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Home My WebLink AboutCOI - National Development Council - Expires 2022-05-01DATE (MMIDD/YYYY) AC'ORV CERTIFICATE OF LIABILITY INSURANCE lft.� 1212l2021 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 endorsement(s). PRODUCER CONTACT NAME: Joy Lewis Arthur J. Gallagher Risk Management Services, Inc. PHONE 205-566-7340 � AX(AICNo 777 108th Ave NE, #200 E-MAIL Bellevue WA 98004 ADDRESS: Jo Lewis a' .com INSURERS AFFORDING COVERAGE NAIC p INSURER A : Federal Insurance Company 20281 INSURED NATIDEV•02 INSURERS: Chubb IndemniV Insurance Company 12777 National Development Council INSURER C : Hiscox Insurance Company Inc. 10200 One Battery Park Plaza, Suite 710 24 Whitehall Street INSURER D : PartnerRe Ireland Insurance Limited New York NY 10004 INSURER E : INSURER F : CnVFRA[.FS CERTIFICATF N11MRFR-AQ1d5QAin REVISION NUMBER - 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 IADDLI�SFi.-�—POLICY EFF { POLICY EXP LIMITS LTR 1 INSD WVD II POLICY NUMBER , MMIDDIYYYY MM/DDIYYY A X s COMMERCIAL LIABILITY i 35336064 i 5/112021 f 5/1/2022 EACH OCCURRENCE $1.000.000 CLAIMS -MADE X 1OCCUR AMAGE TO RENTED PREMISES Ea occurrence $1,000,000 _ i MED EXP (Any one person) 4 $10,000 $1,000.000 _ i , PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: j ! GENERAL AGGREGATE —__ POLICY i PRO- rX LOC J_ _= PRODUCTS - COMP/OP AGG i $ 2,000,000 $ OTHER: f A AUTOMOBILE LIABILITY 73512244 5/1/2021 5/1/2022 EaMaac�deDtSINGLE LIMIT $1.000.000 ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED • 1 ' I BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X { NON-O AUTOS X { I PROPERTY DAMAGE $ ONLY ; ONLY AUTOS ri-11, - 7 1 is A X i UMBRELLA LIAS ` X OCCUR 7 179698760 1 511/2021 5/1/2022 EACH OCCURRENCE I $10,000,000 $10.000,000 ----- . EXCESS LIAB CLAIMS -MADE I AGGREGATE --------_.�___ E DED X I RETENTION $ in noo B WORKERS COMPENSATION 71656165 5/112021 5/1/2022 ;X PER ' ERH AND EMPLOYERS' LIABILITY Y l N ANYPROPRIETORIPARTNER/EXECUTIVE I OFFICERIMEMBEREXCLUDED? N I A! k E.L. EACH ACCIDENT $ 1,000,000 -- — --- 1(Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 It yes, describe under i DESCRIPTION OF OPERATIONS below i E.L. DISEASE - POLICY LIMIT $1.000,000 0 ' Professional Liability i F11305921 ? 12/112021 12/1/2022 Each Claim/Aggregate Retention $3,000,000 C Crime ! UC22247862.21 8/1/2021 8/1/2022 $100,000 i Crime Limit I i $1.000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) City of Gilroy, its officers, officials and employees are named as an additional insured, per the attached endorsement CERTIFICATE Nnl 1']FR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy, its officers, Officials and employees ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 USA %) 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2' of 5 7210 Conditions Other Insurance We will share the remaining loss, if any, with any other insurance that is not described in this (continued) Excess Insurance provision and was not negotiated specifically to apply in excess of the Limits Of Insurance shown in the Declarations of this insurance. Method of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this method each insurer contributes equal amounts until it has paid its applicable limits of insurance or none of the loss remains, whichever comes fast. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurers share is based on the ratio of its applicable limits of insurance to the total applicable limits of insurance of all insurers. :�%<f5: =Q' ::>:::'r�.:33i::t•: k Ji ,+}••:L- 2•:'>:afif:�f.. ,or%:i''::;ai;� •a. 3}.•:.Sf.., ..�s,:::,•.. .u. 'f'i: {:! :itiT'0: 'r.... r:S:•'+'n ''. ••:4f• .'{ �..�vKri,. r.4:•:•::•}�!r..%{��}f5Sr �.r}} '')}: r.•. r. ::.'. t. }}. +�"C�•!i}r.,•�: .{. :::f _ •%C:,�%4>fi:y..{•.L%:,. .}.. • Premium Audit We will compute all premiums for this insurance in accordance with our rules and rates. In accordance with the Estimated Premiums section of the Premium Summary, premiums shown with an asterisk (*) are estimated premiums and are subject to audit. In addition to or in lieu of such designation in the Premium Summary, premiums may be designated as estimated premiums elsewhere in this policy. In that case, these premiums will also be subject to audit, and the second paragraph of the Estimated Premiums section of the Premium Summary will apply. YJ M•J. •.'J.' JJ.Y, •.L •J•yJ. Y.+.. :• ::l JK•l�L•+•..J • •�J ��••��•.'::: :':: .••..••L••.•�•.. �.••AL ::•:: ::�.-..•.l•::: ..J., ••.•.••.'.•.':! J .Y{{{�•3}+}:.} .,..'{4n!•}M;.!{ {J.yv . ?•:rJ' {Jr:'•'} . { ..53:•} ...? }}••L; ' vr.:•• ;.r.. •.�y� ::{, {{•}}} .{ , :{{•' ..r .} ••.,? •::::.: .:.. t. r}if: }XJ.+•v7xC. L1). .�:.•. .::-•.,,{LL}J?JS:. kfSi>::,,•4:::xe:+r.•J.r...,•.J.L•:J.•::JJ.•. L, h• :'}lL,:LLL ti.•.,L.,. i..........Lr::vJ'...♦�:{.r.•.�•J%�L{Y:3�t.:.#L{•:: JJ..........: �:v... r•.J{##•:•:':�::??....:{•:•:•>� :................:.5:.....................................{�5.............. •...............rf......i7•....3}}}:•....L.....}}:•'•i.<v....•: }fY.•::♦•{#{:{:.... •iiiC•r::: Separation Of Insureds Except with respect to the Limits Of Insurance, and any rights or duties specifically assigned in this insurance to the first named insured, this insurance applies: • as if each named insured were the only named insured; and separately to each insured against whom claim is made or suit is brought. ♦ /J h'• �J� •vL•:• J M V •A'lJr.•Y• J:::• !•,L!•l .•::! • •JJ.••••�::•;NNlJf.•�SV.,•1 :•J !•/.V-VJ: JJ: •r•••••_'�•J•�•••••_L :•::• •Jf •!V,L,L !JJJ.}'f,IJ.}♦}}} }:•Lfr.�� L•J. J! 'J�}':i yyrJ��yy��w •,,,.y {rr,.♦} r r .•.y. y . }.: . )3. : J.: Q.?:>... X .J%�i }:�.}:y? ?^'J.., �. Y ••\••.•. r•,'llT.•f ,AS � XJXN•'.,,\+S'.{•AL• If•JJ:+, WL••'••r f}:•:{{.•• .W• •.•JfJ• J�NLL'J •i J•Y.vr:,\VA'AV r. •.{h ,Y.L{' ti�}I - , ..L. ...................J�..}�3x...................#......}......c£._....•f:"::{a•..r...J.•...... ^xi•:?'x#;•�':.. .J...........{.f5...}x�r�;c^c•'rr:�:<c::....x•.......................Tr• Transfer Or Waiver Of We will waive the right of recovery we would otherwise have had against another person or Rights Of Recovery organization, for loss to which this insurance applies, provided the insured has waived their rights Against Others of recovery against such person or organization in a contract or agreement that is executed before such loss. To the extent that the insured's rights to recover all or part of any payment made under this insurance have not been waived, those rights are transferred to us. The insured must do nothing after toss to impair theme. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. This condition does not apply to medical expenses. -;r4a^:?s a::{fSbf ffc44oa'doddco'ks Liability insurance Form 17-02-3080 (Rev. 4-01) Contract Page 24 of 32 3'of5 7210