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Home My WebLink AboutSecond Harvest Food Bank - Insurance Certificate (2020)ar=�vlvnHrto CERTIFICATE OF LIABILITY INSURANCE I DATE9/3/20D/YYYY) 9/3/2019 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 I CONTACT NAME: Susan Boutchie Commercial Lines - (628) 201-9001 I PHONE FAX aC No. Extl: (628) 201-9041 (A/c, No): USI Insurance Services LLC - CA Lic#: OD08408oDRIEss: susan.boutchie@usi.com 201 Mission St, 11th Floor I INSURER(S) AFFORDING COVERAGE NAIC# San Francisco, CA 94105 INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURED INSURER B: Cypress Insurance Company 10855 Second Harvest of Silicon Valley INSURER C 750 Curtner Avenue INSURER D INSURER E : San Jose CA 95125 I INSURER F : COVERAGES CERTIFICATE NUMBER: 14509016 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY X PHPK1945706 03/01/2019 03/01/2020 EACH OCCURRENCE $ 1,000,00C DAMA CLAIMS -MADE I X I PREMI OCCUR ETORENTED 100,00C PREMISES (Ea occurrence) S MED EXP (Any one person) $ 5,00C PERSONAL & ADV INJURY S 1,000,00C GENT AGGREGATE LIMIT APPLIES PER: PRO- PRO ❑ LOC POLICYFIJECT X OTHER: Sexual Abuse molestation A AUTOMOBILE LIABILITY PHPK1945706 X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLALIAB X OCCUR d PHUB665655 EXCESS LIAB II CLAIMS -MADE DED I X I RETENTION $ 10,000 B WORKERS COMPENSATION SEWC928021 AND EMPLOYERS' LIABILITY Y I N ANYP ROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below GENERAL AGGREGATE S 3,000,000 PRODUCTS - COMP/OP AGG S 3,000,000 Per Occ/Agg S 1,000,000 03/01/2019 03/01/2020 Ea acccidentSINGLE LIMIT S 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE $ (Per accident) S 03/01/2019 03/01/2020 EACH OCCURRENCE S 1,000,000 AGGREGATE $ 1,000,000 10/01/2018 I PER 10/01/2019 X STATUTE I EERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,000,000 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 City of Gilroy, its agents, officers and employees 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 lll!_+i I_ �.>/ The ACORD name and logo are registered marks of ACORD @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) (This certificate replaces cerbficaleµ 14508933 issued an 9/3/2019) POLICY NUMBER: PHPK1945706 COMMERCIAL GENERAL LIABILITY C G 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAL} IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEf}ULE. Name Of Additional Insured Persons) 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 absrvr:, 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 organizations) shown it) the Schodulo, but only with respect to liability for "bodily injury", "property damage" or "personal anti adverlising injury` caused, in whole or in part, by your acts or omissions or the acts or orissions of thoso acting on your behalf: 1. In the performance of your ongoing operations, - Of 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 of 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 €ollowiog is addled to Section lit - Limits Of Insurance_ If coverage provided to the additional Insured is required by a contract or agreement, the most we will pay on behaif of the additional insured is the amount of insurance. 1. Required by the contract or agreement; or 2. Available under the applicable Lit -nits 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 ®r Insurance Service- Officer, Inc., 2012 Pacde 1 of I