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CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
4/28/2022
PRODUCER
Arthur J. Gallagher Risk Management
777 108th Ave NE, #200
Bellevue WA 98004
INSURED
National Development Council
1111 Superior Ave, E.
Suite 1114
Cleveland OH 44114
COVERAGES
C
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: It the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 o the certifIcateh 11 of such emiorsement(s).
NAME: c Joy Lewis
PHONE PAX
A/C. No. Ext): 206-506-7340
ADDRESS: Joy Lewls@ajg.com
INSURER(S) AFFORDING COVERAGE
INSURER A : Federal Insurance Company
MAY 11 2022
111101-CITI-CLERKS OFFICE
DEV-02
RTI
ICA
E NUMBER: 1110
84205
NAIC #
20281
iNsuRsR a Chubb Indemnity Insurance Company 12777
INSURER C: 1-liscox Insurance Company Inc.
INSURER D : PartnerRe Ireland Insurance Limited
INSURER E :
iNsyneri F
VISION NUM
ER:
10200
THIS
INDICATED.
CERTIFICATE
EXCLUSIONS
iNs13
LTFt
IS TO CERTIFY THAT THE POLICIES
NOTWITHSTANDING ANY REQUIREMENT,
MAY BE ISSUED OR MAY
AND CONDITIONS OF SUCH
...., _
TYPE oF INSURANCE,
OF INSURANCE
PERTAIN,
POLICIES.
INSD
WW1
LISTED BELOW HAVE BEEN
TERM OR CONDITION OF ANY
THE INSURANCE AFFORDED BY
LIMITS SHOWN MAY HAVE BEEN
P LICY NUMOER
ISSUED TO
CONTRACT
THE POLICIES
REDUCED BY
liCticy MIT
(MM/DD/YYYY)
THE INSURED
OR OTHER
DESCRIBED
PAID CLAIMS,
FoLicy EXP
(MM/DD/YYYY)
NAMED ABOVE FOR THE POLICY PERIOD
DOCUMENT WITH RESPECT TO WHICH THIS
HEREIN IS SUBJECT TO ALL THE TERMS,
- .
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
353360E34
5/1/2022
5/1/2023
EACH OCCURRENCE
$ 1,000,000
i CLAIMS -MADE I X I OCCUR
DAMAGE TO RENTED
PREMISESffla oecarrenco).,
MED EXP (My one person)
$ 1,000,000
10,000
PERSONAL & ADV INJURY
$1,000,000
GA
'L AGGREGATE LIMIT APPLIES
POLICY H!;p 1-
PER:
x j LOC
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGO
$ 2,000,000
$2000,000
OTHER:
A
AU
..,_....
°MOBILE LIABILITY
ANY AUTO
7 5 2.414
5/1/2022
5/1/2023
$0MBINED SINGLE LIMIT
BODILY INJURY (Per person)
,000.
$ 1000lecolOPPO
OWNEDONLY
AUTOS
SCHEDULED
AUTOS
BODILY INJURY (Per aceident)
$
x
HIRED
AUTOS ONLY
x
_
NON -OWNED
AUTOS ONLY
PROPERTY DAMAGE
,,,,(ppLaceident),
$
$
UMBRELLA LIAB
X
OCCUR
79698700
5/1/ 022
5/1/2 23
EACH OCCURRENCE
$ 10,000,000
EXCESS
DED
LIAO
XRETENTION
$
CLAIMS -MADE
.1 ronn
AGGREGATE
$ 10,000,000
$
B
WO
AND
KERS COMPENSATION
EMPLOYERS' LIABILITY
7'1656'105
5/1/2022
5/1/2023
X
PP II
sfATUTE
OT 14,
ER
Y / N
ANYMPRIETOMPARTNER/EXECUTIVE I,
OPPICER/MEMSEREXCLUDED?
(Mandatory In NH)
N? A
EL, EACH ACCIDENT
EL, DISEASE - GA EMPLOYEE
$ 1,000,000
$ 1,000,000
Il yes, describe under
DESCRIPTION OF OPERATIONS below
EL. DISEASE' POLICY LIMIT
$ 1,000,000
C
Professional Liability
Crime
FI1305021
UC22247882.21
12/1 /2021
8/1/2021
12/1/2022
8/1/2022
Eseh Claim/Ago anate
Retention$100,000
Crime Limit
$3,000,000
$1,000,000
DESCRIPTION OP OPERATIONS / LOCATIONS / VEHICLES (ACORD 101,AdditIonuil Remarks Schedule, may he attached If more space Is required)
City of Gilroy, its officers, officials and employees are named as an additional insured, per the attached endorsement
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 DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
1988.2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
2* of 5 6109
CHUBB Li hility Insurance
Endorsement
Policy Period 05/01/2022 to 05/01/2023
Effective Date 05/01/2022
Policy Number 35336064
Insured NATIONAL COUNCIL FOR COMMUNITY
DEVELOPMENT INC, DIIA NATIONAL
Name of Company lFD[RAT. LN S MANCE COMPANY
Date Issued APRIL 15,2019
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ThisTadorsement applies to the following 'forms:
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Under Who Is An Insured, the following provision is added.
Who Is An Insured
Additional Insured
Scheduled Person
Or Organization
Persons or organizations shown in the Schedule are insureds:, but they are insureds only if you are
obligated pursuant to a contract or agreement to provide them with Snell insurance as is afforded by
ibis policy.
However, the person or organization is an insured only:
if and then only to the extent the person or organization is described in the Schedule;
to the extent such Contract or agreement requires the person or organization to be afforded
AMU as an insuretk
for activities that cud not occur, in whole or in part, before the execution of the contract or
agree:tient; and
with respect to damages, loss, cost or expense for Injury Or daznuge to which this insurance
applies.
KO person or organizution is an Insured under this provision:
it
that is more specifically identified under any other provision of the Who Is An Insured
section (regardless of any limitation applicable thereto).
with respect to any assumption of liability (of another person or organization) by them. in a
contract or itgrcement. '1 his limitation does not apply to the liability or damages, loss, cost or
expense for injury or damage, to which tins insurance applies, that the person or organiv,ation
would have in the absence of such contract or agreement.
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Liability Insurance Additional insured Scheduled Person Or Organization continued
Form 130-02-2387 (iv. 5-07) Endorsement Page I
4* of 5 6109
CHLIESB
Liability Endorsement
(m1111000
Conditions
Other Insurance
Primary, Noncontributory
Insurance — Scheduled
Person Or Organization
1,intler (7 oditions, the following provision is added to the condition titled Other Insurance.
If you are obligated, pursuant I as contract or agreement, to provide the person or organization
,shown in the Schedule with primary insurance Such as is afforded by this pohcy, then in such case
this 11:1SUCHOQC is primary and we will not seek contribution from insurance available to such person
or organization,
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Schedule •
PERSONS OR OROANIZATIONS 1:11AT YOU .ARE OBLIGATED, PURSUANT TO
WRITTEN CONTRACT OR AGREEMENT BETWEEN YOU AND SUCK PERSON OR
ORGANIZATION„..TO PROVIDE WITIl SUCH INSURANCE AS IS AFFORDED
BY THIS POLICY., BUT THEY ARE INSUREDS ONLY IE.AND TO THE •
MINIMUM EXTENT THAT SUCH CONTRACTOR AGREEMENT REQUIRES THE
PERSON OR ORGANIZATION TO BE AFFORDED STATUS AS AN INSURED:
HOWEVER. NO PERSON OR ORGANIZATION IS AN .11,9suRED UNDER THIS
PROVISION WHO IS MORE SPECIFICALLY DESCRIBED UNDER ANY OTHER.
PROVISION OF DIE WHO IS AN INSURED SECTION OF THIS POLICY
(REGARDLESS OF ANY .1-IMITATION APPLICABLE TIIERFTO)..
Alt other terms and conditions remain unchanged.
Authorized Reprosentative
Liability insurance Aridibbnei Instored - Scheduled Person Or Organization Itiot page
Form 80,02.23057 (Rev. 5-07) Endorsoniont Page 2
5* of 6 6109
Conditions
Other insuran
(continued)
We will share the remaining loss, if any, with any other insurance that is not described in this
Excess Insurance provision and was not negotiated specifically to apply in excess of the Limits Of
Insurance shown in the Declarations of this insurance.
Mothod of Sharing
If all of the other insurance permits contribution by equal shares, we will follow this method also,
Under this method each insurer contributes equal amounts until it has paid its applicable limits of
insurance or none of the loss remains, whichever curries first.
If any of the other insurance dees 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 limits of
insurance to the total applicable limits of insurance of all insurers.
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Premium Audit We will compute all premiums for this insurance in accordance with our rules and rates.
In accordance with the Estimated Premiums section of the Premium Summary, premiums shown
with an asterisk (*) are estimated premiums and are subject to audit.
In addition to or in lieu of such designation in the Premium Summary, premiums may be designated
as estimated premiums elsewhere in this policy. In that case, these premiums will also be subject to
audit, and the second paragraph of the Estimated Premiums section of the Premium Summary will
apply.
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Separation Of insureds 13xcept with respect to the Limits Of Insurance, and any rights or duties specifically assigned in this
insurance to the rust named insured, this insurance applies:
as if each muned insured were the only named insured; and
separately to each insured against whom claim is made or suit is brought.
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Transfer Or Waiver Of We will waive the right of recovery we would otherwise have had against another person or
Rights Of Recovery organization, for loss to which this insurance applies, provided the 'mired has waived their rights
Against Others of recovery against such person or organization in a contract or agreement that is executed before
such loss.
TO the extent that the insured's rights to recover all or part of any payment made under this
insurance have not been waived, those rights are transferred to us. The insured must do nothing
after loss to impair them, At our request, the insured will bring suit or transfer those rights to us
and help us enforce them.
This condition does not apply to medical expenses.
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1.1abillty insurance
Form 17-02-3080 ('Rev, 4.01) Contract Page 24 of 32
3" of 5 6109