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HomeMy WebLinkAboutCOI - Silicon Valley Regional Interoperability Authority - Expires 2024-07-01Issue Date NON-MEMBER'S CERTIFICATE OF COVERAGE 7/1/2023 Provider Special District Risk Management Authority 'I' hlil 1112 Street, Suite 300 Sacramento, California 95814 /� SDPMA 800.537.7790 www.sdrma.org Member Silicon Valley Regional Interoperability 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 o information only and confers no rights upon the certificate holder. Type of Coverage Policy Number Effective Date Expiration Date Limits General Liability LCA-SDRMA-202324 7/1/2023 7/1/2024 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". ^,—,0751D Intl JJUN 27 2023 GILROY CITY CLERK'S OFFICE Cancellation: Should any of the above -described policies be cancelled before the expiration dates thereof, the issuing company will endeavorto mail 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 ❑ Loss Payee 7/1/2023 7/1/2024 Evidence of Coverage Certificate Holder City of Gilroy 7351 Rosanna Street Brian Kelley, MBA, ARM Gilroy, CA 95020 Chief Executive Officer SDRMA SPECIALDISIRICI RISKMANAGEMENTAUTHORIIY This endorsement changes the Liability Coverage Agreement Please read it Carefully. COVERAGE PERIOD: 7/1/2023 through 7/1/2024 MEMBERAGENCY Silicon Valley Regional Interoperability Authority 601 El Camino Real Santa Clara, California 95050 11121 Street, Suite 300 Sacramento, California 95814-2865 T 916.231.4141 or 800.537.7790 • F 916.231.4111 Maximizing Protection, Minimizing Risk--www.sflrnia.org 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 - LCA-SDRMA-202324 - Per Occurrence - $1,000,000 General Liability - Property Damage - LCA-SDRMA-202324 - 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". The coverage afforded by this endorsement is afforded only as limited above and provided further that this coverage does not apply to the sole negligence of the Additional Covered Party. In addition, Coverage shall not apply to liability for the active negligence of the Additional Covered Party in any case where an agreement to indemnify the Additional Covered Party would be invalid under Subdivision (b) of Section 2782 of the Civil Code. Unless required by the Agreement identified above, 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 the Additional Covered Party, including any self -insured retention the Additional Covered Party may have, and any other insurance or risk financing providing coverage to the Additional Covered Party shall be considered primary to this coverage. If required by a contract between the SDRMA Member named above and the Additional Covered Party, 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 Additional Covered Party, including any self -insured retention the Additional Covered Party may have, and any other insurance or risk financing providing coverage to the Additional Covered Party shall be considered excess to this coverage. 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 the Member named above shall not be reduced or canceled without 30 days written notice given to the Additional Covered Party 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: 7/1/2023 Signed by: Brian Kelley, MBA, ARM Chief Executive Officer A proud California Special Districts California Special Districts Association CSDA Finance Corporation Alliance partner. 1112I Street, Suite 200 11121 Street, Suite 200 Sacramento, California 95814-2855 Sacramento, California 95814-2865 T877.924 CSDA(2732) xF 916,4427889 T877,924. CSDA(2732)+F 916. 4427889 DocuSign Envelope ID: 353CA7E6-E5DF-4609-8B47-218E51A6F51E County of Santa Clara Office of the County Executive Office of Risk Management Liability/Property Insurance Division 2310 North First Street, Suite 203 San Jose, California 95131 Tel. No. (408) 4414340 FAX (408) 4414341 Ins. Cert. No. FY24-051 CERTIFICATE OF COVERAGE ISSUED BY COUNTY OF SANTA CLARA This is to Certify to: City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 Attn: Jimmy Forbis That the following described coverages are in force on this date as set forth below: Assured: County of Santa Clara 70 W. Hedding Street San Jose, CA 95110 Insurer 1. Self -Funded Retention 2. Self -Funded Retention Type of Coverage 1. Comprehensive General & Automobile Liability 2. Workers' Compensation Expiration Continuous Continuous Limits $5,000,000 Per Occurrence Statutory This certificate of coverage is provided by the County of Santa Clara to the above named certificate holder. The coverage specified herein will not be cancelled or reduced without thirty (30) days written notice from County of Santa Clara to the certificate holder This certificate pertains to the agreement between the City of Gilroy and County of Sant Clara, Probation Department for using San Ysidro Beacon of Hope Family Resource Center facility. This certificate is valid from July 1, 2023 to June 30, 2024. DocuSigned by: Hank Ford Insurance Contracts & Claims Manager June 21, 2023 HF:td FY24-051 FacilyUse@SanYsidroHopeCtr-Probation Board of Supervisors: Sylvia Arenas, Cindy Chavez, Otto Lee, Susan Ellenberg, S. Joseph Simitian County Executive: Jeffrey V. smith Issue Date NON-MEMBER'S CERTIFICATE OF COVERAGE 7/1/2023 Provider Special District Risk Management Authority /�� Ak 1112 'I' Street, Suite 300 Sacramento, California 95814 11 /� SDRMA 800.537.7790 www.sdrma.org Member Silicon Valley Regional lnteroperabilityAuthority 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 contractor other document with respect to which this certificate maybe 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 o' information only and confers no rights upon the certificate holder. Type of Coverage Policy Number Effective Date Expiration Date Limits General Liability LCA-SORMA-202324 7/1/2023 7/1/2024 Bodily Injury Per Occurrence $1,000,000 Property Damage $1,000,000 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. Cancellation: Should any of the above -described policies be cancelled before the expiration dates thereof, the issuing companywill endeavor to mail 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: [i]Additional Covered Party Loss Payee 7/1/2023 7/1/2024 []Evidence of Coverage Certificate Holder - J City of Gilroy Jimmy Forbis, City Administrator Brian Kelley, MBA, ARM 7351 Roseanna Street Gilroy, CA 95020 Chief Executive Officer Alk SDRMA SI'LCIAL DIS I'ItICr RISKA%AGLNUN 1- AU I11URI IY This endorsement changes the bablItly Coverage Agreement. Please read it carefully. COVERAGE PERIOD: 7/1/2023 through 7/1/2024 MEMBERAGENCY Silicon Valley Regional Interoperability Authority 601 El Camino Real Santa Clara, California 95050 1112 1 Street, Suite 300 Sacramento, California 95814-2865 T 916.231.4141 or 800.537.7790 * F 916-231.4111 Maximizing Protection. Minimizing Risk. •www.stlrnta.org ADDITIONAL COVERED PARTY City of Gilroy Jimmy Forbis, City Administrator 7351 Roseanna Street Gilroy, CA 95020 This endorsement modifies the Liability Coverage Aareement Provided under the following: General Liability - Bodily Injury - LCA-SDRMA-202324 - Per Occurrence - $1,000,000 General Liability - Property Damage - LCA-SDRMA-202324 - 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 Gty Hall Annex Building, Gilroy Target Range, and Gilroy Reservoir D. The coverage afforded by this endorsement is afforded only as limited above and provided further that this coverage does not apply to the sole negligence of the Additional Covered Party. In addition, Coverage shall not apply to liability for the active negligence of the Additional Covered Party in any case where an agreement to indemnify the Additional Covered Party would be invalid under Subdivision (b) of Section 2782 of the Civil Code. Unless required by the Agreement identified above, 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 the Additional Covered Party, including any self -insured retention the Additional Covered Party may have, and any other insurance or risk financing providing coverage to the Additional Covered Party shall be considered primary to this coverage. If required by a contract between the SDRMA Member named above and the Additional Covered Party, 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 Additional Covered Party, including any self -insured retention the Additional Covered Party may have, and any other insurance or risk financing providing coverage to the Additional Covered Party shall be considered excess to this coverage. 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 the Member named above shall not be reduced or canceled without 30 days written notice given to the Additional Covered Party 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: 7/1/2023 Signed by: Brian Kelley, MBA, ARM Chief Executive Officer A proud California Special Districts California Special Districts Association CSDA Finance Corporation Alliance partner. 1112 1 Street, Suite 200 11121 Street, Suite 200 Sauarrento, California 95814-2865 Sacramento, California 95814-2865 T 877.924.CSDA (2732) • F 916.442 7889 T 877.924 CSDA (2732) • F 916,442.7889.