to Lease. This Lease shall have no binding effect on the parties unless executed by both City and Tenant and a fully executed copy is delivered to City. IN WITNESS WHEREOF, the parties have executed this Lease effective on the date set forth below. ITMORELL11131292.2 3 010213- 04706012 DocuSign Envelope ID: 19755D66-9719-4228-BB01-01EC9016FB09 Dated: / 4cr4za APPROVED AS TO FORM: Dated: 1?_01L10 ITM0RELL11131292.2 010213 - 04706012 CITY: City of GILROY, amunicipal corporation TENANT: YMCA SILICON VALLEY, California, a non - profit corporation By: Its: 4 DocuSign Envelope ID: 19755D66-9719-4228-BB01-01EC9016FB09 AULTI -USE EXHIBIT A Property Description Nutr BREEZEWAY I I Nutrition Program Main Dining Hall MULTI -USE PATIO MULTI -USE AREA PLANTER POLICE STATION GILROY SENIOR CENTER 7371 HANNA STREET WPAPP1713089.3 4 122006- 04706012 POOLTV ROOM MEN'S WOMEN'S OFFICE CRAFTS STORE DocuSign Envelope ID: 19755D66-9719-4228-BB01-01EC9016FB09 EXHIBIT B YMCA of Silicon Valley agrees to: 1. Provide Senior Nutritional Services to eligible clients of Santa Clara County pursuant to the Master Contract between the County of Santa Clara and YMCA of Silicon Valley, PO 4300001912, dated July 14, 2006. 2. Train and provide employees of YMCA of Silicon Valley to prepare and serve meals to eligible clients of Santa Clara County. Provide annual regular safety training to all YMCA employees as it relates to the safety of the staff and program participants within the Senior Center. YMCA staff shall utilize the Senior Center in a safe manner and shall not create any hazards for the City, City staff or program participants. 3. Collaborate with the City of Gilroy to recruit eligible clients into the Senior Nutrition Program. 4. Provide for a safe and healthy kitchen following the County Nutrition Handbook for the health and safety of its clients. 5. Reporting in a timely manner any broken or disabled equipment belonging to the City of Gilroy. 6. Collaborate with the City of Gilroy in keeping the site safe. (However, collaboration with the City of Gilroy shall not in any way relieve YMCA of Silicon Valley from its responsibilities to maintain a safe site). 7. Provide office and computer equipment for its Senior Nutrition Site Manager. DocuSign Envelope ID: 19755D66-9719-4228-BB01-01EC9016FB09 EXHIBIT C The City of Gilroy Agrees to: 1. Provide a kitchen with adequate ovens, stoves, microwaves and refrigerators for the Senior Nutrition Program. 2. Provide a dining room with adequate and appropriate dining utensils, tables and seating for the Senior Nutrition Program during the hours of 7:00 a.m. to 2:00 p.m. 3. Provide refrigerated storage and pantry space for necessary food supplies and supplies for the Senior Nutrition Program. 4. Repair in a timely manner the kitchen and dining room equipment described in paragraphs 1, 2, and 3 of this Exhibit "C". ITMORELLM 312922 7 010213- 04706012 DocuSign Envelope ID: 19755D66-9719-4228-BB01-01EC9016FB09 Client#: 27430 YMCAOFSI ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MlwoDmmr) TF_( MM2o1s61206 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 endorsement. A statement on this certificate does not confer rights to the certificate _holder in lieu_of such endorsement(s). PRODUCER Barney & Barney, a Marsh & McLennan Insurance Agency LLC company 1340 Treat Blvd #250 LIC 0H'16131 Walnut Creek, CA 94597 NAME: Felicia MCAroy PHONE 925 482 -9300acNo : A/c No): 925 482 -9390. E-MAIL felicia.mcaro borne andbarne comADDRESS: yG y y INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: North River Insurance Company 07101/201 INSURED YMCA of Silicon Valley 80 Saratoga Avenue Santa Clara, CA 95051 INSURER B: United States Fire Insurance Co 21113 INSURER C; 1,000,000 INSURERO: MED EXP Any one person) INSURER E: INSURER F:. PERSONAL &ADV INJURY 1.00 0.000 COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 CONDITION_ S OF SUCH POLICIES. LIMITS_ SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MM/D POLICY EXP. MM/D LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X 5068856754 7/01/2016 07101/201 EEpACMMHAq OEECTCURRENCE 1 000000 PREMISES EaE rrrence 1,000,000 MED EXP Any one person) 10 000 PERSONAL &ADV INJURY 1.00 0.000 G'L AGGREGATE LIMIT APPL•IESPER: PRO- F7POLICYF7ECT LOCRx-, O THER: GENERAL AGGREGATE 3,600,000 PRODUCTS - COMP /OP AGG 1,000,000 A AUTOMOBILE X X LIABILITY ANY AUTO ALL.OVdNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS 5068856754 7/01/2016 07/01 /201 ED ae dEentswGLE LIMIT 1,000,000 BODILY INJURY (Per person) PBODILYINJURY (Per accident PROPERTY DAMAGE Per acadeM B X UMBRELLA.LIAB EXCESS LIAR X OCCUR CLAIMS -MADE 5821058313 7/01/2016 07/01/2017 EACH OCCURRENCE 1,000,000 AGGREGATE 1.000-000 DED X I RETENTION $0 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY .PROPRIETOR /PARTNER /EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? a Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 406729076 7/01/2016 I 07/011201 X I PER OTH- I J 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 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: Gilroy Senior Center, 7371 Hanna Street, Gilroy, CA. The City of Gilroy, its agents, officers, and employees are included as Additional Insured (Gen. Liab.), per the attached. Insurance is primary and non - contributory. iea ill u .1 L -7a City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE. EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Recreation Department ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE U I VUB -ZO14 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD S839200/M838187 PAT12 DocuSign Envelope ID: 19755D66-9719-4228-BB01-01EC9016FB09 INSURED: YMCA of silicon valley POLICY #: 5068856754 POLICY PERIOD: 07/01/2016 TO 07/01/2017 COMMERCIAL GENERAL LIABILITY CG 20 26 041.3 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): Where required by written contract THE CITY OF GILROY, ITS AGENTS, OFFICERS, AND EMPLOYEES 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 ", 11 properb/ 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 Z If coverage provided to the additional insured is required by a contract cr agreement, the insurance afforded to such additional insured will not be broader than tha. which you are required by the contract or agreement to provide for such additional insured. B. VVith respect to the insurance afforded to these additional insureds, the following is added to Section 111— 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 0413 © Insurance Services Office, Inc., 2012 Page i of 1 DocuSign Envelope ID: 19755D66-9719-4228-BB01-01EC9016FB09 INSURED: YMCA of Silicon Valley POLICY #: 5068856754 POLICY PERIOD: 07/01/2016 1 TO: 07/01/2017 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY AND NONCONTRIBUTORY - AMENDMENT OF OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Paragraph 4.a. of SECTION IV. COMMERCIAL GENERAL. LIABILITY CONDITIONS: Regardless of whether other insurance is available to an additional insured on a primary basis, this insurance will be primary and noncontributory if a written contract between you and the additional insured specifically requires that this insurance be primary to and noncontributory with any other insurance available to the additional insured. All other terms and conditions remain unchanged. FM 101.0.2404 11 08 Page 1 of 1 DocuSign Envelope ID: 19755D66-9719-4228-BB01-01EC9016FB09