HomeMy WebLinkAboutCOI - San Jose Conservation Corps - Expires 2024-04-01DATE (MM/DD/YYYY)
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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 policy, 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).
CONTACT
NAME:
PHONE
(Alc. No. Ext): 925-934-8500 I FAX
No): 925-934-8278
E-MAIL
ADDRESS:
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI
BELOW. THIS CERTIFICATE OF INSURANCF n(1FS Kim' rnr.icrITI ITC A rn.rroA r-r ocruirr. r..r . . ... .. ..._..__
INSURER(S) AFFORDING COVERAGE
INSURER A: WCF National Insurance Company
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
PRODUCER
(SM) Heffernan Insurance Brokers
1820 Gateway Drive, Suite 330
San Mateo CA 94404
License#: 0564249
INSURED SANJOSE-37
San Jose Conservation Corps
1560 Berger Drive
San Jose CA 95112
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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LIMITS
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EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OPAGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
(Per accident)
EACH OCCURRENCE
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PER
X STATUTE ERH
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
POLICY EFF POLICY EXP
(MMI0D/YYYY) I (MMDI IDYYYY)
4/1/2024
4/1/2023
POLICY NUMBER
4058340
S (ACORD 101, Additional Remarks se
ith Insured.
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DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLE
Re: As Per Contract or Agreement on File w
TYPE OF INSURANCE
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
POLICY PRO-
JECT
OTHER:
SCHEDULED
AUTOS
NON -OWNED
AUTOS ONLY
OCCUR
CLAIMS -MADE
DED I RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y! N
ANYPROPRI ETORWARTNERIEXECUTI VE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y
UMBRELLA LIAB
EXCESS LIAB
fOMOBILE LIABILIT
ANY AUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
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