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HomeMy WebLinkAboutCOI - Sacred Heart Community Service - Expires 2023-07-01ACC)REIr CERTIFICATE OF LIABILITY INSURANCE DATE 1017/2o22 ton/2 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 INSURERS), 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 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). PRODUCER (WC) Heffernan Insurance Brokers 1350 Carlback Avenue Walnut Creek, CA 94596 CONTACT NAME: Michelle SaloW PHONE 925-934-8500 ac Na925-934-8278 ADDRESS: MSalow@Heffins.com INSURER(SI AFFORDING COVERAGE NAIC# INSURER A: Everest National Insurance Company 10120 INSURED SACRHEA-19 Sacred Heart Community Service 1381 S 1st Street San Jose, CA 95110 INSURER B INSURER C: INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATF MI IMRPP: Algg2RR95 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEFORTHE 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. INSR LTR TYPE OFINSURANCE ADDL SU BR POLICYNUMBER MMIDDYEFF MMIDDYEP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACHOCCURRENCE $ DA TO RENT D PREMISES IE. occurrence $ MEO EXP &yone person) $ PERSONAL B ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT PRO- ❑ LOC GENERALAGGREGATE $ PRODUCTS -COMP/OPAGG $ $ OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Es accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Pereccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNERIEXECUTWE OFFICER/MEMBEREXCLUDED1 ❑ NIA CA10003640221 7/1/2022 7/1/2023 X STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) f yea. descrilb. E.L. DISEASE -POLICY LIMIT $1.000.000 DESCRIPTION OF OPERATIONS beiow DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: As per contract or Agreemen EOC90MLMD OCT 17 2022 GILROY CITY CLERK'S OFFICE City of Gilroy 7351 Rosanna St. Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2015 ACORn C(1RPORATVIM ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD