COI - Detati Communications, Inc. - Expires 2022-06-16�.-'-- CERTIFICATE OF LIABILITY INSURANCE
DATE(MI�roD�YYYY'
02M/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 be endorsed. If SUBROGATIONIS 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
LORDS INSURANCE AGENCY 1NCIPHS
NAME:
PHONE (866) 467-8730
(AIc. No, Ext):
FAX (888) 443-6112
(A/C. No):
72253319
The Hartford Business Service Center
3600 Wiseman Blvd
E-MAIL
San Antonio, TX 78251
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC#
INSURED
INSURERA: Sentinel Insurance Company Ltd.
11000
DETATI COMMUNICATIONS, INC. DBA PACIFIC LIGHT STUDIOS
265 CASPIAN DR
Property and Casualty Insurance Company
INSURERS:
of Hartford
34690
SUNNYVALE CA 94089-1015
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER' RFVICtnm mime =Q-
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
TYPE OF INSURANCE
ADDL
SUER
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$1.000.000
CLAIMS -MADE OCCUR
General Liability
X
DAMAGE TO RENTED
P 1
$1,a00,U00
MED EXP (Any one person)
$10,000
A
X
72 SBA AW4061
0611612021
06/16/2022
PERSONAL & ADV INJURY
$1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRO- LOC
JECT i - -
GENERALAGGREGATE
$2,000,000
PRODUCTS-COMPIOP AGG
$2,000,000
OTHER:
AUTOMOBILE LUWILI Y
COMBINED SINGLE LIMIT
a accident)$1'Oaa'Oao
BODILY INJURY Per ( person)
ANY AUTO
A
ALL OWNED SCHEDULED
AUTOS AUTOS
72 SBA AW4061
06/16/2021
06/16/2022
BODILY INJURY (Per accident)
X HIRED X NON -OWNED
AUTOS AUTOS
PROPERTY DAMAGE
(Per accident)
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
EXCESS LIAB
CLAIMS-
MADE
AGGREGATE
7R—IRETEISITION
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY YIN
PROPRIETORIPARTNER/ECECUTIVE
OFFICERIMEMBEREXCLUDED?
N1A
X
72 WBCAF8U92
03/23/2022
03123/2023
X
PER
STATUTE
I
OTH-
E
EL EACH ACCIDENT
$1.000,000
E.LDISEASE-EAEMPLOYEE
$1,000.000
(Mandatory in NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$1.000.000
DESCRIPTION OF OPERATIONS bet
DESCRIPTION OFOPERA7 ONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insured's Operations. Ref: Service Agreement: Layout and Design of the City of Gilroy Recreation Activity Guide_ City of Gilroy, its
officers, officials, and employees is an additional insured per the Business Liability Coverage Form SS0008 attached to this policy.
t;LK 111-1t;A 1 It HULUER C`ANr--FI 1 ATIn11,1
City of Gilroy, its Officers, Official,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
and Employees
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
7351 ROSANNA ST
IN ACCORDANCE WITH THE POLICY PROVISIONS_
GILROY CA 95020-6141
AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
02/22/2022
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 be endorsed. If SUBROGATIONIS 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
LORDS INSURANCE AGENCY INCIPHS
72253319
The Hartford Business Service Center
PHONE (866) 467$730
(Arc, No, Ext):
FAX (888) 443-6112
(AIC, No):
E-MAIL
3600 Wiseman Blvd
San Antonio, TX 78251
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC#
INSURED
INSURERA: Sentinel Insurance Company Ltd.
11000
DETATI COMMUNICATIONS, INC. DBA PACIFIC LIGHT STUDIOS
265 CASPIAN DR
INSURER B Property and Casualty Insurance Company
of Hartford
34690
SUNNYVALE CA 94089-1015
INSURER C :
INSURER D :
INSURER E :
INSURER F :
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 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
TYPE OF INSURANCE
ADDL
SUBR
POUCY NUMBER
POLICY EFF
POLICY EXP
UNITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE FXI —1 OCCUR
DAMAGETO RENTED
PREMISES (Ea occuffencel
$1,000,000
X
General Liability
MED EXP (Any one person)
$10,000
A
X
72 SBA AW4061
06/16/2021
06/16/2022
PERSONAL 6 ADV INJURY
$1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
POLICY ❑ PRO- LOC
JECT
PRODUCTS - COMP/OP AGG
$2,000,000
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$1,000.000
BODILY INJURY (Per person)
ANY AUTO
A
ALL OWNED SCHEDULED
AUTOS AUTOS
72 SBA AW4061
06/16/2021
06/16/2022
BODILY INJURY (Per accident)
X HIRED X NON -OWNED
AUTOS AUTOS
PROPERTY DAMAGE
(Per accident)
UMBRELLA UAB
OCCUR
EACH OCCURRENCE
EXCESS UAB
CLAIMS-
MADE
AGGREGATE
ED
RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' UABIUTY
X
I PER
STATUTE
OTH-
R
E.L. EACH ACCIDENT
$1,000,000
ANY YIN
B
PROPRIETORIPARTNERIEXECUTIVE
OFRCER/MEMBER EXCLUDED?
NIA
X
72 WBC AF8U92
03/23/2022
03/23/2023
E.L. DISEASE -EA EMPLOYEE
$1,000,000
(Mandatory in NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$1.000,000
DESCRIPTION OF OPERATIONS b low
DESCRIPTION OF OPERATIONS /LOCATIONS / vEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insured's Operations. Ref: Service Agreement: Layout and Design of the City of Gilroy Recreation Activity Guide. City of Gilroy, its
officers, officials, and employees is an additional insured per the Business Liability Coverage Form SS0008 attached to this policy.
CERTIFICATE HOLDER CANCELLATION
City of Gilroy, its Officers, Official,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
and Employees
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
7351 ROSANNA ST
IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
GILROY CA 95020-6141
cI' c C�
ACORD 25 (2016103)
O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD