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Home My WebLink AboutCOI - Social Vocational Services, Inc. - Expires 2022-09-15AC �® DATE (MM�DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 9/13/2021 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 CONTACT NAME: Robin Johnston Arthur J. Gallagher & Co. PHONE 818-539-1354 (A/C Nc : 818-539-1654 Insurance Brokers of CA Inc. LIC #0726293 EMAIL 505 N. Brand Boulevard, Suite 600 ADDRESS: robin-johnston@ajg.com Glendale CA 91203 INSURERS AFFORDING COVERAGE NAIC INSURER A: Nonprofits' Insurance Alliance of CA INSURED SOCIVOC-02 Social Vocational Services, Inc. INSURER B :Zurich American Insurance Company 16535 - - 3555 Torrance Blvd. INSURER C : Torrance, CA 90503 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER- 9?22R701 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 AODL SUBRI I POLICY EFF POLICY IeXP LTR ; IN D WVD i POLICY NUMBER MMIDDIYYYY(MMIDD1YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY ; 2021-07644 9/15/2021 9/15/2022 EACH OCCURRENCE $1.000.000 — J CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrenr_e _$1,000.000 MED EXP (Any one person) j $ 20.000 -- PERSONAL & ADV INJURY S 1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3.000,000 —, , PRO- POLICY _ JECT X LOC - - - •-- _PRODUCTS - COMPIOP AGG ---- - ---- - - _ _ i $ 3,000,000 - 1 OTHER: I { 1 $ AUTOMOBILE LIABIUTY - COMBINED SINGLE LIMIT !$ (Ea accident) -- ANY AUTO BODILY INJURY (Per person) $, OWNED SCHEDULED AUTOS ONLY AUTOS - BODILY INJURY (Per accident) $ - HIRED NON OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident)___ __ $ UMBRELLA LIAR 'OCCUR EACH OCCURRENCE $ _- EXCESS LIAR CLAIMS -MADE r AGGREGATE _—$T---- ----- ---- ---�i ? DED I I RETENTION $ 1 $ B WORKERS COMPENSATION 1 EWS 0117457-06 ! 6/30/2021 1 6/2022 30/ PER OT iX !STATUTE ER AND EMPLOYERS' LIABILITY Y l N 1 1 _ ANYPROPRIETORiPARTNER/EXECUTIVE a OFFICER MEMBEREXCLUDED? . N / A E.L. EACH ACCIDENT --- - $ 1,000,000 - -- - -- i (Mandatory In NH) E.L. DISEASE EA EMPLOYEE $1.000,000 11 yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000.000 A Professional Liability 2021-07644 9/15/2021 9/15/2022 • j � $3,000.000 Agg $1,000,000 Per Occ 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Workers' Compensation and Employers Liability is subject to a $350,000 Self Insured Retention. Subject to all policy terms, conditions and exclusions. The City of Gilroy, its officers and employees are included as additional insured, per form NIAC E62 02 17, when required by written contract for general liability arising out of the operations of the Named Insured. CERTIFICATE HOLDER CANCELLATION City Of Gilroy 7301 Rosanna Street Gilroy CA 95020 USA 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 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2' of 4 3201 NONPROFITS INSURANCE �■ ALLIANCE OF CALIFORNIA A Head fof Insurance. A Heart far Nonprofits. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PRIVATE ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION II —WHO IS AN INSURED is amended to include any private entity as an additional insured for whom you are performing operations, or in connection with premises rented to you, when you have agreed in a written contract or written agreement that such private entity be added as an additional insured(s) on your policy, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury", caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such private entity is an additional insured for liability arising out of the "products -completed operations hazard". B. With respect to the insurance afforded to these additional insured(s), the following additional exclusions apply. This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project C. The following is added to SECTION III —LIMITS OF INSURANCE: The limits of insurance applicable to the additional insured(s) are those specified in the written contract between you and the additional insured(s), or the limits available under this policy, whichever are less. These limits are part of and not in addition to the limits of insurance under this policy. D. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance a. Primary Insurance NIAC E62 02 17 This insurance is primary if you have agreed in a written contract or written agreement: (1) That this insurance be primary. If other insurance is also primary, we will share with all that other insurance as described in c. below; or Page 1 of 2 T V 4 3201 (2) The coverage afforded by this insurance is primary and non-contributory with the additional insured(s)' own insurance. Paragraphs (1) and (2) do not apply to other insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b. below. b. Excess Insurance This insurance is excess over: 1. Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (b) That is fire, lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE. (e) Any other insurance available to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional insured by that other insurance. (1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" if any other insurer has a duty to defend the additional insured(s) against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self -insured amounts under all that other insurance. (3) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Methods of Sharing NIAC E62 02 17 If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Page 2 of 2 4" of 4 3201