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HomeMy WebLinkAboutCOI - Rebekah Children's Services - Expires 2023-02-01REBECHI-02 SRSPATRA3 '4 R1:Y CERTIFICATE OF LIABILITY INSURANCE DATED1YYYYj 2/3/2 /3/2022 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 terns 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 Co FACT Jeannie Hatalsky ProCo Insurance Services PHONE a, Ext : (408 510-5456 FVC, No 910 E Hamilton Ave #410 E-MAIL . jeannie.hatalsky roco.global AnnRFS Campbell, CA 95008 INSURERS AFFORDING COVERAGE NA1C # INSURER A: Nonprofits Insurance Alliance of California INSURED Odd Fellow - Rebekah Children's Services dba: Rebakah's INSURER B : Redwood Fire & Casual Insurance Company 11673 Children's Services INSURER C : Accounts Payable INSURER D : 290 IOOF Avenue Gilroy, CA 95020 INSURER E : INSURER F : COVERAGES cFRTIFICATr- MI IUMCD- e�anc+,^., .IN..aml 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 ADDLINSD`SUBR WVD POLICYNUMBER POLICY EFF POLICY EXP LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X CLAIMS -MADE OCCUR X 2022-10268 2/1/2022 2/1/2023 DAMAGE TOPREMISES E Norrence $ 500,000 X Sex Abuse $1 M/$1 M MEO EXP An one arson 20,000 X Prof Liab $1 M/$3M PERSONAL & ADV INJURY 1 �������� GEN'L AGGREGATE LIMIT APPLIES PER: X I GENERAL AGGREGATE Is 3,000,000 PRODUCTS - COMP/OP AGG 3,000,000 POLICY ma LOC $ OTHER: A AUTOMOBILE LIABILITY COMBBIINdED SINGLE LIMIT (Ea aX $ 1,000,000 ANYAUTO 2022-10268 2/1/2022 2/1/2023 BODILY INJURY Per person)$ OWNED SCHEDULED BODILY INJURY Per accident S AUTOS ONLY AUTOS p AUTOS ONLY AUTOS ONLY Perr ardent AMAGE A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAR CLAIMS -MADE 202210268UMB 2/1/2022 21112023 DEO I X I RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' X PER OTH- STAT TE LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEM$ER EXCLUOED7 MAW)' N ! A ODWC309759 2/1/2022 2/1/2023 E.L. EACH ACCIDENT S 1,000,000 (Mandatory in 1,000,000 If yes, describe under E.L. DISEASE - EA EMPLOYE E.L. DISEASE - POLICY LIMIT $ 1,000,000 D>=SCRIPTION OF OPERATIONS below A BPP 2022-10268 2/1/2022 2/1/2023 BPP Limit 1,702,972 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required City of Gilroy, its officers, representatives, agents, and employees are named as an additional insured on General Liability policy per the attached endorsement. City of Gilroy 7351 Rosanna St. Gilroy, CA 95020-6141 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTTHOORRIZED REPRESENTATIVE �! 'w'Umu ca tcul olus/ ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i ACORO'� �4 � AGENCY CUSTOMER ID: REBECHI-02 LOC #: 1 ADDITIONAL REMARKS SCHEDULE SRSPATRA3 Page 1 of 1 AGENCY NAMED INSURED roCo Insurance Services Odd Fellow - Rebekah Children's Services dba: Rebakah's Children's Services Av6nuee POLICY NUMBER EE PAGE 1 290 IOOF Gilroy, CA 95020 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 AUU111UNAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Additional Coverages Employee Dishonesty (Zurich) Policy #: CCP9546363-01 Effective Date: 2/1/2022 - 211/2023 Limit: $2,613,561 Employee Dishonesty (Nonprofits' United) Policy #: 202210268 Effective Date: 2/112022 - 2/1/2023 Limit: $100,000 Iu I tzuuolu-1) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD