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HomeMy WebLinkAboutCOI - CitySourced, Inc. - Expires 2018-03-05CERTIFICATE OF LIABILITY INSURANCE DATE (Mbt/DD /YYYY) 2/4/2017 THIS CERTIFICATEIS 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 BIN INSURANCE HOLDINGS LLC /PHS 505301 P: (866) 467 -8730 F: (888) 443 -6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: rcro.E.0: (866) 467 -8730 c.Na): (888) 443 -6112 ADDRIESS: INSURERS) AFFORDING COVERAGE NAICk INSURERA: Sentinel Ins Co LTD LIdfTI INSURED CITYSOURCED, INC 1545 SAWTELLE BLVD S TE 36 LOS ANGELES CA 90025 INSURER B: Multiple Comp=_nieS COMMERCIAL GENERAL LIABILITY INSURER C: INSURER D: INSURER E: EACH OCCURRENCE 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. IN9! TYPE OFLNSUR9NCE ADD L N„ SUTt WII P OLCSNVMBIIt POLICT EF (M 1DD/YYY) POIdCT F_1P /D LIdfTI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ; 2,000, 000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) „1 000, 0 0 0 X MEDEXP (Any oneperson) ;10 r 000 A General Liab 46 SBM BP84'71 03/05/2017 03/05/2018 PERSONAL& ADV INJURY s2, 000, 0 0 0 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 541 000, 0 0 0 POLICY PRO-- ❑X LOC JECT PRODUCTS - COMPIOP AGG � 4 r 000, 0 0 0 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) ; PROPERTY DAMAGE HIRED NON -OWNED AUTOS ONLY AUTOS ONLY (Per accident) X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1, 000, 0 0 0 A EXCESS LIAB CLAIMS -MADE 46 S.SM B P 8 4 71 03/05/2017 0 3/ 0 5/ 2 018 AGGREGATE g 1 r 000, 0 0 0 D X RETENTION S10 , 0 0 0 WORG'IRYCOrdPENSA770N ANDFWL0YEn'LL4BffJ'!Y ANY PROPRIETORIPARTNERIEXECUTiVEYIN PEA OTH- X STATUTE ER E.L. EACH ACCIDENT _ "i'000,000 B OFFICERIMEMBER EXCLUDED? (Mandatory in NH) ❑ MIA 46 6L;EC AD6925 11/10/2016 11/10/2017 E.L DISEASE- EA EMPLOYEE '] 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT '-1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHIC(ABORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations_ CERTIFICATE HOLDER CANCELLATION ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF GILROY AUTHORIZED REPRESENTA 77VE 7351 RO S ANNA ST GILROY, CA 95020 ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD