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Home My WebLink AboutCOI - South Santa Clara County FPD - Expires 2022-07-01DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7/8/2021 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 endorsements . PRODUCER CONTACT NAME: _ Arthur J. Gallagher & Co. PHONE Extl. 415-546-9300 FAX . No : 415-536-8499 Insurance Brokers of CA. Inc., License #0726293 E-MAIL 595 Market Street, Suite 2100 ADDRESS: San Francisco CA 94105 INSURERS AFFORDING COVERAGE I NAIC if INSURERA: Allied World Insurance Company 22730 INSURED FIREAGE-01 INSURER B : South Santa Clara County FPD 15670 Monterey Street INSURER C Morgan Hill, CA 95037 INSURER D : - INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER- '4A75177g1 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. ILTR TYPE OF INSURANCE IN D ,SWVDR! POLICY NUMBER MMrUDD YYYY M/bD Y LIMITS A X COMMERCIAL GENERAL LIABILITY Y JPAPKG-00237-OOF-03 ; 7/112021 711/2022 ;EACH OCCURRENCE $ 1,000.000 AG - — X k CLAIMS MADE OCCUR PREMISES E_a_ocairrence $1.000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY - - $ 1.000,000 _ LIMIT AP _'PLIES PER: � i GENERAL AGGREGATE I---- - ------___ _-_ GEN'L AGGREGATE__LOC $ 10,000,000 - - -" ---. X� PRO � ' � -- --- ---- 1 POLICY I JECT PRODUCTS - COMP/OP AGG I $10,000,000 - $ OTHER: AUTOMOBILELIABILITY COMBINED SINGLE LIMIT __, Ea accdent $ -- ANY AUTO BODILY INJURY (Per person) $ OWNED r - j SCHEDULED ! BODILY INJURY (Per accident) AUTOS ONLY AUTOS $ _ �l HIRED NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY � Per accident AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB ' CLAIMS -MADE i AGGREGATE H $ ! 1 I DED I RETENTION $ $ WORKERS COMPENSATION PER I ER STATUTE ER AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORiPARTNERIEXECUTIVE r E.L. EACH ACCIDENT_ _ NIA: FT $ -- --- - - - OFFfCER/MEMBEREXCLUDEO? (Mandatory In NH) i E.L. DISEASE • EA EMPLOYEE $ ;11 as, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT -"- - $ i 4 I I DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Gilroy, its Officers, Officials and Employees are also named as Additional Insureds as respects the shared of Battalion Chief Agreement, CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 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 (2016103) The ACORD name and logo are registered marks of ACORD 2' of 3 6830 i POLICY NUMBER: JPAPKG-00237-OOF-03 ADDITIONAL INSURED - AUTOMATIC THIS ENDORSEMENT CHANGES THE COVERAGE FORM. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION II. — WHO IS AN INSURED is amended to include as an insured any person or organization but only with respect to the following: A. 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 premises owned by or rented to you; B. Liability arising out of the ownership, maintenance or use of premises leased to you and subject to the following additional exclusions: 1. any "occurrence" which takes place after you cease to be a tenant at that premises. 2. structural alterations, new construction or demolition operations performed by or on behalf of the person or organization you have leased from. FR-GL 00006 00 (05/15) Page 1 of 1 Includes copyrighted material of Insurance Services Offices, Inc. with its permission. 4 i1 T of 3 6830 Issue Date NON-MEMBER'S CERTIFICATE OF COVERAGE 7/1/2021 Provider Special District Risk Management Authority /�� 1112 'I' Street, Suite 300 AN, Sacramento, California 95814 ('Till /� RN 800.537.7790 www.sdrma.org Jj, �� Member Silicon Valley Regional lnteroperability Authority Member Number. 7595 601 El Camino Real Certificate Number., 3 Santa Clara, California 95050 This is to certify that coverages listed below have been issued to the Member named above for the period indicated. This certificate is not an insurance policy or an agreement of coverage and does not amend, extend or alter the coverage afforded by the agreements listed herein. 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 coverage described herein is subject to all the terms, exclusions, and conditions of the specific coverage document. This certificate of coverage evidences the limits of liability in effect at the inception of the agreements shown; limits shown may have been reduced by paid claims. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. Type of Coverage Policy Number Effective Date Expiration Date Limits General Liability 7/1/2021 7/1/2022 Bodily Injury Per Occurrence $1,000,000 Property Damage $1,000,000 The City of Gilroy, Its officers, agents, employees and volunteers are named as additional covered parties with respect to the MOU for the "Silicon Valley Regional Communications System". Cancellation: Should any of the above -described policies be cancelled before the expiration dates thereof, the issuing tympany will endeaver tomail 30 days written notice to the above -named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company. Certificate Dates: Effective Date Expiration Date Certificate Type: Vdditional Covered Party ❑ Loss Payee 7/1/2021 7/1/2022 ❑Evidence of Coverage Certificate Holder City of Gilroy (/"�uG� /� • 7CI �c.x• 7351 Rosanna Street Laura S. Gill - Chief Executive Officer Gilroy, CA 95020 SDRMA SPECIAL DISI'RICI' RIs1: MANAGFMEM' AUnOR1 R' 11121 Street, Suite 300 Sacramento, California 95814-2865 T 916.231.4141 or 800.537.7790 OF 916.231.4111 Maximizing Protection. Minimizing Risk. owww.sdrma.org This endorsement changes the Liability Coverage Agreement. Please read it carefully. COVERAGE PERIOD: 7/1/2021 through 7/1/2022 MEMBERAGENCY Silicon Valley Regional Interoperability, Authority 601 El Camino Real Santa Clara, California 95050 ADDITIONAL COVERED PARTY City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 This endorsement modifies the Liability Coverage Agreement provided under the following: General Liability - Bodily Injury - - Per Occurrence - $1,000,000 General Liability - Property Damage - - Per Occurrence - $1,000,000 It is hereby agreed that this endorsement is added to the Liability Coverage Agreement issued to Silicon Valley Regional Interoperability Authority by Special District Risk Management Authority ("SDRMA") adding the following as an Additional Covered Party. The City of Gilroy, its officers, agents, employees and volunteers are named as additional covered parties with respect to the MOU for the "Silicon Valley Regional Communications System". Unless required by a contract between Silicon Valley Regional Interoperability Authority and City of Gilroy, coverage afforded by this ENDORSEMENT shall be excess and non-contributory with respect to any other valid and collectible insurance or risk financing providing coverage to City of Gilroy, including any self -insured retention the City of Gilroy may have, and any other insurance or risk financing providing coverage to the City of Gilroy shall be considered primary to this coverage. If required by a contract between Silicon Valley Regional Interoperability Authority and City of Gilroy, the coverage afforded by this ENDORSEMENT shall be primary with respect to any other valid and collectible insurance or risk financing providing coverage to the City of Gilroy including any self -insured retention the City of Gilroy may have, and any other insurance or risk financing providing coverage to the City of Gilroy shall be considered excess to this coverage. The coverage afforded by this ENDORSEMENT is afforded only with respect to liability arising out of the ongoing operations of the SDRMA Member named above and provided further that this coverage does not apply to the sole negligence of the additional covered party named above. Coverage shall not be extended for the active negligence of the City of Gilroy in any case where an agreement to indemnify the additional named party would be invalid under Subdivision (b) of Section 2782 of the Civil Code. All other terms and conditions remained unchanged. Coverage provided by this endorsement, under the terms, conditions and exclusions contained in the Liability Coverage Agreement issued by SDRMA to Silicon Valley Regional Interoperability Authority shall not be reduced or canceled without 30 days written notice given to the City of Gilroy via certified mail. THIS ENDORSEMENT CHANGES THE LIABILITY COVERAGE AGREEMENT. PLEASE READ IT CAREFULLY. The inclusion of more than one Covered Party shall not operate to impair the rights of one Covered Party against another Covered Party and the coverages afforded shall apply as though separate policies have been issued to each Covered Party except that the inclusion of more than one covered party shall not increase the limit of liability of SDRMA. Effective date of this endorsement is: 7/1/2021 SPECIAL DISTRICT RISK MANAGEMENT AUTHORITY Signed by: Laura S. Gill - Chief Executive Officer A proud California Special Districts California Special Di stricts Association CSDA Finance Corporation Alliance partner. 11121 Street, Suite 200 11121 Street, Suite 200 Sacramento, California 95814-2865 Sacramento, California 95814-2865 T877.924.CSDA(2732) OF 916.442.7889 T677. 924. CSDA(2732)0 F 916.442.7889 Issue Date NON-MEMBER'S CERTIFICATE OF COVERAGE 7/1/2021 Provider Special District Risk Management Authority � 1112 'I' Street, Suite 300 Ak Sacramento, California 95814 ('�n /� RMA 800.537.7790 www.sdrma.org J Member Silicon Valley Regional Interoperability Authority Member Number: 7595 601 El Camino Real Certificate Number: 39 Santa Clara, California 95050 This is to certify that coverages listed below have been issued to the Member named above for the period indicated. This certificate is not an insurance policy or an agreement of coverage and does not amend, extend or alter the coverage afforded by the agreements listed herein. 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 coverage described herein is subject to all the terms, exclusions, and conditions of the specific coverage document. This certificate of coverage evidences the limits of liability in effect at the inception of the agreements shown; limits shown may have been reduced by paid claims. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. Type of Coverage Policy Number Effective Date Expiration Date Limits General Liability 7/1/2021 7/1/2022 Bodily Injury Per Occurrence $1,000,000 Property Damage $1,000,000 Cityof Gilroy is named as an additional covered party in respects to Site Access Agreement for Gilroy City Hall Annex Building, Gilroy Target Range, and Gilroy Reservoir D. Cancellation: Should any of the above -described policies be cancelled before the expiration dates thereof, the issuing company will endeaver tomail 30 days written notice to the above -named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company. Certificate Dates: Effective Date Expiration Date Certificate Type: OAdditional Covered Party D Loss Payee 7/1/2021 7/1/2022 DEvidence of Coverage Certificate Holder „t City of Gilroy Gabe Gonzales, City Administrator Laura S. Gill - Chief Executive Officer 7351 Roseanna Street Gilroy, CA 95020 0 1112 1 Street, Suite 300 California 958 4-2865 SDRMA T 916.231.4141or 800.537.7790 +F 916.231.4111 SPECIAL DISTRICT lust: MANACEMENI' AUTt10Rt1) Maximizing Protection. Minimizing Risk.+www.sdrma.org This endorsement changes the Liability Coverage Agreement. Please read it carefully. COVERAGE PERIOD: 71112021 through 7/1/2022 MEMBERAGENCY ADDITIONAL COVERED PARTY Silicon Valley Regional Interoperability Authority City of Gilroy 601 El Camino Real Gabe Gonzales, City Administrator Santa Clara, California 95050 7351 Roseanne Street Gilroy, CA 95020 This endorsement modifies the Liabilitv Coverage Aareement provided under the following: General Liability - Bodily Injury - - Per Occurrence - $1,000,000 General Liability - Property Damage - - Per Occurrence - $1,000,000 It is hereby agreed that this endorsement is added to the Liability Coverage Agreement issued to Silicon Valley Regional Interoperability, Authority by Special District Risk Management Authority ("SDRMA") adding the following as an Additional Covered Party. City of Gilroy is named as an additional covered party in respects to Site Access Agreement for Gilroy City Hall Annex Building, Gilroy Target Range, and Gilroy Reservoir D. Unless required by a contract between Silicon Valley Regional Interoperability, Authority and City of Gilroy, coverage afforded by this ENDORSEMENT shall be excess and non-contributory with respect to any other valid and collectible insurance or risk financing providing coverage to City of Gilroy, including any self -insured retention the City of Gilroy may have, and any other insurance or risk financing providing coverage to the City of Gilroy shall be considered primary to this coverage. If required by a contract between Silicon Valley Regional Interoperability Authority and City of Gilroy, the coverage afforded by this ENDORSEMENT shall be primary with respect to any other valid and collectible insurance or risk financing providing coverage to the City of Gilroy including any self -insured retention the City of Gilroy may have, and any other insurance or risk financing providing coverage to the City of Gilroy shall be considered excess to this coverage. The coverage afforded by this ENDORSEMENT is afforded only with respect to liability arising out of the ongoing operations of the SDRMA Member named above and provided further that this coverage does not apply to the sole negligence of the additional covered party named above. Coverage shall not be extended for the active negligence of the City of Gilroy in any case where an agreement to indemnify the additional named party would be invalid under Subdivision (b) of Section 2782 of the Civil Code. All other terms and conditions remained unchanged. Coverage provided by this endorsement, under the terms, conditions and exclusions contained in the Liability Coverage Agreement issued by SDRMA to Silicon Valley Regional Interoperability Authority shall not be reduced or canceled without 30 days written notice given to the City of Gilroy via certified mail. THIS ENDORSEMENT CHANGES THE LIABILITY COVERAGE AGREEMENT. PLEASE READ IT CAREFULLY. The inclusion of more than one Covered Party shall not operate to impair the rights of one Covered Party against another Covered Party and the coverages afforded shall apply as though separate policies have been issued to each Covered Party except that the inclusion of more than one covered party shall not increase the limit of liability of SDRMA. Effective date of this endorsement is: 7/1/2021 SPECIAL DISTRICT RISK MANAGEMENT AUTHORITY Signed Laura S. Gill - Chief Executive Officer A proud California Special Districts California Special Districts Association CSDA Finance Corporation Alliance partner. 11121 Street, Suite 200 1112 1 Street, Suite 200 Sacramento, California 95814-2865 Sacramento, California 95814-2865 T877.924 CSDA(2722)+F 916.442.7889 T877. 924.CSDA(2732)+F 916. 442.7889