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HomeMy WebLinkAboutCOI - Second Harvest of Silicon Valley - Expires 2021-03-01d Client#:1558376 SECONHAR3 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/13/2020 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NSusan Boutchle NAME: USI Insurance Services, LLC PHONE :628 201-9041 FAX(AICNo): 610 537-2393 201 Mission St 11th FI E-MAIL susan.boutchie@usi.com ADDREss: San Francisco, CA 94105 628 201-9001 INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Philadelphia Indemnity Insurance Co. 18058 INSURED Second Harvest of Silicon Valley INSURER B : Cypress Insurance Company (CA) 10855 —-- --- - 750 Curtner Avenue INSURER C : INSURER D : San Jose, CA 95125 INSURER E - _--- — - -- -- AA\ J•'•w a AJ-A --- INSURER F : VW V =nAUM0 C t:K I IFIGATE NUMBER: 12G111etnw au meQeo. - - .....•v. ..vn.va�• 1. 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDL INSR_ SUER WVD POLICY NUMBER _ PHPK2101742 POLICY EFF POLICY EXP (MM/DD/YYYY) {MM/DD/YYYY LIMITS EACH OCCURRENCE $1,0002000 A A )( COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r X i OCCUR X Sexual Abuse Molest 3/01/2020 03/01/2021 3/01/2020 03/01/2021 PREMISES Ea REoccNTED ante $1 OOO OOO MED EXP (Any one person) $20OOO PERSONAL & ADV INJURY _$12000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X, PRO- POLICY _ . __ JECT I_ X LOC OTHER` AUTOMOBILE uaBlLlnr X ANY AUTO OWNED SCHEDULED _ AUTOS ONLY X AUTOS ONLY X AUTOS NLDY GENERAL AGGREGATE $3,000 000 PRODUCTS - COMP/OP AGG $ 3,000,000 Ea acciden SINGLE LIMIT $ PHPK2101742 1,000,000 BODILY INJURY (Per person) I $ BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident $ Is A XI, UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE_ PHUB712573 3/01/2020 03/01/2021 EACH OCCURRENCE AGGREGATE _$152000,000 $15 QaO,QQQ DED X � RETENTION $1 O 000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) It yes. describe under _DESCRIPTION OF OPERATIONS below N / A SEWC142830 _ 0/01 /2020 ' 10/01/2021 X PER OTH- T E.L. EACH ACCIDENT $1,0001000 E.L. DISEASE - EA EMPLOYEE -- $1 00O 000 E.L. DISEASE - POLICY LIMIT $1,000,000 - I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) The City of Gilroy, its officers, employees, and agents are included as additional insureds as respects General Liability in accordance with the terms and conditions of the policy. City of Gilroy, its agents, officers and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE OO W88-2015 ACORD CORPORATION_ 011 rinhte rraeorvoa ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S30156558/M30150678 SECZP POLICY NUMBER: PHPK2101742 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): 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 applicable Limits of Declarations. shall not increase the Insurance shown in the CG 20 26 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1