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HomeMy WebLinkAboutCOI - Second Harvest of Silicon Valley - Expires 2022-03-01r:lipntfi- i _r%R'A7R RFiCnNHAR3 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 9/24/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER USI Insurance Services, LLC NAME: Sherry Hurte A/C, No Et): 628 FAX A/c No): 610 537-2393 201 Mission St 11th FI A DRIESS: sherr_y.hurte@usi.com San Francisco, CA 94105 628 201-9001 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: P Y Philadelphia Indemnity Insurance Co. 18058 INSURED INSURER B : Cypress Insurance Company (CA) 10855 - - - --- Second Harvest of Silicon Valley 750 Curtner Avenue San Jose, CA 95125 -- ---- - -- INSURER C INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 LTR TYPE OF INSURANCE _- - - -_- -- - ADDL INSR_ SUBR VD POLICY NUMBER ----_ — _- POLICY EFF POLICY EXP (MM/DDIYYY_Y) (MM/DDIYYYY)- LIMITS -^- ---_ PHPK2241493 3/01/2021 03/01/202 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1 000 000 CLAIMS -MADE � OCCUR PREMISES Ea occu ence S1,000,000 MED EXP (Anyone person) S20 000 X Sexual Abuse Molestation PERSONAL & ADV INJURY _ I S 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- X POLICY 1_ I CT X LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG Is 3,000,000 _ _ _ I S_- t COMSRJED SINGLE LIMIT Ea accident 1,000,000 A OTHER: - - --- - - AUTOMOBILE LIABILITY ,_ PHPK2241493 3/01/2021 03/01/202 BODILY INJURY (Per person) _ S X ANY AUTO OWNED SCHEDULED AUTOS ONLY _ AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident $ $ _ Is A )( UMBRELLA LIAR X I OCCUR PHUB757561 3/01 /2021 03/01/202 I EACH OCCURRENCE _ $10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $10,000,000 _1 DED X RETENTION $$1 O,000 - -- --.V� -- $ -- --._ __ .. - B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) - N / A ( SEWC248579 0/01 /2021 10/01/202 X PER OTH- E.L. EACH ACCIDENT - - E.L. DISEASE - EA EMPLOYEE S1,000,000 - - S1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 - If yes, describe under DESCRIPTION OF OPERATIONS below _ ! _ — _ _ - DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached I1 more space Is required) The City of Gilroy, its officers, employees, and agents are included as additional insureds as respects General Liability in accordance with the terms and conditions of the policy. Cityof Gilroy, its agents, officers and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y g p yees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE ©'VA8-2015 ACORD CORPORATION. All riahts reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S33428774/M33426819 GBGZP ;;;► 2E POLICY NUMBER: PHPK2241493 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 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): I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — 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 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1