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HomeMy WebLinkAboutCOI - Community Agency for Resources, Advocacy & Service - Expires 2024-03-20A 3 o® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/Y1 YY) 03/16/2023 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 po icy, 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 Anixter & Oser, Inc. License 0E28888 205 San Mahn Drive Novato CA 94945-1227 CONTACT Denise Billings / Kim White NAME: PHONE (415) 896-1600 FAX Na (AIC, No, Ext): (A/C,): E-MAIL kim@properlyinsured.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Nonprofits Ins Alliance of CA NIAC INSURED Community Agency for Resources, Advocacy & Services 381B 1st Street Gilroy CA 95020 INSURER B : Nationwal Specialty Insurance Company INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CL2331630771 REVISION NUMBER: 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL3U8R INSD WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MMIDO!YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y 2023-39598 03/20/2023 03/20/2024 EACH OCCURRENCE 5 1,000,000 DAMAGE D PREMISESO(Ea oocccu ence) 5 500,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) 5 20,000 X Improper Sexual Conduct Liability PERSONAL &ADV INJURY S 1,000,000 X Social Service Professional Liability GENERAL AGGREGATE S 2,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES JECT PRO PER: PRODUCTS - COMP/OPAGG S 2,000,000 Liquor Liability S 1,000,000 A AUTOMOBILE X — LIABILITY ANYAUTO OWNED AUTOS ONLY HIRED AUTOS ONLY %� SCHEDULED AUTOS NON -OWNED AUTOS ONLY 2023-39598 03/20/2023 03/20/2024 COMBINED SINGLE LIMIT (Ea accident) 5 1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) $ S ~— UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S 5 DED RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes- describe under DESCRIPTION OF OPERATIONS below Y I N N/A PER STATUTE OTH- ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S B Cyber Liability FLY-CB-OJQUVJLMB 12/02/2022 12/02/2023 Aggregate Limit $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mare space is required) City of Gilroy, its Officers, Representatives, Agents and Employees are named as additional insured per form CG2026 attached. Program: CARAS-RYSE UP SUBJECT TO POLICY TERMS, CONDITIONS, AND EXCLUSIONS. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna Street Gilroy CMIRillAID MAR 2 4 2023 GILROY CITY CLERK'S OFFICE RE 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 POLICY NUMBER: 2023-39598 Named Insured: COMMERCIAL GENERAL LIABILITY Community Agency for Resources, Advocacy & Services CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): City of Gilroy, its Officers, Representatives, Agents and Employees Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 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 or 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. CG20261219 B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 Page 1 of 1