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Home My WebLink AboutSocial Vocational Services - Insurance CertificateA� °® CERTIFICATE OF LIABILITY INSURANCE F6/30/2016 0/YYYY) DATE 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 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(s). PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of CA. Inc. LIC #0726293 505 N. Brand Boulevard, Suite 600 CONTACT Nadine Romero PIiO "E . 818 -539 -1366 FAx 818- 539 -1666 E -MA IL . nadine_romero@ajg.com INSURERS AFFORDING COVERAGE NAIC N Glendale CA 91203 INSURER A: Nonprofits' Insurance Alliance of C EACH OCCURRENCE $1,000,000 INSURED SOCIVOC -02 INSURER B:Zurich American Insurance Company 16535 Social Vocational Services 3555 Torrance Blvd. INSURER C: $20,000 Torrance, CA 90503 INSURER D: GENT AGGREGATE LIMIT APPLIES PER: R POLICY PRO � LOC JECT OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS •COMP /OP AGG INSURER E: INSURER F: AUTOMOBILE COVFRAGFS CFRTIFICATF NI IMRFD- 1342744703 DFVISIAN NI IMRFD- 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 I WV POLICY NUMBER POLICY EFF MIDD/YYYY POLICY EXP MWDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LX OCCUR Prof Liab`• 201 5- 0 7 64 4 -NPO 9115 /2015 9/15/2016 EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence $1,000,000 X ME EXP (Any one son) $20,000 PERSONAL & ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: R POLICY PRO � LOC JECT OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS •COMP /OP AGG f3,000,000 f AUTOMOBILE LIABILITY ANY AUTO AMRSS" SCTEDULED ANNON-OSSWNED H IRED AUTOS AUTOS Ea accident $ BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) $ PROPER Per accident $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS•MADE EACH OCCURRENCE $ AGGREGATE $ DIED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A EWS 0117457 -00 6/30/2016 6/30/2017 X PER oTH- STATUTE ER E.L. EACH ACCIDENT . $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) "Aggregate Limit - $3,000,000; Each Occurrence - $1,000,000 The City of Gilroy, its officers and employees are named as Additional Insured as respects General liability coverage evidenced herein for liability arising out of the operations of the Named Insured per written contract. I.GK I I1-11t,14I t 11ULUtK GANGLLLA I IUN City Of Gilroy 7301 Rosanna Street Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. {AUTHORIZED REPRESENTATIVE ® 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD A� OF CERTIFICATE OF LIABILITY INSURANCE 9/11/2015 (MMADDIYYYY) 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 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(s). PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of CA. Inc. LIC #0726293 505 N. Brand Boulevard, Suite 600 CONTACT Lindsa SUrOWItZ = . $18- 539 -1389 FAX . 8I8- 539 -1689 E -MAIL ADDRESS, Lindsay_surowitz@ajg.com INSURERS AFFORDING COVERAGE NAIC t Glendale CA 91203 INSURER A:Nonprofits' Insurance Alliance of C EACH OCCURRENCE $1,000,000 INSURED SOCIVOC -02 INSURER B: Zurich American Insurance Company 16535 Social Vocational Services 3555 Torrance Blvd, INSURER C: $20,000 Torrance, CA 90503 INSURER D: GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1:1 PRO- JECT 7 LOC OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS ' COMP/OP AGG INSURER E: INSURER F: AUTOMOBILE COVERAGES CERTIFICATE NUMBER: 1429996159 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 INSD WVD POLICY NUMBER POLICY EFF MIDD/YY POLICY EXP WDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR Prof Liab'" 2015- 07644 -NPO 115/2015 /15/2016 EACH OCCURRENCE $1,000,000 DAMAGE TO RENT PREMISES Ea occurrence' $1,000,000 X MED EXP (Anyone person) $20,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1:1 PRO- JECT 7 LOC OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS ' COMP/OP AGG $3,000,000 $ AUTOMOBILE LIABILITY ANY AUTO AUTOS NED AUTOSULED NON -OWNED HIRED AUTOS AUTOS Ea accident $ BODILY INJURY (Per person) _ $ BODILY INJURY (Per accident) $ Per accident $ S UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED7 (Mandatory in NH) If yes, describe under 'DESCRIPTION OF OPERATIONS below N /A EWS 0117457 -00 130 /2015 /30/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) 7 Agggregate Limit - $3,000,000; Each Occurrence - $1,000,000 e City of Gilroy, its officers and employees are named as Additional Insured as respects General liability coverage . evidenced herein for liability arising out of the operations of the Named Insured per written contract. LrGK I Ir IVN 1 C r1 VLUCK I.HIYI.CLLA I IUN City Of Gilroy 7301 Rosanna Street Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ® 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 1`5260028002 R AC O/�U® CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDNYYY) 06/29/2015 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), AUTHORED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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(s). PRODUCER 1- 818 -539 -2300 Arthur' J. Gallagher & Co. insurance Brokers of California, Inc. License #0726293 505 Borth Brand Boulevard, Suite 600 CONTACT Lindsay Levine NAME:- Li _ -- -- PRONE I FAX *a g4: -818- 539 -1389 _ L(pIC,Nol: 818- 539 - 1689 ADDRESS: lindsay_levine@ajg.com _ INSURER(S) AFFORDING COVERAGE __ - --- -- -NAIL 0 INSURERA: Nonprofits' Insurance Alliance of G CLAIMS#1ADE X1 OCCUR Glendale, G 91203 -3944 --- INSURED ---- -- - - -- - ---- - - - -- -- ZTIRICB AMER INS CO 16535 Social vocational Services -INSURERS: . - -- - - -_ - - - - -- - INSURER C: - - -- INSURER D._____ $ 10,000 3555 Torrance Blvd. INSURER E Professional Liab" INSURER F:- — - --------- _- - - - - -- Torrance, G 90503 COVERAGES CERTIFICATE NUMRER- 44433307 REVISION NUMRER- - 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. BISR ADDL SUER POLICY EFF .POLICY EXP - - - - - -- Lm TYPE OF DURANCE INSO INVO POLICY NUMBER MMIDD LIMITS A S COMYERCUU. GENERAL LU181UTY 2014 - 07644 -UPO 09/15/14 09/15/15 EACH OCCURRENCE 1,000,000 _ CLAIMS#1ADE X1 OCCUR ____$ DAMAGE TO RENTED _PREMISES (_Ea occurrence)_ 100, 000 $ _ — MED EXP (Any one person) $ 10,000 8 Professional Liab" PERSONAL 6 ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 31000,000 GENt _ POLICYn JEC n LOC PRODUCTS - COMPIOPAGG_ _$ $ 3,000,000_ $ OTHER: AUTOMOBILE LIABMITY COMBINED SINGLE LIMIT $ BODILY INJURY (Per'persar) $ . ANY AUTO — _..AUTOS ALL OWNED SCHEDULED - _ AUTOS - BODILY INJURY (Per accidenU $ PROPERTY DAMAGE Per accident - - -- - -_ $ HIRED AUTOS NON-OWNED _ AUTOS —_ -- —. -- UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE -- $ - -- -- EXCESS LUIS CLAIMS -MADE -OED RETENTION $ $ H WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEREXECUTIVE Ya ENS0117457 -00 06/30/15 06/30/16 8 STATUTE ER__ _ E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? (YaaddM In NH) NIA — E.L. DISEASE - EA EMPLOYEE - $ 1,000,000 If yes describe DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more apace Is required) "Aggregate Limit - $3,000,000; Bach Occurrence - $1,000,000 The City of Gilroy, its officers and employees are named as Additional insured as respects General liability coverage evidenced herein for liability arising out of the operations of the Named Insured per written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS: Attn: Frank COmin Fleet Superintendent 7301 Rosanna ;Street AUTHORIZED REPRESENTATIVE Gilroy, G 95020 y . ,e{fl/:taQ. USA 01988 -2014 ACOR13 CORPORATION- All rights reserve ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD mchsinglen 44433307 EI N O N 0 UJ P52611a2ag12 Q� 3 '4 CERTIFICATE OF LIABILITY INSURANCE D 09 /22/DD/Y 09/22/2014 4 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 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 (s). PRODUCER 1- 818 -539 -2300 CONTACT Sally Grix Arthur J. Gallagher & Co. NAME: PHONE 818 -539 1314 #0726293 (A/C,Nn,E,):._..-_- Insurance Brokers of California, Inc. License 505 North Brand Boulevard, Suite 600 E-MAIL ADDRESS__ sally_grix aaig.COID_.- _ " -- - -- _ -- Glendale, CA 91203 -3944 _ INSURER(S) AFFORDING COVERAGE -_ _ NAIC 0_ _ INSURERA: Nonprofits, Insurance Alliance of CA INSURED Social Vocational Services INSURERB: AMERICAN ZURICH INS CO 40142 - -- ------- - - - - -- - -. INSURER C: 3555 Torrance Blvd. INSURER D: Torrance, CA 90503 INSURER F: COVFRAGFS rCOTICIr ATCantsaoen. ei c�o�oe 11 "Umor-lit. 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 ADDL SUBR ' - -- - - - -- -- _, - -- -- -. l LTR TYPE OF INSURANCE - POLICY NUMBER MMMDY� MMM1uDDIPYYY I LIMITS A GENERAL LIABILITY "g 2014- 07644 -NPO 09/15/1 09/15/15 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL�LIABILITY CLAIMS -MADE L OCCUR _ DAMAGE TO RENTED PREMISES (Ea occurrence)-._ --- " - -- -- $ 100,000 X Professional Liab ** MED_E_XP (Any one person)- $ 10,000 PERSONAL 8 ADV INJURY $ 11000,000 ----- - - - - -- - - - -- GENERAL AGGREGATE - - -- - - - -- _ $ 3,000,000 _"E 'L AGGREGATE LIMIT APPLIES PER: -. - - ' PRO- PRODUCTS - COMP /OP AGG $ 3,000,000 -- - --- - - --- -- POLICY . "._ ,CT 8 j LOC AUTOMOBILELIABILITY COMBINED 'SINGLE LIMIT (Ea accident) $ ANY AUTO _ ALL OWNED SCHEDULED BODILY INJURY (Per person) - ---- - -_ - -- BODILY INJURY (Per accident) - - - - -- - -. - - -_ $ __- AUTOS _ AUTOS HIRED AUTOS AUTOSWNED PROPERTY DAMAGE _ _(Peraq en9_ $ - -- - - -- --- - ----- UMBRELLA LIAR f OCCUR EACH O_CCLI C_E $___ EXCESSLIAB __ AGGREGATE __ I $ $ _ _CLAIMS-MADE DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC017385400 06/30/1 06/30/15 8- TORY LIMITS____ ER__.— YIN ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA 1, 00 0, 000 EACH ACT E.L. EACCIDENT (Mandatory in NH) If Yes, describe under E.L. DISEASE_- EA E_MP_LO_YE ' - .-___. _ -__ _ _ $ 1,000,000 000 _ _ E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS /.LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) * *Aggregate Limit - $3,000,000; Each Occurrence - $1,000,000 The City of Gilroy, its officers and employees are named as Additional Insured as respects General liability coverage evidenced herein for liability arising out of the operations of the Named Insured per written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.. Attn: Frank Comin Fleet Superintendent 7301 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 USA 01988 -2010 ACORD CORPORATION- All riehte rocamarl ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD manojgle 41529297 0, N O N 0 0 LU