COI - Vision Y Compromiso, Inc. - Expires 2023-09-22ACOROF CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDA'YYY)
`/
06/19/2023
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 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($).
PRODUCER
CONTACT Katherine Berkman
NAME:
Calender-Robinson Company, Inc.
PHONE (415) 978-3800 FAA (415) 978-3825
A/C No E#: AIC No:
0267063
E-MAIL kberkman@calrob.com
ADDRESS:
233 Sansome St. Ste 508
INSURER(S) AFFORDING COVERAGE
NAIC N
San Francisco CA 94104
INSURERA: Nonprofits' Insurance Alliance of CA(NIAC)
INSURED
INSURER B
Vision Y Compromise, Inc.
INSURER C :
P.O. Box 708
INSURER D
INSURER E:
San Lorenzo CA 94580
1 INSURER F:
COVERAGES CERTIFICATE NUMBER: CL2292233687 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 OFANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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
ADDLSUSR
RED
MO
POUCY NUMBER
POLICY EFF
fiAWDD=
POLICY EXP
JMWDD"YY)LIMITS
X
COMMERCUU.GENERALLIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMSMADE N OCCUR
PREMISES Ea occurmnco
$ 500,000
MED EXP(Any one person)
$ 20,000
Includes sexual misconduct
X
liability @$1,000,000/$2,000,000
PERSONAL S ADV INJURY
$ 1,000,000
A
2022-20112-NPO
09/22/2022
09/22/2023
GENLAGGREGATE LIMITAPPLIES PER:
GENEMLAGOR50ATE
$ 3,000,000
RI LOG
X POLICY IECT
PRODUCTS - COMPIOP AGO
$ 3,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accdent
$ 1,000.000
BODILY INJURY (Per person)
$
ANYAUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
2022-20112-NPO
09/22/2022
09/2212023
BODILY INJURY (Par accld.ou
$
X
PROPERTY DAMAGE
Par accident
$
HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
Rental physical damage
$ 500 deductible
X
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
$ 3,000,000
AGGREGATE
$ 3,000,000
A
EXCESS UAS
CLAIMS -MADE
2022-20112-UMB
09/2212022
09/22/2023
DED
I X RETENTION 101000
over and above all A)
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
PER OTH.
STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
NIA
E.L. EACH ACCIDENT
$
(Mandatory in NHl
E.L. DISEASE -EA EMPLOYEE
$
If yes, describe, under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$
A
Social services professional liability
2022-20112-NPO
09l22/2022
09/22/2023
Each claim
$ 1,000,000
Aggregate
$ 3,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached If more space is required)
City of Gilroy, its officers, officials and employees are all included as additional ed as additional Insured as per the attached endorsement
mg[gtl
JUN 27 2023
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS.
7351 Rosanna Street
AUTHORIZED REPRESENTATIVE
Gilroy CA 95020 I („iCX-b,
@ 1988.2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Named Insured: Vision y Compromiso, Inc.
Policy: 2022-20112-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)