Loading...
HomeMy WebLinkAboutCOI - Sourcewise - Expires 2021-01-01SOURCEW-01 GM11N07 16*1. - CERTIFICATE OF LIABILITY INSURANCE �� DAT/14/2DIY0 1/14/2020 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(les) 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 endorsements). PRODUCER Suhr Risk Services of California Insurance Brokers, LLC 910 E Hamilton Suite 410 Campbell, CA 95008 CONTACT N ME House - SRS Suhr Risk H PHONE, Excj: (800) 788-1170 FAX, Nai:(408) 510-5490 MAIL E- DRE S: INSURERS AFFORDING COVERAGE NAIC N INSURER A: Alliance of Nonprofits for Insurance, Risk Retention Group 10023 INSURED INSURER B : INSURER C : SOurcewise INSURER D : 2115 The Alameda San Jose, CA 95126 INSURER E INSURER F : COVERAGES CERTIFICATE NUMRFR- RFVI-RlnN NIIMRFR- 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR Owner's & Contractor X 202014829 1/1/2020 1/1/2021 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED occurrence PREMISES (Ea S 500,000 X X MEp EXP An one person)$ 20,000 See "Other Covg" PERSONAL & ADV INJURY S 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC 1:1 OTHER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS -COMP/OPAGG 3,000,000 $ S A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS p AUTOS ONLY AUTOS ONLY 202014829 1/1/2020 1/1/2021 COMBINED SINGLE LIMIT a de is 1,000,000 X BODILY INJURY Perperson) S BODILY BODILY INJURY Per accident $ PPe�acEciRden DAMAGE S S A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 202014829UMBNPO 1/1/2020 111/2021 EACH OCCURRENCE S 2,000,000 AGGREGATE S DED I X I RETENTION $ 10,000 general agg is 2,000,000 WORKERS COMPENSATION AND CMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOR/PARTNER/EXECU I Wt Y OFFICER/MEMi3EER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N J A _ ?qTi�1�= --J OTH E.L. EACH ACCIDENT -�-- —�-- --- S E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 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 additional insured per attached endorsement form CG2026. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE ION DATE THEREOF, ACCORDANCE WITH THE POLICY PROVIS ONSCE WILL BE DELIVERED IN 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2020-14829 Named Insured: Sourcewise COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 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. 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