HomeMy WebLinkAboutCOI - South Santa Clara Valley Memorial District - Expires 2023-07-01NON-MEMBER'S CERTIFICATE OF COVERAGE Issue Date
11/11/2022
Provider Special District Risk Management Authority
1112 'I' Street, Suite 300
Sacramento, California 95814 SDIR A A /�
800.537.7790 www.sdrma.org J I1�(�/��
Member South Santa Clara Valley Memorial District Member Number: 7768
74 West Sixth Street, Suite A Certificate Number: 2
Gilroy, California 95020
This is to certify that coverages listed below have been issued to the Member named above for the period indicated. This certificate is not an insurance
policy or an agreement of coverage and does not amend, extend or alter the coverage afforded by the agreements listed herein. 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
described herein is subject to all the terms, exclusions, and conditions of the specific coverage document. This certificate of coverage evidences the limits
of liability in effect at the inception of the agreements shown; limits shown may have been reduced by paid claims. This certificate is issued as a matter of
information only and confers no rights upon the certificate holder.
Type of Coverage Policy Number Effective Date Expiration Date Limits
General Liability LCA-SDRMA-202223 7/1/2022 7/1/2023
Bodily Injury Per Occurrence
Property Damage
$1,000,000
$1,000,000
City of Gilroy, its officers, representatives, agents, and employees are named as additional covered parties in regards to the S ' R EL. gal t'J 15�I e Veterans
Day Parade and Ruck Race. D
JUL 13 2022
GILROY CITY CLERICS OFFICE
Cancellation: Should any of the above -described policies be cancelled before the expiration dates thereof, the issuing company will endeaver to mail 30 days
written notice to the above -named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company.
Certificate Dates:
Certificate Holder
City of Gilroy
7351 Rosanna Street
Gilroy, CA 95020
Effective Date
11/11/2022
Expiration Date
11/13/2022
Certificate Type: I Additional Covered Party ❑ Loss Payee
Evidence of Coverage
Laura S. Gill - Chief Executive Officer
SDRMA
SPECIAL DISTRICT RISK MANAGEMENT AUTHORITY
This endorsement changes the Liability Coverage Agreement. Please read it carefully.
COVERAGE PERIOD: 11/11/2022 through 11/13/2022
MEMBER AGENCY
South Santa Clara Valley Memorial District
74 West Sixth Street, Suite A
Gilroy, California 95020
11121 Street, Suite 300
Sacramento, California 95814-2865
T 916.231.4141 or 800.537.7790 4 F 916.231.4111
Maximizing Protection. Minimizing Risk. 4twww.stlrma.org
ADDITIONAL COVERED PARTY
City of Gilroy
7351 Rosanna Street
Gilroy, CA 95020
This endorsement modifies the Liability Coveraae Aareement orovided under the following:
General Liability - Bodily Injury - LCA-SDRMA-202223 - Per Occurrence - $1,000,000
General Liability - Property Damage - LCA-SDRMA-202223 - Per Occurrence - $1,000,000
It is hereby agreed that this endorsement is added to the Liability Coverage Agreement issued to South Santa Clara Valley
Memorial District by Special District Risk Management Authority ("SDRMA") adding the following as an Additional Covered Party:
City of Gilroy, its officers, representatives, agents, and employees are named as additional covered parties in regards to the Special
Event Permit Application for the Veterans Day Parade and Ruck Race.
The coverage afforded by this endorsement is afforded only as limited above and provided further that this coverage does not apply
to the sole negligence of the Additional Covered Party. In addition, Coverage shall not apply to liability for the active negligence of the
Additional Covered Party in any case where an agreement to indemnify the Additional Covered Party would be invalid under
Subdivision (b) of Section 2782 of the Civil Code.
Unless required by the Agreement identified above, coverage afforded by this endorsement shall be excess and non-contributory with
respect to any other valid and collectible insurance or risk financing providing coverage to the Additional Covered Party, including any
self -insured retention the Additional Covered Party may have, and any other insurance or risk financing providing coverage to the
Additional Covered Party shall be considered primary to this coverage. If required by a contract between the SDRMA Member named
above and the Additional Covered Party, the coverage afforded by this endorsement shall be primary with respect to any other valid
and collectible insurance or risk financing providing coverage to the Additional Covered Party, including any self -insured retention the
Additional Covered Party may have, and any other insurance or risk financing providing coverage to the Additional Covered Party shall
be considered excess to this coverage. All other terms and conditions remained unchanged.
Coverage provided by this endorsement, under the terms, conditions and exclusions contained in the Liability Coverage Agreement
issued by SDRMA to the Member named above shall not be reduced or canceled without 30 days written notice given to the Additional
Covered Party via certified mail.
THIS ENDORSEMENT CHANGES THE LIABILITY COVERAGE AGREEMENT. PLEASE READ IT CAREFULLY.
The inclusion of more than one Covered Party shall not operate to impair the rights of one Covered Party against another Covered
Party and the coverages afforded shall apply as though separate policies have been issued to each Covered Party except that the
inclusion of more than one covered party shall not increase the limit of liability of SDRMA.
Effective date of this endorsement is: 11/11/2022
SPECIAL DISTRICT RISK MANAGEMENT AUTHORITY
A proud California Special Districts
Alliance partner.
Signed by:
California Special Districts Association
1112 I Street, Suite 200
Sacramento, California 95814-2865
T 877.924.CSDA (2732) * F 916.4427889
Laura S. Gill - Chief Executive Officer
CSDA Finance Corporation
1112 I Street, Suite 200
Sacramento, California 95814-2865
T 877.924.CSDA (2732) s F 916.442.7889
SDRMA.
SPECIAL DISTRICT RISK MANAGEMENT AUTHORITY
This endorsement changes the Liability Coverage Agreement. Please read it carefully.
COVERAGE PERIOD: 7/1/2022 through 7/1/2023
MEMBER AGENCY
Silicon Valley Regional Interoperability Authority
601 El Camino Real
Santa Clara, California 95050
1112 1 Street, Suite 300
Sacramento, California 95814-2865
T 916.231.4141 or 800.537.7790 . F 916.231.4111
Maximizing Protection. Minimizing Risk. *www.sdrnta.org
ADDITIONAL COVERED PARTY
City of Gilroy
7351 Rosanna Street
Gilroy, CA 95020
This endorsement modifies the Liability Coveraae Aareement provided under the following:
General Liability - Bodily Injury - LCA-SDRMA-202223 - Per Occurrence - $1,000,000
General Liability - Property Damage - LCA-SDRMA-202223 - Per Occurrence - $1,000,000
It is hereby agreed that this endorsement is added to the Liability Coverage Agreement issued to Silicon Valley Regional
Interoperability Authority by Special District Risk Management Authority ("SDRMA") adding the following as an Additional Covered
Party:
The City of Gilroy, its officers, agents, employees and volunteers are named as additional covered parties with respect to the MOU for
the "Silicon Valley Regional Communications System".
The coverage afforded by this endorsement is afforded only as limited above and provided further that this coverage does not apply
to the sole negligence of the Additional Covered Party. In addition, Coverage shall not apply to liability for the active negligence of the
Additional Covered Party in any case where an agreement to indemnify the Additional Covered Party would be invalid under
Subdivision (b) of Section 2782 of the Civil Code.
Unless required by the Agreement identified above, coverage afforded by this endorsement shall be excess and non-contributory with
respect to any other valid and collectible insurance or risk financing providing coverage to the Additional Covered Party, including any
self -insured retention the Additional Covered Party may have, and any other insurance or risk financing providing coverage to the
Additional Covered Party shall be considered primary to this coverage. If required by a contract between the SDRMA Member named
above and the Additional Covered Party, the coverage afforded by this endorsement shall be primary with respect to any other valid
and collectible insurance or risk financing providing coverage to the Additional Covered Party, including any self -insured retention the
Additional Covered Party may have, and any other insurance or risk financing providing coverage to the Additional Covered Party shall
be considered excess to this coverage. All other terms and conditions remained unchanged.
Coverage provided by this endorsement, under the terms, conditions and exclusions contained in the Liability Coverage Agreement
issued by SDRMA to the Member named above shall not be reduced or canceled without 30 days written notice given to the Additional
Covered Party via certified mail.
THIS ENDORSEMENT CHANGES THE LIABILITY COVERAGE AGREEMENT. PLEASE READ IT CAREFULLY.
The inclusion of more than one Covered Party shall not operate to impair the rights of one Covered Party against another Covered
Party and the coverages afforded shall apply as though separate policies have been issued to each Covered Party except that the
inclusion of more than one covered party shall not increase the limit of liability of SDRMA.
Effective date of this endorsement is: 7/1/2022
A proud California Special Districts
Alliance partner.
Signed by:
California Special Districts Association
1112 f Street, Suite 200
Sacramento, California 95814-2865
T 877.924.CSDA (2732) * F 916.442.7889
Laura S. Gill - Chief Executive Officer
CSDA Finance Corporation
1112 I Street, Suite 200
Sacramento, California 95814-2865
T 877.924 CSDA (2732) s F 916.442.7889
NON-MEMBER'S CERTIFICATE OF COVERAGE I
Issue Date7/1/2022
Provider Special District Risk Management Authority
1112 'I' Street, Suite 300 / k
Sacramento, California 95814 CI�RI A /� /�
800.537.7790 www.sdrma.org J �(r ►[1
Member Silicon Valley Regional Interoperability Authority Member Number: 7595
601 El Camino Real Certificate Number: 3
Santa Clara, California 95050
This is to certify that coverages listed below have been issued to the Member named above for the period indicated. This certificate is not an insurance
policy or an agreement of coverage and does not amend, extend or alter the coverage afforded by the agreements listed herein. 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
described herein is subject to all the terms, exclusions, and conditions of the specific coverage document. This certificate of coverage evidences the limits
of liability in effect at the incept -ion of the agreements shown; limits shown may have been reduced by paid claims. This certificate is issued as a matter of
information only and confers no rights upon the certificate holder.
Type of Coverage Policy Number Effective Date Expiration Date Limits
General Liability LCA-SDRMA-202223 7/1/2022 7/1/2023
Bodily Injury Per Occurrence
Property Damage
$1,000,000
$1,000,000
The City of Gilroy, its officers, agents, employees and volunteers are named as additional covered parties with respect to •"1d,..,, da 4nal
Communications System". R E@E E -
JUL 13 2022
GILROY CITY CLERK'S OFFICE
Cancellation: Should any of the above -described policies be cancelled before the expiration dates thereof, the issuing company will endeaver to mail 30 days
written notice to the above -named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company.
Certificate Dates:
Certificate Holder
City of Gilroy
7351 Rosanna Street
Gilroy, CA 95020
Effective Date
7/1/2022
Expiration Date
7/1/2023
Certificate Type:
Additional Covered Party I I Loss Payee
Evidence of Coverage
�°ou,�e., A • &4.
Laura S. Gill - Chief Executive Officer