COI - Bonnie L Bamburg dba Urban Programmers - Expires 2024-01-19�►���° CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDfY1fYY)
12/21 /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
USAA INSURANCE AGENCY INC/PHS
65812845
PHONE (866) 467-8730
(AIC, No, Ext):
FAX
(A/C, No):
The Hartford Business Service Center
E-MAIL
3600 Wiseman Blvd
San Antonio, TX 78251
ADDRESS:
INSURERS) AFFORDING COVERAGE NAIC#
INSURED
INSURER A: Continental Casualty Co.
BONNIE L BAMBURG DBA URBAN PROGRAMMERS
10710 RIDGEVIEW AVE
INSURER B :
INSURER C
SAN JOSE CA 95127-2643
INSURER D
INSURER E :
INSURER F :
r•nvCcer_CQ r=0T1=1f`AT1= pIIIMRFR- 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
LTR
TYPE OF INSURANCE
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
D
POLICY EXP
MM
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
CLAIMS -MADE OCCUR
DAMAGE TO RENTED
PREMISES occurrence)
MED EXP (Any one parson)
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
POLICY ❑ PRO ❑ LOC
JECT
OTHER:
A
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
a accident)
BODILY INJURY (Per person)
ANY AUTO
BODILY INJURY (Per accident)
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED NON -OWNED
AUTOS AUTOS
PROPERTY DAMAGE
(Per accident)
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIMS-
MADE
EACH OCCURRENCE
AGGREGATE
DED
RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
PER
STATUTE
[70TH,
E
E.L. EACH ACCIDENT
ANY YIN
PROPRIETOR/PARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
N/ A
E.L. DISEASE -EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
A
Professional Liability
652019751
07/25/2022
07/25/2023
Each Claim
Aggregate
$1,000,000
$1,000,000
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. The City of Gilroy its officers, and employees are named Additional Insured per the Business Liability
Coverage form SS0008 with written contractual agreement.
GEK FIFIGATE HOLDEK %OMMUCLLA 1 IVN
The City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
Attn: Planning Dept. BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
7351 ROSANNA ST IN ACCORDANCE WITH THE POLICY PROVISIONS.
GILROY CA 95020 �AUTHORIZED REPRESENTATIVE
U �ee�en of C�
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)
The ACORD name and logo are registered marks of ACORD
ACOR CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
12/21/2022
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 pollcy(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 Hartford Business Service Center
NAMM
PHONE (888) 242-1430
FAX
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 DBA URBAN PROGRAMMERS
INSURER B :
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
LTR
TYPE OF INSURANCE
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE OCCUR
General Liability
X
DAMASE__7TOPREMES EREoNTED c
$1,000,000
MED EXP (Any one person)
$10,000
A
X
65 SBA KW0636
01/19/2023
01/19/2024
I
PERSONAL & ADV INJURY
$1,000,000
GENT 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
(Ea accIdent)
$1,000,000
ANY AUTO
BODILY INJURY (Per person)
A
ALL OWNED SCHEDULED
AUTOS AUTOS
X
65 SBA KW0636
01/19/2023
01/19/2024
BODILY INJURY (Per accident)
HIRED NON -OWNED
X AUTOS X AUTOS
PROPERTY DAMAGE
(Per accident)
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
EXCESS LIAB
CLAIMS-
MADE
AGGREGATE
ED
I RETENTION $
WORKERS COMPENSATION
PER
ISTATUTF
OTH-
AND EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
ANY YIN
PROPRIETOR/PARTNERIEXECUT IVE
OFFICER/MEMBER EXCLUDED?
N/ A
E.L. DISEASE -EA EMPLOYEE
(Mandatory In NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS
DESCRIPTION OF OPERA77ONS ILOCA77ONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space 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 SS0008 with written contractual agreement.
CERTIFICATE HOLDER CANCELLATION
The City of Gilroy
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
Attn: Planning Dept.
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
7351 ROSANNA ST
IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
GILROY CA 95020
CSC of Caa
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD