COI - YMCA of Silicon Valley - Expires 2024-07-01Client#: 443977 YMCASILIC
ACORD. CERTIFICATE OF LIABILITY INSURANCE D6/30/2/DD/YYYY)
/30/2023
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 INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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).
PRODUCER CONTACT
Felicia McAroy
Marsh & McLennan Agency LLC NAMER�welicia.McAroy@MarshMMA.com
McAr37 FAX 925-482-9390
AIC No Ext : AIC, No
Marsh e McLennan Ins Agency LLC EMAIL Felicia.McAro MarshMMA.com
1255 Treat Blvd #950 ADDRESS: Y@
Walnut Creek, CA 94597 INSURERS AFFORDING COVERAGE NAIC N
INSURER A: United States Fire Insurance Company 21113
INSURED
YMCA of Silicon Valley
80 Saratoga Avenue
Santa Clara, CA 95051
COVERAGES CFRTIFIrATF MI IMQIcO-
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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTR
TYPE OFINSURANICE
DDL
INSR
SUB
WVD
POLICY NUMBER
POLICY EFF
MM/DD
POLICYEXP
(MMIDD/YYYYI
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
5069071467
7/01/2023
0710112024
EACH OCCURRENCE
$1000000
PREMIEl
SES EaE.�co an.)
nce
S1 000 000
MED EXP (Any one Person)
$1 O 000
PERSONAL S ADV INJURY
$1,000 000
GEN'L
X
AGGREGATE LIMIT APPLIES PER:
POLICY ❑ JEC LOC
GENERAL AGGREGATE
s3,000000
PRODUCTS-COMP/OPAGG
$1,000,000
S
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea aaitlent
BODILY INJURY (Par person)
$
ANY AUTO
AUTOS ONLY AUTOSULEO
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BODILY INJURY (Per accident)$
PROPERTY DAMAGE
Per accident
$
5
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERIEXECTIVE Y/N
U
OFFICER/MEMBER EXCLUDED?
N/A
PER OTH-
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory In NH)
Ito, descnbe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMB
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
City of Gilroy, its Officers, Representatives, Agents and Employees are included as Additional Insured
(General Liability), per the attached.
0
JUL 17 2023 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
7351RosannaStreet GILROYCITYCLERICSOFFICE ACCORDANCE WITH THE POLICY PROVISIONS.
Gilroy, CA 95020
AUTHORIZED REPRESENTATIVE
�
I V— f
W 156E-2e15 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S12992366/M12989323 WBFZM