HomeMy WebLinkAboutStanford Health Care - Insurance Certificate (2020)(2)Issue Date
CERTIFICATE OF LIABILITY COVERAGE 9/9/2019
ADMINISTRATOR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
Aon Insurance Managers CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
P.O. Box HM 2450 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
Hamilton HM JX Bermuda, COVERAGE DOUMENTS BELOW.
COVERAGE PROVIDER
SUMIT INSURANCE COMPANY LTD. (SUMIT)
COVERED PARTY
Stanford Health Care
Lucile Packard Children's Hospital Stanford
Stanford Health Care-ValleyCare
c/o 300 Pasteur Drive, Risk Mgmt MC5713
Stanford CA 94305
THE POLICIES LISTED BELOW HAVE BEEN ISSUED TO THE ENTITY 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 COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF COVERAGE
LIABILITY COVERAGES
[✓] GENERAL LIABILITY
[✓] Claims Made
[ ] Occurrence
[ ] PROFESSIONAL LIABILITY
[ ] Claims Made
[ ] Occurrence
[ ]
OTHER COVERAGES
POLICY NUMBER EFFECTIVE EXPIRATION
1-MO101-00-2019 9/1 /2019 9/1 /2020
DESCRIPTION OF OPERATIONS / LOCATIONS / RESTRICTIONS / SPECIAL PROVISIONS:
COVERAGE LIMITS
GENERAL LIABILITY
Each Occurrence $ 1,000,000
General Aggregate $ 3,000,000
PROFESSIONAL LIABILITY
Each Occurrence $
Aggregate $
Re: Agreement between The City of Gilroy and Stanford Health Care for Professional Services (Emergency Medical Services) 8/2017 - Ongoing
The City of Gilroy, its elected or appointed officals, boards, agencies, officers, agents, employees, and volunteers, and its elected or appointed
officals, boards, agencies, officers, agents, employees, and volunteers, are included as additional insureds.
SUMIT's general liability policy is a claims -made policy with an extended reporting period ("tail"). The extended reporting period is unlimited.
CERTIFICATE HOLDER
Emergency Medicine
Gilroy Fire Department
7070 Chestnut Street
Gilroy CA 95020
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE
EXPIRATION DATE THEREOF, SUMIT WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE
SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THIS ENTITY, ITS AGENTS
OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Aon Insurance Managers (Bermuda) Ltd.
Aon Insurance Manaqers
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IMPORTANT
If the certificate holder is an ADDITIONAL COVERED PERSON, the policy(ies) must be endorsed. A
statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
DISCLAIMER
This certificate does not constitute a contract between SUMIT and the Certificate Holder,
nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the coverage
documents listed theron.
eCa Online.com
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