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Home My WebLink AboutYMCA - Insurance CertficiateClient#: 27430 YMCAOFSI ACORD,. CERTIFICATE OF LIABILITY INSURANCE - nATE(MM/DD/YCYY) 7/01/2015 THIS CERTIFICATE It 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 Barney & Barney, A Marsh & McLennan Insurance Agency LLC company 1340 Treat Blvd #250 Lic OH18131 NAME CT Felicia McAroy PHONE 925 482 -9300 FAX A/C. No E,): A/C, No): 925 482 -9390 E-MAIL i lica.mcaro ADDRESS: fe y@barne an y dbarne y com 5068817622 7/01/2015 Walnut Creek, CA 94597 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: United States Fire Insurance Co 121113 INSURED YMCA of Silicon Valley 80 Saratoga Avenue Santa Clara, CA 95051 INSURER B: Cypress Insurance Company (CA) 110855 INSURER C: INSURER D: GENERAL AGGREGATE $3,OQO,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY D PECT RO X LOC J PRODUCTS - COMP /OP AGG INSURER E: .INSURER F: • AUTOMOBILE.LUIBIURY 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 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 OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICYEFF MM/DD POLICYEXP MM /DD LIMITS • GENERAL LIABILITY XI COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F7x OCCUR X 5068817622 7/01/2015 07/01/2016 EACH OCCURRENCE $1,000,000 DAMA 5ES R NNTT ence $1,000,000 MEDEXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $3,OQO,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY D PECT RO X LOC J PRODUCTS - COMP /OP AGG $1,,000,000 $ • AUTOMOBILE.LUIBIURY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS i 5068817622 D710112015 07/01/2016 EOa accideDtSINGLE LIMIT $1.,000,000 X, X BODILY INJURY (Per person) $ R NJUY Per accident BODILY I ( ) $ PROPERTY DAMAGE Per accident $ $ • XI UMBRELLA LIAB EXCESS.UAB X OCCUR CLAIMS -MADE 5821039278 7101/2015 07/01/2016 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DED I X RETENTION $10,000 $ • WORKERS COMPENSATION EMPLOYERS' LIABILITY Y / N ANY PROPRIETOkOARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A YMWC600216 7/01/2015 0710112 0X TH- e SMAND 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 1. LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if-more space Is required) RE: Gilroy Senior Center, 7371 Hanna Street, Gilroy, CA. City of Gilroy is included as Additional Insured (Gen. Liab.), per the attached. Insurance is primary and non - contributory. City of Gilroy Recreation Department 7351 Rosanna Street Gilroy, CA 95020 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 l�'J�C vvt.ivL 0 ACORD CARPARATIAN All rinhfa wear A ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S429505/M426339 PAT11 INSURED: YMCA of silicon valley POLICY #: 5068817622 POLICY PERIOD: 07/01 /2015 TO 07/01/2016 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL ENSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Where required by written contract Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section If — Who Is An Insured is amended to include as an additional insured the persons) 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: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a .contract or agreement; the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 0413 C Insurance Services Office, Inc., 2012 Page 1 of 1