Loading...
HomeMy WebLinkAboutSecond Harvest Food Bank - Insurance Certificate279841 CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 3/3/2017 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 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Commercial Lines - (415) 541 -7900 Wells Fargo Insurance Services USA, Inc - CA Lic# OD08408 NAME Susan Susan Boutchie PHONE FAX IC, o Ext (650) 413 4328 Arc No E-MAJL ADDRESS: Susan boutchie @wellsfargo com 45 Fremont Street, Suite 800 INSURER(S) AFFORDING COVERAGE NA1C i! San Francisco, CA 94105 -2259 INSURER • Philadelphia Indemnity Insurance Company 18058 INSURED INSURER B 5 1,000,000 Second Harvest Food Bank INSURER C: S 1,000,000 of Santa Clara and San Mateo Counties INSURER D: S 20,000 750 Curtner Avenue INSURER E. San Jose CA 95125 INSURER F COVERAGES CERTIFICATE NUMBER: 11533137 REVISION NUMBER: See below 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 TYPE OF INSURANCE I SUER POLICY NUMBER MMIDD/YYYY MM /DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X PHPK1617633 03/0112017 03/0112018 5 1,000,000 DAMAGE ETORRENCE PREMISES Ea occurrence) S 1,000,000 MED EXP (Any one person) S 20,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2,000,000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP /OP AGG S 2,000,000 Per Occ/Agg S 1,000,000 X I OTHER Sexual Abuse molestation I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED Y AUTOS ONL AUTOS BODILY INJURY (Per accident) S " HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident S 5 UMBRELLALIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE 5 AGGREGATE S EXCESS LIAR DED I I RETENTIONS 5 WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN ANYP ROPRIETOR/PARTN E R/E XECUTI V E OFFICERlMEMBER EXCLUDED? N/A STATUTE I I ER E L EACH ACCIDENT 5 E L DISEASE - EA EMPLOYEE 5 (Mandatory in NH) If Yes. describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT 5 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) The City of Gilroy, its officers, employees, and agents are Included as additional insureds as respects General Liability In accordance with the terms and conditions of the policy City of Gilroy, Its agents, officers and employees 7351 Rosanna Street Gilroy CA 95020 ACORD 25 (2016103) 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 9e -.,., The ACORD name and loao are reaistered marks of ACORb n 1988 -2015 ACORD CnRPARATIAN ell rinintc roco—A POLICY NUMBER: PHPK1617633 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - 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): City of Gilroy, its agents, officers and employees 7351 Rosanna Street Gilroy CA 95020 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) 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 additlonal Insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section 111 - Limits Of Insurance: If coverage provided to the additional insured is required by a 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 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1