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HomeMy WebLinkAboutCOI - Sourcewise - Expires 2023-01-01____=MNbk SOURCEW-01 SRSPATRA3 ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDfYYYY) 1/21/2022 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 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 House - SRS Suhr Risk NAME: PHONE FAX (A/C, No, Ext): (AIC, No): ProCo Insurance Services 910 E Hamilton Ave #410 AI AIEss: None@none.com Campbell, CA 95008 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Alliance of Nonprofits for Insurance, Risk Retention Group 10023 INSURED INSURER B : INSURER C : Sourcewise INSURER D : _ 3100 De La Cruz Blvd, #310 Santa Clara, CA 95054 INSURER E - INSURER F - COVERAGES CERTIFICATE NUMRFR- REVISION Nl1MRER- 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 EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX OCCUR Owner's & Contractor X 202214829 111/2022 1/112023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 500,000 $ X MED EXP An one erson 20,000 $ X See "Other Covg" PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT- LOC OTHER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG S 3,000,000 S A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY _ AUTOS AUTOS ONLY _ AUTOS ONLYY 202214829 1/1/2022 11112023 COMBINED SINGLE LIMIT Ea accident 1,000,000 $ X BODILY INJURY Perperson) S BODILY INJURY Per accident $ PPR r a cid � DAMAGE $ S A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 202214829UMBNPO 1/1/2022 111/2023 EACH OCCURRENCE $ 2,000,000 AGGREGATE S DED I X RETENTION $ 10,000 Agg & SSSPL $ 2,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ! N ANY PROPRIETORIPARTNER/EXECU I IVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N 1 A PER STAT TE ERH E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE_ S S E.L. DISEASE - POLICY LIMIT A A General Liability General Liability 202214829 202214829 11112022 1/112022 11112023 11112023 Aggregate Limit Each event Limit 3,000,000 1,000,000 DESCRIPTION OF OPERATIONS ! LOCATIONS ! 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 an additional insured on General Liability policy per the attached endorsement form CG2026. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Gilroy y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2022-14829 Named Insured: Sourcewise COMMERCIAL GENERAL LIABILITY CG20261219 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. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11— 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 12 19 © Insurance Services Office, Inc., 2012 Page 1 of 1