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COI - Vision Y Compromiso, Inc. - Expires 2022-09-22
ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 06/01/2022 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 CONTACT Katherine Berkman NAME: Calender-Robinson Company, Inc. ;t,gNrSc, Extl: (415) 978-3800 I r..e~ Nol: (415) 978-3825 0267063 E-MAIL kberkman@calrob.com ADDRESS: 233 Sansome St. Ste 508 INSURER(S) AFFORDING COVERAGE NAIC# San Francisco CA 94104 INSURER A: Nonprofits' Insurance Alliance of CA (NIAC) INSURED INSURER B: Vision Y Compromiso, Inc. INSURER C: P.O. Box 708 INSURER D: INSURER E: San Lorenzo CA 94580 INSURER F: ~ COVERAGES CERTIFICATE NUMBER· CL219730574 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 l"UUL ltiUon POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) 25 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 D CLAIMS-MADE [8] OCCUR ~~~~~To~ IE~';;~~ir?ence\ $ 500,000 C--- MED EXP (Any one person) $ 20,000 ~ A 2021-20112-NPO 09/22/2021 ~ 09/22/2022 PERSONAL & ADV INJURY $ 1,000,000 3,000,000 ~'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ □PRO· □ PRODUCTS -COMP/OP AGG $ 3,000,000 POLICY JECT LOG OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ~ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ~ -OWNED SCHEDULED 09/22/2022 A 2021-20112-NPO 09/22/2021 BODILY INJURY (Per accident) $ ~ AUTOS ONLY ,_ AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY ,_ AUTOS ONLY (Per accident) $ ~ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS-MADE 2021-20112-UMB 09/22/2021 09/22/2022 AGGREGATE $ 3,000,000 OED I XI RETENTION $ 10,000 $ WORKERS COMPENSATION I PER I I OTH- AND EMPLOYERS' LIABILITY STATUTE ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE □ N/A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L, DISEASE -EA EMPLOYEE $ lf yos, do,5cribe under DESCRIPTION OF OPERATIONS below E,L. DISEASE· POLICY LIMIT $ A Social services professioinal liabililty 2021-20112-NPO 09/22/2021 09/22/2022 Each claim $1,000,000 Sexual misconduct liability Each claim $1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate holder Is included as additional insured as per the attached endorsement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN city of Gilroy, its officers, officials & employees ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 ~.ff-u, ........... !.:i~J<.....,___ I © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Named Insured: Vision y Compromiso, Inc. Policy: 2021-20112-NPO 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 Person or Organization: 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, and for which a certificate of insurance naming such person or organization as additional insured has been issued, but only with respect to their liability arising out of their requirements for certain performance placed upon you, as a non- profit organization, in consideration for funding or financial contributions you receive from them. 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. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) 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: A. In the performance of your on-going operations; or B. In connection with your premises owned by or rented to you THE INSURANCE provided under this endorsement is primary & non- contributory to any other valid & collectible insurance carried by the additional insured entity and this insurance will apply separately to each insured against whom a claim is made or a suit is brought. CG 2026 (07/04)