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HomeMy WebLinkAboutSecond Harvest Food Bank - Insurance Certificate (2019)279841 ACC) " CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 3 /2 /20D/YYYY) 3/2/2018 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 CONTACT NAME: Susan Boutchie Commercial Lines - (628) 201 -9001 PHONE FAX A/c No, Ext : (628) 201 -9041 we No USI Insurance Services National, Inc. - CA Lic #: OD08408 PHPK1785657 AE-MAIL susan.boutchie @usi.com 201 Mission St, 11th Floor EACH OCCURRENCE S 1,000,000 INSURER(S) AFFORDING COVERAGE NAIC# San Francisco, CA 94105 INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURED INSURER B Second Harvest Food Bank INSURER C PERSONAL & ADV INJURY of Santa Clara and San Mateo Counties INSURER D 750 Curtner Avenue INSURER E: AGGREGATE LIMIT APPLIES PER: San Jose CA 95125 INSURER F: COVERAGES CERTIFICATE NUMBER: 12802217 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM /DDIYYYY POLICY EXP MM /DD /YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X PHPK1785657 03/01/2018 03/0112019 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence S 1,000,000 MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY S 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 GEN'L X POLICY —1 PRO JECT ❑ LOC PRODUCTS - COMP /OP AGG S 2,000,000 Per Occ /Agg S 1,000,000 X OTHER: Sexual Abuse molestation AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 5 BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS AUTOS ONLY AUTOS ONLY D PROPERTY DAMAGE — (Per accident $ I 1 UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETOR/PARTNER /EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L. DISEASE - Fes, EMPLOYEE S (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 7 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if 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. CERTIFICATE HOLDER CANCELLATION City of Gilroy, its agents, officers and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy CA 95020 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD @ 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD „ °0.0„ u11111 1ui 1� 111 1u 1E lit EimPu1 1u 111 1u 1111111 11i ,_.._.... POLICY NUMBER: PHPK1785657 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endurst-ment 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 it - Who Is An Insured is amended to include as an additional insured the person(s) or arganization(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; W 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 lave; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional lnsured 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 fit - Limits Of Insurance-- If coverages provided to the additional insured is required by a contract or agreement, the most we wiff 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 O Insurance Services Office, Inc., 2012 Page 1 of 1 ' CYB01 A05/001090/03/03/01010/0'