Loading...
HomeMy WebLinkAboutCOI - National Development Council - Expires 2023-05-01c-cg-rt-1 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 $1,000,000 DESCRIPTION OP OPERATIONS / LOCATIONS / VEHICLES (ACORD 101,AdditIonuil Remarks Schedule, may he attached If more space Is required) City of Gilroy, its officers, officials and employees are named as an additional insured, per the attached endorsement CERTIFICATE HOLDER City of Gilroy, its officers, officials and employees 7351 Rosanna Street Gilroy CA 95020 USA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2* of 5 6109 CHUBB Li hility Insurance Endorsement Policy Period 05/01/2022 to 05/01/2023 Effective Date 05/01/2022 Policy Number 35336064 Insured NATIONAL COUNCIL FOR COMMUNITY DEVELOPMENT INC, DIIA NATIONAL Name of Company lFD[RAT. LN S MANCE COMPANY Date Issued APRIL 15,2019 owasft::,,,;wmf<k:cmft:ap::5fo;fmnyp.mtv-m:,:k:p.,mv:wavofnsmh:omAkmwmoenumx,Aw.k4Awmzp..*+...mwsx,,;oumvmmomzgspr,ximmkkm:f..m:::oemzozzo,,m,w,;w3om:5:5:.om ThisTadorsement applies to the following 'forms: mg:cm.q.mompagp;s:wesor0mf.$:mcRt'ommomommay.raukkkaroit:,:imuts:>;oz,up.:...zw,,,;,,somon,:k.wxo:,AnnsAtmwgiwommvPsz.m,,,,,:wm..ymmv.„30::::.z,zs;szewomm6w 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. :r...P5r,V:4:',...M.:00;k1M:MMPZIOS:,,RNIM:;':10;;SR$0::::1,VWtMCOMMIWATO:tgAMIMAZ`,g;:ft-M.WkWA-::MOZZ;VAU0S-94:Rkte,f&:,,,,?f,...:M:.:60,..P.M:::'.(M56,9.1M5n,02,MVOMPAWAVAtUAM;;.:ZPSAVOSteg$3: 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, Vikk(VMSR45500Z.VAIZIM,:k730AMMINONNOInkWerct.:,atOnnYAVOVZI:PK.MMI:;,'W*MMITOiki.OPJAW,MMAOMONitk4,73i,VM:.;fegf,,%,:V.A:VhakVAUMM,Y01%&.,M,MIMOWSr.t*,.VAVanZAMB:1,1*,.?0jAm 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. *immexatamommw,.!:ik-rieRmaimemmommmiememe.:5.0mimomionowimemommionwimiwommomem:mommaNmeime 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. mnimmowvonemmemmaismovemosimeimemum;i408.wwimmemmonvinimmiommam*isimmov.*:*immialvi 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. m,:somemommomimismommemaismismommimmimiegoomaxemv,aBiltmeNamigommononsmagmemaiiiianowil 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. 6,:,%604::ffi::::,;:r4V9W4AMV;1*:M:::::9te.e16::::::9W3W9069Mcf:::,::69VA:NAMAIVAM:0:::;69:3:9V.k:::ft1cOM:194M4M016i0;6;k:AMM:9:HO;:tk:$0.4MI;:910:1::9WMAV.VR:::::q691:MOMM4.1:fAMM;grAMWM 1.1abillty insurance Form 17-02-3080 ('Rev, 4.01) Contract Page 24 of 32 3" of 5 6109