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HomeMy WebLinkAboutCOI - Resources Development Associates - Expires 2023-10-0102/16/2023 Epic Insurance Brokers & Consultants 3697 Mt. Diablo Blvd, Ste 100 Lafayette CA 94549-3745 Marilyn Epp (925) 297-2085 marilyn.epp@epicbrokersnca.com Resource Development Associates 330 Franklin St Suite 400 Oakland CA 94607 Sentinel Insurance Company, Ltd.11000 Beazley Insurance Company, Inc. CL2292845317 A 57SBAID4214 10/01/2022 10/01/2023 2,000,000 1,000,000 10,000 2,000,000 4,000,000 4,000,000 A 57SBAID4214 10/01/2022 10/01/2023 2,000,000 B Professional Liability & Cyber Liability V13940221001 10/01/2022 10/01/2023 3,000,000 each claim $25,000 retention 3,000,000 aggregate City of Gilroy, its Officers, Agents and Employees are named as additional insured as respects to general liability as per written requireement subject to the policy terms, conditions and exclusions. Per form SS 41 70 06 11 Service Agreement: consulting services. City of Gilroy, its Officers, Agents and Employees 7351 Rosanna Street 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. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY DocuSign Envelope ID: 51E8DEF1-388E-4772-89FB-BC0BF76AF7FC 10/01/2021 10/01/2022 California The County of Los Angeles, Department of Health Services, Julio C. Alvarado, 313 Figueroa , Los Angeles, CA, 90012 57SBAID4214 10/01/2022 10/01/2023 The County of Alameda, its Board of Supervisors and the Individual Members Thereof, and all the County Officers, Agents, Employees and Representatives City and County of San Francisco Office of Cannabis City of Gilroy,its officers,officials and employees,7351 Rosanna Street,Gilroy, CA,95020 Description:service Agreement:consulting services,City of Gilroy,it's officers, officials and employees are named as additional insured,per the attached endorsement. CITY AND COUNTY OF SAN FRANCISCO,ITS OFFICERS, EMPLOYEES AND AGENTS. DocuSign Envelope ID: 51E8DEF1-388E-4772-89FB-BC0BF76AF7FC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Insured: Resource Development Associates Policy # 57SBAID4214 Policy term: 10-1-2021 to 10-1-2022 DocuSign Envelope ID: 51E8DEF1-388E-4772-89FB-BC0BF76AF7FC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   DocuSign Envelope ID: 51E8DEF1-388E-4772-89FB-BC0BF76AF7FC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   DocuSign Envelope ID: 51E8DEF1-388E-4772-89FB-BC0BF76AF7FC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             DocuSign Envelope ID: 51E8DEF1-388E-4772-89FB-BC0BF76AF7FC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             DocuSign Envelope ID: 51E8DEF1-388E-4772-89FB-BC0BF76AF7FC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                DocuSign Envelope ID: 51E8DEF1-388E-4772-89FB-BC0BF76AF7FC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        DocuSign Envelope ID: 51E8DEF1-388E-4772-89FB-BC0BF76AF7FC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           DocuSign Envelope ID: 51E8DEF1-388E-4772-89FB-BC0BF76AF7FC 02/15/2023 Marsh Affinity a division of Marsh USA Inc. PO Box 14404 Des Moines, IA 50306-9686 Marsh Affinity 800-743-8130 ADPTotalSource@marsh.com AIU Insurance Company 19399 A 07/01/2022 07/01/2023 2,000,000 2,000,000 2,000,000 ADP TotalSource DE IV, Inc. 5800 Windward Parkway Alpharetta, GA 30005 L/C/F: Resource Development Associates Inc. 330 FRANKLIN STREET, SUITE 400 Oakland, CA 946070000 WC 053421670 CA All worksite employees working for Resource Development Associates Inc. paid under ADP TOTALSOURCE, INC.'s payroll, are covered under the above stated policy. City of Gilroy, its officers, officials and employees 7351 Rosanna Street Gilroy, CA 95020 X DocuSign Envelope ID: 51E8DEF1-388E-4772-89FB-BC0BF76AF7FC