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HomeMy WebLinkAboutGilroy Garlic Festival Association - Insurance Certificate (2020)Client#: 797 GILROGAR ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 04/23/2019 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(&); AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must 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: Haas & Wilkerson Insurance PHONE 913 432-4400 FAx 4300 Shawnee Mission Parkway EAMA No, Extl: I MIX, No): ADDRESS: Fairway, KS 66205 913 432-4400 INSURERS) AFFORDING COVERAGE NAIC # INSURER A : ACE American Insurance Company (CHUBB) 22667 INSURED INSURER B : Berkley National Insurance Company 38911 Gilroy Garlic Festival Assoc., Inc. PO Box 2311 INSURER C : 20699 Gilroy, CA 95021-2311 INSURERD: 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 CONTRACTOR 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. INSLTR TYPE OF INSURANCE NSRADDLSUBR WVD POLICY NUMBER (MMIDDIYYYY) (MM/DIDIYYYY) LIMITS A GENERAL LIABILITY G21427664 05/01/2019 05/01/2020 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY _ DAMAGE Tp RENTED PREMISES (Ea occurrence) $500,000 CLAIMS -MADE [X OCCUR MED EXP (Any one parson) $ Excluded GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY n PRO- JECT n LOC A AUTOMOBILE LIABILITY " ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS A UMBRELLA LAB H OCCUR X EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below B Equipment Floater PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $5,000,000 (PRODUCTS - COMP/OPAGG $5,000,000 H08122453 05/01/2019 05/01/2020 (EaaccidentswGLELlf11T $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) XCPNO0731882 05/01/2019 05/01120201 EACH OCCURRENCE $5,000.000 (AGGREGATE $5,000,000 TORYTLLIIM ITS I EORH E.L. EACH ACCIDENT $ E,L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ MNP1000601 05/01/2019 05/01/2020 $50,000 Misc Brwd/Rntd $1,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Governmental Entity (Form CG2026) City of Gilroy, its officers, representatives, agents, and employees are named as an additional insured on the general liability policy but only with respect to liability arising out of the named insured's operations or premises owned by or rented to the named insured,for the Gilroy Garlic Festival, per form CG2026. CERTIFICATE HOLDER City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S384807/M384801 RAMIC Client#: 797 GILROGAR ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/23/2019 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 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 Haas & Wilkerson Insurance PHONE FAX 4300 Shawnee Mission Parkway I E-MAIL S' E"t)` 913 432-4400 (A/C, No): Fairway, KS 66205 ADDRESS: 913 432-4400 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : ACE American Insurance Company (CHUBB) 22667 INSURED INSURER B : Berkley National Insurance Company 38911 Gilroy Garlic Festival Assoc., Inc. � INSURER c : 20699 PO Box 2311 Gilroy, CA 95021-2311 INSURER D : 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 CONTRACTOR 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. LTRR ADDLSUBR TYPE OF INSURANCE NSR WVD POLICY NUMBER /YPOLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DDYYY) LIMITS A GENERAL LIABILITY G21427664 05/01/2019 05/01/2020 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TORENTED $ 500,000 CLAIMS -MADE ® OCCUR MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 55000,000 7 n PECOT- n POLICY LOC A AUTOMOBILE LIABILITY eZ" H08122453 05/01/2019 05/01/2020I COMBINED SINGLE Lt��IIT (Ea accident) $1,000,000 ANY AUTO BODILY INJURY (Per person) $ i ALL OWNED X SCHEDULED I BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED X X PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) A _ UMBRELLA LIAB H OCCUR XCPNO0731882 05/01/2019 05/01/2020 EACH OCCURRENCE $5,000,000 X EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below B Equipment Floater MNP1000601 AGGREGATE $5,000,000 WC STATU- I OTH- TORY LIMITS I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ 05/01/2019 05/01/2020 $50,000 Misc Brwd/Rntd $1,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Governmental Entity (Form CG2026) City of Gilroy, its officers, representatives, agents, and employees are named as an additional insured on the general liability policy but only with respect to liability arising out of the named insured's operations or premises owned by or rented to the named insured,for the Gilroy Garlic Festival, per form CG2026. CERTIFICATE HOLDER CANCELLATION City of Gilroy 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S384807/M384801 RAMIC