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HomeMy WebLinkAboutCOI - Sourcewise - Expires 2022-01-01SOURCEW-01 SRSPATRA3 ACORN" CERTIFICATE OF LIABILITY INSURANCE � DAT/13/2DIY � 113l2021 1 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 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 CON ACT House - SRS Suhr Risk NAM L--- - - - - - PHONE FAX ProCo Insurance Services 910 E Hamilton Ave (AIC, No, Ext): (A/C, Noy.___, - #410 E-MAIL s: None@none.com Campbell, CA 95008 INSURER(S) AFFORDING COVERAGE_ _ _ NAIC # INSURER A: Alliance of Nonprofits for Insurance, Risk Retention Group 10023 INSURED INSURER B : INSURER C : SOurcewise 3100 De La Cruz Blvd, #310 INSURER D : Santa Clara, CA 95054 _---- INSURER E INSURER F : COVERAGES CERTIFICATE NUMRFR- RFVISI1nN NUMRFR- 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. INSR TYPE OF INSURANCE ` 'ADDL'SU R' POLICY NUMBER POLICY EFF 1 POLICY EXPLTR - - -- LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S _ 1,000,000 CLAIMS -MADE OCCUR 202114829 X I DAMAGE TO RENTED 1/1/2021 111/2022 $ 14EM(S�S_(Ea.orc�ence) � 500,000 Owner's Con X tractor 20,000 -- MED EXP (Any"one person) TS.. - X See "Other Covg" 1,000,000 J f PERSONAL 8 ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE_ _! S _ 3,000,000 POLICY ` J JECT LOC PRODUCTS - COMP/OP AGG S 3,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident)o_�)- 1,000,000 ' X ANY AUTO _ 202114829 `- 1/1/2021 1/1/2022 BODILY INJURY_(Per S _ OWNED SCHEDULED AUTOS ONLY _ AUTOS _BODILY INJURY (Per accident) �/y AUTOS ONLY `- j AUTOS ONLD PROPERTY nDAMAGE $� - S A X UMBRELLA LIAB X J OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB l CLAIMS -MADE 202114829UMBNPO 1/1/2021 1/1/2022 AGGREGATE $ 21000,000 f DED X ETER NTION 10,000 -- - S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER I OTH- STATUTE_ ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE 1 N/A !E_L_EACH ACCIDENT OFFICERIM atoENH� EXCLUDED' (Mandryn If yes, describe under E.L. DISEASE -EA EMPLOYEE S -"- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S A Social Prof Liab 202114829 1/112021 1/1/2022 Aggregate Limit 3,000,000 IlSocial A Prof Liab 202114829 1/1/2021 1/1/2022 Each event Limit 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Gilroy, its officers and employees are named as an additional insured on General Liability policy per the attached endorsement form CG2026. City of Gilroy 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2021-14829 Named Insured: Sourcewise COMMERCIAL GENERAL LIABILITY CG20260413 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): Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. I 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. 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. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 CERTIFICATE EVIDENCE OF PROPERTY COVERAGE ISSUE DATE PROP-2006 03/26/2021 THIS EVIDENCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS EVIDENCE OF COVERAGE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND ADDITIONAL INTEREST. Public Risk Innovation, Solutions and Management COVERAGE AFFORDED A - Public Risk Innovation, Solutions and Management CIO ALLIANT INSURANCE SERVICES, INC. BY: PO BOX 6450 COVERAGE NEWPORT BEACH, CA 92658-6450 AFFORDED B - PHONE (949) 756-0271 / FAX (619) 699-0901 BY: LICENSE #OC3686 MEMBER TOWER NUMBER EMORANDUM NUMBER SANTA CLARA COUNTY IV r PRISMPR 21-22 EFFECTIVE DATE EXPIRATION DATE CONT. UNTIL ATTN: LANCE SPOSITO CIO ESA INSURANCE 03131 /2021 03/31 /2022 TERMINACHECKETED 11 2310 NORTH FIRST STREET, SUITE 203 THIS REPLACES PRIOR EVIDENCE: SAN JOSE, CA 95131 PROPERTY INFORMATION LOCATION 1 DESCRIPTION AS RESPECTS EVIDENCE OF COVERAGE FOR LEASE AGREEMENT BETWEEN THE COUNTY OF SANTA CLARA AND CITY OF GILROY FOR THE LEASE OF LOCATION 443, THE NEW GILROY LIBRARY LOCATED AT 350 W. SIXTH ST., GILROY, CA. HIS IS TO CERTIFY THAT THE MEMORANDUMS OF COVERAGE LISTED ABOVE HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE PERIOD INDICATED, NOTWITHSTANDING NY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE MAY BE ISSUED OR MAY PARTAIN. THE COVERAGE FFORED BY THE MEMORANDUMS DESCRIBED HEREIN IS SUBJECT TO ALL TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUMS. LIMITS SHOWN MAY HAVE BEEN EDUCED BY PAID CLAIMS. COVERAGE INFORMATION'_; COVERAGE 1 PERILS I FORMS AMOUNT OF INSURANCE ALL RISK OF DIRECT PHYSICAL LOSS OR DAMAGE, INCLUDING FLOOD. $25,000,000 PER OCC FOR ALL RISK AND $25,000,000 ANN AGG FOR FLOOD EARTHQUAKE IS EXCLUDED. EARTHQUAKE LIMIT IS NOT APPLICABLE. $25,000,000 PER OCC/ANN AGG REPAIR OR REPLACEMENT COST VALUATION SUBJECT TO MEMORANDUM OF COVERAGE PROVISIONS FOR EARTHQUAKE VEHICLE/BUSES ARE SUBJECT TO ACTUAL CASH VALUE OR REPLACEMENT COST PER SCHEDULE ON FILE WITH PRISM. ALL LIMITS ARE SHARED. 'REMARKW.(INCLUDING`SPECIAL CONDITIONS) DEDUCTIBLES: ALL RISK OF DIRECT PHYSICAL LOSS OR DAMAGE (EXCLUDING FLOOD AND EARTHQUAKE): $50,000 PER OCCURRENCE AS PER SCHEDULE ON FILE WITH PRISM. FLOOD: $50,000 EXCEPT FOR CRITICAL FLOOD (LOCATIONS IN FEMA FLOOD ZONE A OR V) DEDUCTIBLE IS $100,000. VEHICLES AND MOBILE EQUIPMENT IF COVERAGE IS SCHEDULED AND PURCHASED, DEDUCTIBLE APPLIES PER SCHEDULE ON FILE WITH PRISM. CANCELLATION'... SHOULD ANY OF THE ABOVE DESCRIBED MEMORANDUM(S) OF COVERAGE BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE MEMORANDUM(S) OF COVERAGE PROVISIONS. ADDITIONAL INTEREST NAME AND ADDRESS NATURE OF INTEREST CITY OF GILROY MORTGAGEE ATTN: DAN JOHNSON 7351 ROSANNA ST. LOSS PAYEE (OTHER) EVIDENCE ONLY GILROY, CA 95020 AUTHORIZED REPRESENTATIVE ub11c Risk Innovation, Solutions and Management