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HomeMy WebLinkAboutGilroy Historical Society - Insurance Certificate (2020)INONPROFITS INSURANCE NONPROFITS INSURANCE ALLIANCE -� OF CALIFORNIA (NIAC) ALLIANCE OF CALIFORNIA www. ins uran cefornon profits, org A Head for Insurance, A Heart for Nonprofits. II COMMERCIAL LINES COMMON POLICY DECLARATIONS I PRODUCER: Acrisure of California, LLC 15005 Concord Circle, Suite 110 Morgan Hill, CA 95037-5417 NAME OF INSURED AND MAILING ADDRESS: Gilroy Historical Society P.O. Box 1621 Gilroy, CA 95021 POLICY NUMBER: 2019-57352 POLICY PERIOD: FROM 01/01/2019 TO 01/01/2020 AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Provide programs and services for local museum IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THESE PREMIUMS MAY BE SUBJECT TO ADJUSTMENT. PREMIUM COMMERCIAL GENERAL LIABILITY COVERAGE PART - OCCURRENCE ................;............. $650 COMMERCIAL AUTO LIABILITY COVERAGE PART ................................. Not Covered COMMERCIAL AUTO PHYSICAL DAMAGE COVERAGE PART ............... Not Covered IMPROPER SEXUAL CONDUCT AND PHYSICAL ABUSE COVERAGE PART Not Covered SOCIAL SERVICE PROFESSIONAL COVERAGE PART Not Covered COMMERCIAL LIQUOR LIABILITY COVERAGE PART ............................ INCLUDED TERRORISM COVERAGE (Certified Acts).............................................................................. $4 TOTAL: $654 FORM(S) AND ENDORSEMENT(S) MADE A PART OF THIS POLICY AT TIME OF ISSUE:* CG 00 0104 13 CG 00 33 04 13 CG 20 02 11 85 CG 20 10 04 13 CG 20 12 04 13 CG 20 18 04 13 CG 20 20 1185 CG 20 2107 98 CG 20 26 04 13 CG 20 34 04 13 CG 20 37 04 13 CG 2109 06 15 CG 21 16 04 13 CG 21 4712 07 CG 2170 01 15 CG 22 44 1185 CG 24 07 0196 CG 25 04 05 09 CG 77 94 04 93 IL 00 17 1198 IL 02 70 09 12 IL 09 99 01 15 NIAC-E11 07 92 NIAC-E12 05 92 NIAC-E15 01 17 NIAC-E22 08 95 NIAC-E25 12 15 NIAC-E26 11 17 NIAC-E28 01 99 NIAC-E29 12 09 NIAC-E3 01 17 NIAC-E33 01 17 NIAC-E34 09 18 NIAC-E42 01 17 NIAC-E5 0715 NIAC-E56 01 17 NIAC-E59 02 12 NIAC-E60 07 12 NIAC-E61 11 17 NIAC-E67 08 17 NIAC-E70 12 15 NIAC-E72 01 17 NIAC-E74 03 14 NIAC-GL-NPO NIAC-LL-NPO NIAC-NPO-001 09 17 NIAC-X1 06 18 SCHEDULE G 0180 SCHEDULE L 0180 *OMITS APPLICABLE FORMS AND ENDORSEMENTS IF SHOWN IN SPECIFIC COVERAGE PART / COVERAGE FORM DECLARATIONS. (� COUNTERSIGNED: 01/09/2019 BY o r (AUTHORIZED REPRESENTATIVE) THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. Notice: This risk pooling contract is issued by a pooling arrangement authorized by California Corporations Code Section 5005.1. The pooling arrangement is not subject to all of the insurance laws of the State of California and is not subject to regulation by the Insurance Commissioner. Insurance guaranty funds are not available to pay claims in the event the risk pool becomes insolvent. NIAC-CO (01835 - AB) M NONPROFITS INSURANCE, NONPROFITS INSURANCE ALLIANCE: OF CALIFORNIA (NIAC)' ®P ALLIANCE Or CAL1roRNIA WWW.insurance'fornonprofits.org A Head for Insurance. A Heart for Nonprofits. ICOMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS PRODUCER: Acrisure of California, LLC 15005 Concord Circle, Suite 110 Morgan Hill, CA 95037-5417 NAME OF INSURED AND MAILING ADDRESS: Gilroy Historical Society P.O. Box 1621 Gilroy, CA 95021 POLICY NUMBER: 2019-57352 POLICY PERIOD: FROM 01/01/2019 TO 01/01/2020 AT 12:01 A;M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Provide programs and services for local museum IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. LIMITS OF COVERAGE: GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS - COMPLETED OPERATIONS) $2,000,000 PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT .......................... $2,000,000 PERSONAL AND ADVERTISING INJURY LIMIT ................................................. $1,000,000 EACH OCCURRENCE LIMIT................................................................................ $1,000,000 DAMAGE TO PREMISES RENTED TO YOU ....................................................... $500,000 any one premises MEDICAL EXPENSE LIMIT ................................... ................................................... $20,000 any one person ADDITIONAL COVERAGES: CLASSIFICATIONS) SEE ATTACHED SUPPLEMENTAL DECLARATIONS SCHEDULE G PREMIUM $650 FORMS AND ENDORSEMENTS APPLICABLE TO THIS POLICY ARE INCLUDED IN COMMERCIAL LINES COMMMON POLICY DECLARATIONS COUNTERSIGNED: 01/09/2019 BY (AUTHORIZED REPRESENTATIVE) THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. NIAC-GL (01835) ® NONPROFITS INSURANCE ® ALLIANCE OF CALIFORNIA A Head for Insurance. A Heart for Nonprofits. COMMERCIAL GENERAL LIABILITY EXTENSION OF DECLARATIONS POLICY NUMBER: 2019-57352-NPO NAME OF INSURED: Gilroy Historical Society PREMISES CODE/CLASS 13507/Gift Shops - NFP 41670/Clubs - civic, service or social - no bldgs or prem owned or leased except for office purposes - NFP ADDITIONAL COVERAGES Activities/Field Trips: Event # # of people 1 25 Increased Aggregate Additional Premium to Meet Minimum NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA (NIAC) www.insurancefornonprofits.org Schedule G Page 1 *LOC PREMIUM RATE *ADVANCED BASIS PREMIUM 1 700 2.574 $2 Prod. 700.00 3.025 $2 1 35 1.583 $55 Description Annual Bowlathon *See Common Declarations for Total Advanced Premium and Schedule 'L' for locations. COUNTERSIGNED: 1/9/2019 BY al-,� eAQ NIAC - SCHEDULE G - NPO (AUTHORIZED REPRESENTATIVE) $50 $59 $482 (01835) NMINONPROFITSINSUR.ANCF ALLIANCE OF CALIFORNIA A Head for insurance, A Heart for Nonproflts COMMERCIAL GENERAL LIABILITY EXTENSION OF DECLARATIONS POLICY NUMBER: 2019-57352-NPO NAME OF INSURED: Gilroy Historical Society PREMISES < _DESIGNATED PREMISES LOC/BLDG ADDRESS, CITY, STATE, ZIP 1 Mailing Only Gilroy, CA 95021 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA (NIAC) www.insurancefornonprofits.org Schedule L Page 1 ADDITIONAL INSUREDS AND OTHER INTERESTS COUNTERSIGNED: 01/09/2019 BY e ,a . NIAC - SCHEDULE L - NPO (AUTHORIZED REPRESENTATIVE) (01835) ®� NONPROFITS INSURANCE ® ALLIANCE or CALIFORNIA A Head for insurance. A Heart for Nonprofits. NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA (NIAC) www.insurancefornonprofits.org COMMERCIAL LIQUOR LIABILITY COVERAGE PART DECLARATIONS PRODUCER: POLICY NUMBER: 2019-57352- NPO Provide programs and services for local museum Acrisure of California, LLC 15005 Concord Circle, Suite 11, Mo CA NAME OF INSURED AND MAILING ADDRESS: Gilroy Historical Society POLICY PERIOD: FROM 01/01/2019 TO 01/01/2020 AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: 01835 IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. LIMITS OF COVERAGE: GENERAL AGGREGATE LIMIT ....................................... $ 1,000,000 EACH COMMON CAUSE LIMIT ....................................... $ 1,000,000 PREMIUM: Included FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART AND MADE PART OF THIS POLICY AT THE TIME OF ISSUANCE: CG 00 33/01 96 THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. Notice: This risk pooling contract is issued by a pooling arrangement authorized by California Corporations Code Section 5005.1. The pooling arrangement is not subject to all of the insurance laws of the State of California and is not subject to regulation by the Insurance Commissioner. Insurance guaranty funds are not available to pay claims in the event the risk pool becomes insolvent. COUNTERSIGNED: 01/09/2019 BY (AUTHORIZED REPRESENTATIVE) NIAC - CO - NPO (95021) ®❑NONPROFITS INSURANCE ALLIANCE of CALIFORNIA A Mead far Insurance, A Heart for Nonpra fits, NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA (NIAC) INDEX OF FORMS ATTACHED TO THE POLICY POLICY NUMBER: 2019-57352 - NPO NAME OF INSURED: Gilroy Historical Society LIABILITY FORMS AND ENDORSEMENTS Commercial General Liability Coverage. Form Liquor Liability Coverage Form Additional Insured - Club Member Additional Insured - Owners, Lessees or Contractors Additional Insured - State or Political Subdivisions - Permits Additional Insured - Mortgagee, Assignee or Receiver Additional Insured - Charitable Institutions Additional Insured - Volunteers Additional Insured - Designated Person or Organization Additional Insured - Lessor of Leased Equipment - Automatic Status - Lease Additional Insured - Owners, Lessees or Contractors - Completed Operations Exclusion - Unmanned Aircraft Designated Professional Services Exclusion Employment -Related Practices Exclusion Cap on Losses from Certified Acts of Terrorism Health or Cosmetic Services Exclusion Products/Completed Operations Hazard Redefined Amendment - Aggregate Limits of Insurance (Per Location) Liability Arising Out of Lead Exclusion Common Policy Conditions California Changes - Cancellation and Nonrenewal Disclosure Of Premium for Certified Acts of Terrorism Coverage Fireworks Exclusion Nuclear Energy Liability Exclusion Endorsement Blood Testing Exclusion Asbestos Exclusion Additional Insured - Designated Person or Organization Waiver of Transfer of Rights of Recovery Against Others Property Damage to Personal Property in the Care, Custody or Control of the Insured Employee Personal Auto Reimbursement Member Criteria Mold, Fungus Exclusion Construction and Conversion Exclusion Nuclear, Chemical and Biological Hazard Exclusion Trampoline Bounce House Exclusion Liberalization - GL, SSP, EBL Liberalization - LL Volunteer Medical Payments www.insurancefornonprofits.org Page 1 FORM NUMBER/EDITION DATE CG 00 01 04 13 CG 00 33 04 13 CG 20 02 11 85 CG20100413 CG20120413 CG20180413 CG 20 20 11 85 CG 20 21 07 98 CG 20 26 04 13 CG 20 34-04 13 CG 20 37 04 13 CG 21 09 06 15 CG 21 16 04 13 CG 2147 12 07 CG 21 70 01 15 CG 22 44 11 85 CG 24 07 01 96 CG 25 04 05 09 CG 77 94 04 93 IL001711 98 IL02700912 IL09990115 NIAC-E11 07 92 NIAC-E12 05 92 NIAC-E15 01 17 NIAC-E22 08 95 NIAC-E25 12 15 NIAC-E26 11 17 NIAC-E28 01 99 NIAC-E29 12 09 NIAC-E3 01 17 NIAC-E33 01 17 NIAC-E34 09 18 NIAC-E42 01 17 NIAC-E5 07 15 N IAC-E56 01 17 NIAC-E59 02 12 NIAC-E60 07 12 This list of forms is not part of the actual policy, but is for your information only. Please refer to the policy(s) for actual limits, coverages and exclusions. ®❑NONPROFITS INSURANCE ALLIANCE: OF CALIFORNIA A Head for Insurance. A Heart for Nonprofits. NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA (NIAC) INDEX OF FORMS ATTACHED TO THE POLICY POLICY NUMBER: 2019-57352 - NPO NAME OF INSURED: Gilroy Historical Society LIABILITY FORMS AND ENDORSEMENTS Additional Insured - Primary and Non -Contributory Endorsement for Public Entities Additional Insured - Managers or Lessors of Premises Fundraiser Endorsement Other Insurance - Coverage C Mental Anguish Endorsement Commercial General Liability Coverage Part Declarations Commercial Liquor Liability Coverage Part Declarations Nonprofits' OWN Enhancement Endorsement Improper Sexual Conduct and Physical Abuse Exclusion Commercial General Liability Class Code Schedule Commercial General Liability Location Schedule www.insurancefornonprofits.org Page 2 FORM NUMBER/EDITION DATE NIAC-E61 11 17 NIAC-E67 08 17 N IAC-E70 12 15 N IAC-E72 01 17 N IAC-E74 03 14 NIAC-GL-NPO NIAC-LL-NPO N IAC-N PO-001 09 17 NIAC-X1 06 18 SCHEDULE G 01 80 SCHEDULE L 01 80 This list of forms is not part of the actual policy, but is for your information only. Please refer to the policy(s) for actual limits, coverages and exclusions. POLICY NUMBER: 2019-57352 Named Insured: Gilroy Historical Society 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): Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III — Limits Of Insurance: with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" If coverage provided to the additional insured is caused, in whole or in part, by your acts or required by a contract or agreement, the most we omissions or the acts or omissions of those acting will pay on behalf of the additional insured is the on your behalf: amount of insurance: 1. In the performance of your ongoing operations; 1. Required by the contract or agreement; or or 2. Available under the applicable Limits of 2. In connection with your premises owned by or Insurance shown in the Declarations; rented to you. whichever is less. 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. 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 NONPROFITS POLICY NUMBER: 2019-57352 FORM: NIAC-E61 11 17 INSURANCE NAMED INSURED: Gilroy Historical Society ALLIANCE OF CALIFORNIA A Mead for Insurance. A Heart far Nonprofits. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: A. Section II — Who Is An Insured is amended to include any public entity as an additional insured for whom you are performing operations, who may be named in the schedule above, when you have agreed in a written contract or written agreement that such public entity be added as an additional insured(s) on your policy, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your negligent acts or omissions; or 2. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations: No such public entity is an additional insured for liability arising out of the "products -completed operations hazard" or for liability arising out of the sole negligence of that pubic entity. B. With respect to the insurance afforded to these additional insured(s), the following additional exclusions apply. This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. The following is added to SECTION III — LIMITS OF INSURANCE: The limits of insurance applicable to the additional insured(s) are those specified in the written contract between you and the additional insured(s), or the limits available under this policy, whichever are less. These limits are part of and not in addition to the limits of insurance under this policy. NIAC-E61 11 17 Page 1 of 2 NONPROFITS POLICY NUMBER: 2019-57352 FORM: NIAC-E61 11 17 INSURANCE NAMED INSURED: Gilroy Historical Society ALLIANCE OF CALIFORNIA A Head for Insurance. A Heart for Nonprof(ts. D. A. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance - a. Primary Insurance This insurance is primary if you have agreed in a written contract or written agreement: (1) That this insurance be primary. If other insurance is also primary, we will share with all that other insurance as described in c. below; or (2) The coverage afforded by this insurance is primary and non-contributory with the additional insured(s)' own insurance. Paragraphs (1) and (2) do not apply to other insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b. below. b. Excess Insurance This insurance is excess over: 1. Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (b) That is fire, lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos' or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE. (e) Any other insurance available to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional insured by that other insurance. (1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" if any other insurer has a duty to defend the additional insured(s) against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the additional Insured(s)' rights against all those other insurers. (2) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self -insured amounts under all that other insurance. (3) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Methods of Sharing If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. NIAC-E61 11 17 Page 2 of 2 -NONPROFITS POLICY NUMBER: 2019-57352 FORM: NIAC-E25 12 15 INSURANCE NAMED INSURED: Gilroy Historical Society ALLIANCE OF CALIFORNIA A Head for Insurance. A Heart for Nonprofits. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION - FOOD CONTRIBUTIONS OR CLIENT REFERRALS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy, in consideration of food contributions or client referrals you receive from them. 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 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 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. NIAC-E25 12 15 Page 1 of 1 POLICY NUMBER: 2019-57352 COMMERCIAL GENERAL LIABILITY Named Insured: Gilroy Historical Society CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) - Or Organization(s) Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. Location And Description Of Completed Operations All insured premises and operations. 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". 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 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 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 NMINONPROFITSINSURANCE ALLIANCE OF CALIFORNIA A Head for Insurance. A Heart far Nonprofits THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): I Name Of Person(s) Or Organization(s) (Additional Insured): Any person or organization acting as a manager or lessor of a premises that you are required to name as an additional insured on this policy, under a written contract, lease or agreement currently in effect, or becoming effective during the term of this policy. Additional Premium: Included 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 arising out of the ownership, maintenance or use of that part of the premises leased to you, and 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, subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Any offense which constitutes "personal and advertising injury" which is committed after you cease to be a tenant in that premises; or, 3. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. 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 insured, the following is added to Section III - 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. NIAC-E67 08 17 Page 1 of 1 POLICY NUMBER: 2019-57352 Named Insured: Gilroy Historical Society COMMERCIAL GENERAL LIABILITY CG20340413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT - AUTOMATIC STATUS WHEN REQUIRED IN LEASE AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) from whom you lease equipment when you and such person(s) or organization(s) have agreed in writing in a contract or agreement that such person(s) or organization(s) be added as an additional insured on your policy. Such person(s) or organization(s) is an insured only with respect to liability for "bodily Injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional Insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. B. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; 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 34 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: 2019-57352 Named Insured: Gilroy Historical Society COMMERCIAL GENERAL LIABILITY CG20180413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MORTGAGEE, ASSIGNEE OR RECEIVER This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Person(s) Or Organization(s) Designation Of Premises Any person or organization acting as mortgagee, assignee, or receiver with respect to locations scheduled on the policy. 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 their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of the premises by you and shown in the Schedule. 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. This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. C. 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 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 18 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: 2019-57352 Named Insured: Gilroy Historical Society COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED 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) Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. Location(s) Of Covered Operations All insured premises and operations. 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1, All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 2. That portion of "your work" out of which the injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. 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 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 10 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 POLICY NUMBER: 2019-57352 COMMERCIAL GENERAL LIABILITY Named Insured: Gilroy Historical Society CG 20 12 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: Any state or political subdivision that issues a permit or authorization to the named insured. 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 any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a B permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. 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. 2. This insurance does not apply to: a. 'Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. 'Bodily injury" or "property damage" included within the "products -completed operations hazard". 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 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 12 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 NONPROFITS POLICY NUMBER: 2019-57352 FORM: NIAC-E26 11 17 NMINAMED INSURED: Gilroy Historical Society INSURANCE ® ALLIANCE of CALIFORNIA A Head for Insurance, A Heart for Nonprofits. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANFER OF RIGHTS OF RECOVERY AGAINST OTHERS (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM SCHEDULE Name of Person or Organization: Where you are so required in a written contract or agreement currently in effect or becoming effective during the term of this policy, we waive any right of recovery we may have against that person or organization, who may be named in the schedule above, because of payments we make for injury or damage. NIAC-E26 11 17 Page 1 of 1