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HomeMy WebLinkAboutFinancial Credit Network - Insurance Certificate (2020)A� ® CERTIFICATE OF LIABILITY INSURANCE I DAT4/(15/2019 Y) 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: Arthur J. Gallagher & Co. I PHONE FAX Insurance Brokers of CA. Inc, LIC # 0726293 WA( No- EXt): 559-635-3590 (A/c. No); 500 North Santa Fe ADDRESS: Stacy Flenory@aiq.com Visalia CA 93292 I INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Ohio Security Insurance Company 24082 INSURED INSURER B : American Fire and Casualty Company 24066 Financial Credit Network, Inc. Attn: Alicia Sundstrom INSURERC: State Compensation Insurance Fund of CA 35076 P.O. Box 3084 INSURER D : Underwriters at Lloyd's, London 11230 Visalia CA 93278 INSURER E : I INSURER F : COVERAGES CERTIFICATE NUMBER:433379459 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y BKS56435941 3/31/2019 3/31/2020 EACH OCCURRENCE $ 1 000 000 X DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES (Ea occurrence) $ 500,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ❑ PRO- POLICY JECT LOC PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAS56435941 3/31/2019 3/31/2020 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per $ AUTOS ONLY AUTOS accident) HIRED NON -OWNED PROPERTY DAMAGE $ _ AUTOS ONLY AUTOS ONLY (Per accident) B UMBRELLA LAB N OCCUR N ESA56435941 3/31/2019 3/31/2020 EACH OCCURRENCE $3,000,000 X EXCESS LAB CLAIMS -MADE AGGREGATE $ DED I X I RETENTION $ Genl Aggregate $ 3,000,000 C WORKERS COMPENSATION 909984718 5/17/2018 5/17/2019 X I PER I OTH- STATUTE ER AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000.000 OFFICER/MEMBER EXCLUDED? ❑ NIA - (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000.000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D CYBER/PRIVACY LIABILITY N ESH041013021 1/1/2019 1/1/2020 Aggregate 1,000,000 Occurrence 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Service Agreement: Third Party Debt Collection City of Gilroy, its officers, officials and employees are named as an Additional Insured under the General Liability, per the attached endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy, it officers, officials and employees ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy CA 95020 AUTHORIZED REPRESENTATIVE USA.. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD FINACRE-02 CHELSEA CERTIFICATE OF LIABILITY INSURANCE DATE 03/28/201 YY) 03/2$/2019 1 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 License # 0726293 NAME?CT Linda N. Loflin, CIC Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. PHONE HON o, Ext): (559) 635-3518 ) 750-5461 FAX No):(559 500 N. Santa Fe Street E-MAIL Visalia, CA 93292 ADDRESS: ggb.visalia-2.lindas_team@ajg.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Ohio Security Insurance Co. 24082 INSURED INSURER B : American Fire & Casualty Co. 24066 Financial Credit Network, Inc. Alicia Sundstrom INSURER C : State Compensation Ins. Fund 35076 f P.O. Box 3084 I INSURER D : 1 Visalia, CA 93278 I INSURER E : 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 'OLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY 'AID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR (MMIDDIYYYY) (MMIDDIYYYY) LTR INSD WVD POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY 1nnnnnn CLAIMS -MADE OCCUR X BKS56435941 EACH OCCURRENCE $ 03/31/2019 03/31/2020 DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Anv one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JEC ❑X LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUUTOSSy/ I BODILY INJURY (Per accident) $ AUTOS ONLY H AUTOS ONLY (Pe�accidentDAMAGE $ $ B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ X EXCESS LIAB CLAIMS -MADE ESA56435941 03/31/2019 03/31/2020 I AGGREGATE $ DIED I X I RETENTION $ 0 Geri Aggregate C WORKERS COMPENSATION $ x I PER I 1OTH- STATUTE AND EMPLOYERS' LIABILITY Y / N 909984718 ANY PROPRIETOR/PARTNER/EXECUTIVE ER 05/17/2018 05/17/2019 I R EXCLUDED? N / A ❑ E.L. EACH ACCIDENT $ Mandatory In N Mandatory In NH) If yes, describe under E.L. DISEASE . EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Service Agreement: Third Party Debt Collection City of Gilroy, its officers, officials and employees are named as an Additional Insured under the General Liability, per the attached endorsement. CERTIFICATE HOLDER CANCELLATION 500,0001 15,0001 1 2,000,0001 2,000,0001 1 3,000,0001 3,000,0001 1,000,0001 1,000,0001 1,000,0001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy, it officers officials and employees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y yACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE i ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 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 OFFICERS, OFFICIALS 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 organizations) shown in the Schedule, but only with respect to liability for "bodily in- jury", "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 oper- ations; 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 permit- ted by law; and 2. If coverage provided to the additional in- sured is required by a contract or agree- ment, 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 ap- plicable Limits of Insurance shown in the Dec- larations, CG 20 26 0413 @ Insurance Services Office, Inc., 2012 Page 1 of 1 ACOP V CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIDD[YYYY) 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: Debbie Rongo Arthur J. Gallagher & Co. PHONE FAx 4250 Congress St., Suite 200 I (AIC. No. Ext)- 704-602-3831 (A/C. Nor 704-362-1997 Charlotte NC 28209 I ADDRESS: Debbie rongo@aiq.com INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Great American Fidelity Insurance Co 41858 INSURED FINACRE-02 INSURER B Financial Credit Network Inc 1300 West Main St Visalia CA 93291 INSURER C : - INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:639109392 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. ILR ADDL SUBR POLICY EFF POLICY EXP INSD WVD POLICYNUMBER (MM/DDYYY) (MM/DD/YYYY) I TTYPE OF INSURANCE /Y LIMITS COMMERCIAL GENERAL LIABILITY = CLAIMS -MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO ❑ LOC JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LAB OCCUR EXCESS LAB F CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ NIA OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below A Errors & Omissions EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) $ I EACH OCCURRENCE $ (AGGREGATE $ STATUTE IEERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ MPL1751975 2/1/2019 2/1/2020 Each Claim Limit $ 1,000,000 Policy Aggregate $ 1.000,000 Deductible $ 20,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CERTIFICATE HOLDER City of Gilroy, its officers officials and employees 7351 Rosanna Street Gilroy CA 95020 USA ACORD 25 (2016/03) CANCELLATION 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 X�k�/ ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD "DAT�//YYY)A RV CERTIFICATE OF LIABILITY INSURANCE ��o1e 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 poliay(ies) must have ADDITIONAL INSURED provisions or be endorsed. It 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 NAMracT pebble Ron..Oo......__..........._....w.._.....-__.._.._._.__...,. (A/C. No) rt ur a lagher & Co. PHONE PAx 4250 Congress St., Suite 200 _M a: 7114w602.3831 f __.,_.._.., 704 35.1907 Charlotte NC 28209 nARL Debbie_ rongc(M- aig,com INSURER(Sa AFFORDING COVERAGE NAIC p INSURER A: Great American Fidelity insurance Cc 41858 INSURED FINACRE•02 Financial Credit Network Inc iNsumR,a_.-..-._.... _.. 1300 West Main St Visalia CA 93291 _1N URER,os�»....,...__ INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:2131451175 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 WrrH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY 1ERTAIN, THE INSURANCE AFFORDED 13Y THE POLICIE 3 DESCRIBED HEREIN IS SUBJECT TO ALL THE. TERMS, EXCLUSIONS AND CONDITIONS OF SUCH vOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY 1AID CLAIMS, 4§ .,..,. _ .. _,_,._-_..----- .--....,, ,. _-, .._ _ -.015161069 _,,.... ,......., -.,..- _ , ..,..__, .PQLI YE,_' • pp IGYh..P ..-....._.....,...,.,_, _„.._., _. .............,,._...... ,... -.. 1'YPEOFINSURANCE �p WVD .., „ PQLICYNUMHER (M, MID YY ,(MM/EDGIYYYY)µ, LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I-..,'.1 OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: �,._..1 POLICY PRO �,_....I LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED_ AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAD OCCUR EXCESS LIAB _ CLAIMS -MADE DFI? . _.. j RETENTIQN $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y IN ANYPROPRIETOR/PARTNER/EXECU'I NE OFFICERIMEMBEn EXCLUDED? (Mandatory In Nil) It yyes, describe under DESCRIPTION OF OPERATIONS below A Errors & Omissions EACH OCCURRENCE $ .._.,._..._._............. ... .... ...__..W...._ MED EXP (Any ono person)„ $ PErdSONAL � ADV INJURY $ GENEnALAGGREGATE $ PRODUCTS COMP/OP AGG _...,_..._... , ..... $ ... _... _....,_ _. CO I E INbLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accidemm,nt) t) _..___.._,___,_......._. .__...._.,..,_._. $ PRC7PERTYDAMAGE $ $ EACH OCCUBRENCE........... AGGREGATE__.._........_.._..._.._.... _?__,....__.._...._.._._.._..__, NIA E.L. EFlCI I ACCIDENT E:L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ MPL1751975 2/1/2019 2/1/2020 Each Claim Llmlt $1,000,000 Policy Aggrepalo $ 1,000,000 Deductible $ 20,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Sohedulo, may be attached If more apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy, its officers ACCORDANCE WITH THE POLICY PROVISIONS. officials and ern loyees 7351 Rosanna treet AUTIIORIZEDREPRESENTATIVE Giillroy CA 95020 ,r 1�; M I O 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 3 of 3 7003 Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD,YYYY) `.� I 4/15/2019 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 Arthur J. Gallagher & Co. PHONE FAX Insurance Brokers of CA. Inc, LIC # 0726293 (A/C. No. Exti: 559-635-3590 (A/C. No): 500 North Santa Fe ADDRESS: Stacy—Fienorv@aiq.com Visalia CA 93292 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Ohio Security Insurance Company 24082 INSURED INSURER B : American Fire and Casualty Company 24066 Financial Credit Network, Inc. INSURER C : State Compensation Insurance Fund of CA 35076 Attn: Alicia Sundstrom P.O. Box 3084 INSURER D : Underwriters at Lloyd's, London 11230 Visalia CA 93278 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:433379459 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y BKS56435941 3/31/2019 3/31/2020 EACH OCCURRENCE $ 1 000 000 DAMAGES CLAIMS -MADE OCCUR (RENTED PREMISES (Ea occurrence) $ 500,000 _ MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- ® POLICY JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAS56435941 3/31/2019 3/31/2020 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO I BODILY INJURY (Per person) $ OWNED SCHEDULED I BODILY INJURY - AUTOS ONLY AUTOS (Per accident) $ HIRED NON -OWNED PROPERTY DAMAGE I $ AUTOS ONLY AUTOS ONLY (Per accident) B UMBRELLA LIAB VOCCUR N ESA56435941 3/31/2019 3/31/2020 EACH OCCURRENCE $3,000,000 rl X EXCESS LIAB CLAIMS -MADE AGGREGATE $ I X I DED RETENTION $ Gen] Aggregate $ 3,000,000 C WORKERS COMPENSATION 909984718 5/17/2018 5/17/2019 X I I I AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE SPER TATUTE EORH I OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) I E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D CYBER/PRIVACY LIABILITY N ESH041013021 1/1/2019 1/1/2020 Aggregate 1,000,000 Occurrence 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Service Agreement: Third Party Debt Collection City of Gilroy, its officers, officials and employees are named as an Additional Insured under the General Liability, per the attached endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy, it officers, officials and employees ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy CA 95020 AUTHORIZED REPRESENTATIVE USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD FINACRE-02 CHELSEA CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/28/2019 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 License # 0726293 I CONTACT Linda N. Loflin, CIC NAME: Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. PHONE 559 635-3518 FAX 559 75 500 N. Santa Fe Street (A/C, No, EXt): ( ) (A/C, No):( ) 0-5461 Visalia, CA 93292 a"DDRESS: ggb.visalia-2.lindas_team@ajg.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Ohio Security Insurance Co. 24082 INSURED INSURER B : American Fire & Casualty Co. 24066 Financial Credit Network, Inc. INSURER C : State Compensation Ins. Fund 35076 Allcla Sundstrom P.O. Box 3084 INSURER D : Visalia, CA 93278 INSURER E : 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER LTR INSD WVD POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ® OCCUR BKS56435941 03/31/2019 03/31/2020 DAMAGE TO RENTED 500,000 X PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I Am LOC I 2,000,000 JECT PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS IBODILY INJURY (Per accident) $ AUTOS AUUTOS ONLY accidentDAMAGE ONLY (PROPERTY $ B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 X EXCESS LIAB CLAIMS -MADE ESA56435941 03/31/2019 03/31/2020 AGGREGATE _ DED I X I RETENTION $ 0 $ Genl Aggregate 3,000,000 $ C WORKERS COMPENSATION X OERH AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECU I IVE Y / N 909984718 STER ATUTE 05/17/2018 05/17/2019 1,000,000 OFFICER/MEMBER EXCLUDED? NIA A ❑ (Mandatory in NH) E.L. EACH ACCIDENT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Service Agreement: Third Party Debt Collection City of Gilroy, its officers, officials and employees are named as an Additional Insured under the General Liability, per the attached endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy, It officers, officials and employees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y yACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 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 OFFICERS, OFFICIALS 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 S. With respect to the insurance afforded to - include as an additional insured the person(s) these additional insureds, the following is or organization(s) shown in the Schedule, but added to Section III - Limits Of insurance: only with respect to liability for "bodily in- If coverage provided to the additional insured jury", "property damage" or "personal and is required by a contract or agreement, the advertising injury" caused, in whole or in most we will pay on behalf of the additional - part, by your acts or omissions or the acts or insured Is the amount of insurance: omissions of those acting on your behalf: 1. Required by the contract or agreement; 1. In the performance of your ongoing oiler- or ations; or 2. Available under the applicable Limits of 2. In connection with your premises owned Insurance shown in the Declarations; by or rented to you. whichever is less. However; This endorsement shall not increase the ap- 1. The insurance afforded to such additional plicable Limits of Insurance shown in the Dec - insured only applies to the extent permit- larations, ted by law; and 2. If coverage provided to the additional in- sured is required by a contract or agree- ment, 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. CG 20 26 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 ACC CERTIFICATE OF LIABILITY INSURANCE DATE 2/1/2 D/YYYY) `r..►� I 2/1 /2019 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 Arthur J. Gallagher & Co. Debbie Rongo PHONE FAX 4250 Congress St., Suite 200 I (A/C. No_ Ext). 704-602-3831 rA/c. No): 704-362-1997 Charlotte NC 28209 I E-MAIL ADDREss: Debbie ron o ajg.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Great American Fidelity Insurance Co 41858 INSURED FINACRF-09 Financial Credit Network Inc 1300 West Main St Visalia CA 93291 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:639109392 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MMIDD/YYYY) COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT ❑ LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED _ AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB HCLAIMS-MADE OCCUR EXCESS LIAB DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTN ER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below A Errors & Omissions EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) $ EACH OCCURRENCE AGGREGATE STER ATUTE I I EERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ MPL1751975 . 2/1/2019 2/1/2020 Each Claim Limit $ 1,000,000 Policy Aggregate $ 1,000,000 Deductible $ 20,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER City of Gilroy, its officers officials and employees 7351 Rosanna Street Gilroy CA 95020 USA ACORD 25 (2016/03) CANCELLATION 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 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ® DATE (MM/DDIYYYY) CC>R" CERTIFICATE OF LIABILITY INSURANCE � 2f1/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTNFNCATE HOLIER. 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 INSURER, the policy(les) must have ADDITIONAL INSURED provisions or Nye 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 endor;sement(s). PRODUCER CONTACT Debbie bail a �..,_,__,.._.._,_...W....,._".. Arthur J. Gallagher & Co. NAMr:....,.._......._,_....,.`�_.,_..,.,..,.,. N_.,..,....,._,_....,__.._...,,.._,_.,,_.,,...,._, 9 PHON._.._._,_. ,.. i..di� _._._ 4250 Congress St., Suite 200 k", No. Ext1: 704-602-3831 1 (A/C. Na), 794-362-1997 Charlotte SIC 28209 a- DDREss: Debbie_rongoftaig,com INSURER l)„AFFORDiING COVERAGE NAIL # INSURER A Great American Fidelity Insurance Co I 41856 INSURED FINACR5.02 INSURER B Financial Credit Network Inc 4...,....w,..,_..............._,...,v,._.,....__..,, ,._.... _._...__..,_.._...,.,._. 13001/W/est Main St irlsu��� � _._..,,�......w._�. �.._.,_.,. � w..w .,�w�... ..._.._.�.........._.... Visalia CA 93291 INSURER D INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER:2131451175 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 CAR 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. __..,...,.ri...,......,._,,,,,,,,,,,,,......,.............,.............,......,,,.,_.,... M._...._,..._..,.,,_._......._._.,_„m,,, ._,_..,.,.,._...,_..................._,_...,,... INSR AD L S LTI I TYPE OF INSURANCE . IN,S���lV.C7............................. POLICY NUMBER w. , 1 POLI+�Y EFF � ICI 1� YY�1() f MN �I]�IY"CYY �� � LIMITS ......,.,.......,..,.._..,..._.....,....,........�...4,,.... COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ w _,...._.,... CLAIMS -MADE OCCUR ,..__._.. I?Rl I ES E o c rren e S MED EXP (F�ny one ergonl $ _._.., _ _..................,.._.._.,_..........__._.._. ,w,.. 1 PERSONAL & ADV INJURY $ GEN L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE A $ LCY P LOC � JECT ...,,.,,...."...^, �M__,,�.,,_.,...,......,.,.,,^..__.,.__:,.,,.._�.,,,.,_,,..M PRODUCTS COMP/OP AG»G ................,„_...,,.,,,„. $ ,__...,,.._...................................... ._.,.� O�HOTHER:",.,,.....,._i AUTOMOBILE LIABILITY comBINED SINGLE LIMIT ANY AUTO BODILY INJURY (Per person) $ .._.,..� OWNED SCHEDULED AUTOS ONLY AUTOS BODILY MINJUI Y (Per accident) $ HIRED NON -OWNED PA51PERTYDAiNAGE_.,_.._._,,.__.� $ _AUTOS ONLY AUTOS ONLY(Peiccicent,) ....... ._.........,_, .r.._,.._. __......................_._........,....,.,...._..... $ UMBRELLA LIAS OCCUR EACH OCCURRENCE EXCESS L,IAB CLAIMS -MADE AGGREGATE TENT $ WORKERS COMPENSATION --'tPER � --T (JTH- AND EMPLOYERS' LIABILITY Y�"� ANYPROPRIETORIPARTNE*ri/EXECUTIVE OFFICERIMEMBEREXCLUDED7 N / A E.L. EACH ACCIDENT $ . (Mandatory In NH) L_. j E.L. DISEASE - EA EMPLOYEE $ II yes, describe under .......... � ...........,._.__....,.M,,...._,. ..,_._„w.,_..,._,,,.. ESGRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ A Errors & Omissions MPL1751975 2/1/2019 2/1/2020 Each Claim Limit s 1,000C ,bf1CI Pallcy Aggregate $ 1,000,9t75 Deduu able $ 20,000 08SCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CERTIFICATE HOLDER City of Gilroy, its officers officials and employees 7351 Rosanna Street Gilroy CA 95020 USA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION PATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE k�1414-1:1112_ ACORD 25 (2016/03) 01988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 3 of 3 7003 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 2/1/2019 Arthur J.Gallagher &Co. 4250 Congress St.,Suite 200 Charlotte NC 28209 Debbie Rongo 704-602-3831 704-362-1997 Debbie_rongo@ajg.com Great American Fidelity Insurance Co 41858 FINACRE-02 Financial Credit Network Inc 1300 West Main St Visalia CA 93291 639109392 A Errors &Omissions MPL1751975 2/1/2019 2/1/2020 Each Claim Limit Policy Aggregate Deductible $1,000,000 $1,000,000 $20,000 City of Gilroy,its officers officials and employees 7351 Rosanna Street Gilroy CA 95020 USA