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HomeMy WebLinkAboutCOI - Sourcewise - Expires 2024-01-01ACORO' SOURCEW-01 CERTIFICATE OF LIABILITY INSURANCE PIHPATRA2 DATE(MMIDDP 1119/2D'e }� ATE HOLDER.' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPOFV N THE CERTIFIC CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POI BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORt--- 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 policles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CO CT House - SRS Suhr Risk ProCo Insurance Services 910 E Hamilton Ave 9410 Campbell, CA 95008 PHONE FAX AID, No, Pat): ac, No E-MDDRE.. None@none.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Alliance of Nonprofits for Insurance, Risk Retention Group 10023 INSURED INSURER B INSURER C : SOurcewlse 3100 De La Cruz Blvd, #310 Santa Clara, CA 95054 INSURER D: INSURER E INSURER F : SCR. 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. ILTRNT.SR rypE OF INSURANCE AODL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADEFV] OCCUR X 202314829 1/1/2023 11112024 DAMAGETO RENTED 500,000 Owner's & Contractor X ¢cDce MED EXP (Anyone person)$ 20,000 X See "Other Covg" PERSONAL S ADV INJURY § 1,000,000 GEN'L AGGREGATE LIMIT APPLIESPER: POLICY PRO- ❑X LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3.000,000 OTHER: A AUTOMOBILE LIABILITY EOaMBIINED SINGLE LIMIT 1,000,000 $ X BODILY INJURY Per erson $ ANY AUTO 202314829 1/1/2023 1/1/2024 OWNED SCHEDULED AUTOS ONLY AUTOOSyy BODILY INJURY Per accident $ D AUT %ONLY AUTOS ONLY Pe�eccident AMAGE $ EACH OCCURRENCE $ 2,000,000 A X UMBRELLA LIAR X OCCUR EXCESS UAB CLAIMS -MADE 202314829UMBNPO 1/1/2023 1/112024 AGGREGATE $ DELI X RETENTION$ 10,000 Agg&SSSPL S 2,000,000 WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITV YIN E.L. EACH ACCIDENT $ ANY PROPREIIETgO�RRfPARTNER/EXECUTIVE (M,, NH) EXCLUDED? El NIA E.L. OISE4SE-EA EMPLOYE S lOEmMl/In describe under It yus,DESCRIPTION E.L. DISEASE - POLICY LIMIT 3 i OESCRIPTON OF OPERATIONS below A General Liability 202314829 1/1/2023 1/1/2024 Aggregate Limit 3,000,000 A General Liability 202314829 1/1/2023 1/112024 Occurrence 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, ma be attached if more space is required) The City of Gilroy, its officers and employees are amed as an additional insured on general Liability policy per the attached endorsement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy I,1 q 2�Z3 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Rosanna Street JAN ` ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 GILROY CITY CLERICS OFFICE AUTHORIZED REPRESENTATIVE vT9atl-2UT b ACORU CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD