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COI - Urban Programmers - Expires 2024-07-25THE HARTFORD BUSINESS SERVICE CENTER THE 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 MB 01 001242 31996 H 5 B Ili I III III, I III, I I I 'I I III' 11 .11 "l' 1l l' 11111 l' 11111111111,111111 The City of Gilroy Attn: Planning Dept. 7351 ROSANNA ST GILROY CA 95020-6141 July 1, 2023 N— O Account Information: Policy Holder Details : BONNIE L BAMBURG DBA URBAN PROGRAMMERS ZI Contact Us Need Help? Chat online or call us at (866) 467-8730. We're here Monday - Friday. Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns. Sincerely, Your Hartford Service Team W LT R005 .►co CERTIFICATE OF LIABILITY INSURANCE 41111. DATE(MMIDDYYYY) 07101 /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 A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poliey(les) 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 Ileu of such endorsement(s). PRODUCER CONTACT USAA INSURANCE AGENCY INC/PHS 65812845 The Hartford Business Service Center NAMP- PHONE (866) 467-8730 (A/C, No, Ezt): FAX (A/c, No): E-MAIL 3600 Wiseman Blvd San Antonio, TX 78251 ADDRESS: INSURER(S) AFFORDING COVERAGE NAICN INSURED INSURERA: Continental Casualty Co. BONNIE L BAMBURG DBA URBAN PROGRAMMERS 10710 RIDGEVIEW AVE INSURERS: INSURERC: SAN JOSE CA 95127-2643 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. INSS LTR TYPEOFINSURANCE ADDL 18 SUBR D POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP M/OD/Y YYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS DAMAGE TO RENTED -MADE ❑OCCUR PREMISES E rrence MED EXP (Any one person) PERSONAL S ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY ❑ PROf ❑ LOG JEG PRODUCTS-COMP/OP AGO OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE HIRED NON -OWNED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS- MADE ED RETENTION $ WORKERS COMPENSATION PER OTH. AND EMPLOYERS' LIABILITY STATUTE E.L. EACH ACCIDENT ANY YIN PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE (Mandatory In NH) It yes, describe under E.L. DISEASE - POLICY LIMIT S R PTION P T ow A Professional Llability 852019751 07/25I2023 07/25/2024 Each Claim aggregate $1.000,000 $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached R more apace Is required) Those usual to the Insured's Operations. The City of Gilroy Its officers, and employees are named Additional Insured per the Business Liability Coverage form S80008 with written Oq CERTIFICATE HOLDER I Lr�aLS -. t5U V ISLJ I CANCELLATION The City Of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED n Attn: Planning Dept. JUL 17 �� ,j BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 7351 ROSANNA ST IN ACCORDANCE WITH THE POLICY PROVISIONS. ADTHORIZEDREPREBENTATIVE GILROY CA 95020 GILROYCITYCLERK'SOFFICE ACORD 25 (2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE HARTFORD BUSINESS SERVICE CENTER THE 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 MB 01 001241 31996 H 5 B 'I11Illlhall II'III'III II'IIIItIIIII 1111111 11111111116111ll�l� The City of Gilroy Attn: Planning Dept. 7351 ROSANNA ST GILROY CA 95020-6141 Account Information: Policy Holder Details ; BONNIE L BAMBURG DBA URBAN PROGRAMMERS July 1, 2023 II Contact Us Need Help? Chat online or call us at (866)467-8730. We're here Monday - Friday. Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns. Sincerely, Your Hartford Service Team W LTRO05 ac Rd CERTIFICATE OF LIABILITY INSURANCE DATE 07/0M/2023 Y) 071011, 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(les) 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 USAA INSURANCE AGENCY INC/PHS 65812845 The Hertford Business Service Center NAME- PHONE (888)242.1430 (ac, No, Ezl): FAX (A/C, No): 3600 Wiseman Blvd E-MAIL San Antonio, TX 78251 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Sentinel Insurance Company Ltd. 11000 BONNIE L BAMBURG OBA URBAN PROGRAMMERS INSURER e: 10710 RIDGEVIEW AVE SAN JOSE CA 95127-2643 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 T TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLIC MMDDY EFF POLICY EXP MMIDD/YY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE1XIOCCUR General Liability DAMAGE TOEREoNTEDen� PREMES(X $1,000,000 MED EXP(Any one person) $10,000 A X 65 SBA KWO636 01/19/2023 01/19/2024 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ❑ PRO. ❑ LOC JECT X PRODUCTS-COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ira aoddandl $1,000,000 ANY AUTO BODILY INJURY (Per person) A ALL OWNED SCHEDULED AUTOS AUTOS X 65 SBA KWO636 01/19/2023 01/19/2024 BODILY INJURY (Per accident) X HIRED NON -OWNED AUTOS X AUTOS PROPERTY DAMAGE (Peraccldent) UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB CADE LAIMS- M AGGREGATE ED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER E.L. EACH ACCIDENT ANY YIN PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT DSCRIPT! N OFOPERA71ONS below DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Those usual t0 the Insured's Operations. The City of Gilroy Its officers, and employees are named Additional Insured per the Business Liability Coverage form SS0008 with written CERTIFICATE HOLDER IFEQf9C(�IlIM5J1\V1LFLW1 CANCELLATION The City Of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Attn: Planning Dept. JUL L ]. 7 L0[ 3 7351 ROSANNA ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE GILROY CA 95020 CITY CLERK'S OF ICE GILROY ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD