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GOKIDSI-03
CERTIFICATE OF LIABILITY INSURANCE
S SPA RA3
DATE(MMaeDP
7/3/202
HOLDER.'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR',....
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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
CG CT Jeannie
Kilekas
ProCo Insurance Services
910 E Hamilton Ave
g410
Campbell, CA 95008
PHONE
A/C, No, En : (408) 510-5456 FAX No):
SOD.aes3•jeannie.Kilekas@proco.global
INSURERS AFFORDING COVERAGE
NAIC#
INSURER A: Alliance of Nonprofits for Insurance, Rlsk Retention Group
10023
INSURED
INSURER B:Service American Indemnl Company
139152
INSURER C: Underwriters at Lloyd's. London
15792
Go Kids, Inc.
INSURER D :
885 Moro Drive
Gilroy, CA 95020
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 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.
IN SR
TYPE OF INSURANCE
ADDL
INSO
SUBR
MePOLICY
NUMBER
PM'nnNYF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE �X OCCUR
2023-19648
613012023
6/30/2024
EACH OCCURRENCE
1,000,000
DAMAGE TO RENTED
600,000
MED EXP An ane roman)20,000
PERSONAL B ADV INJURY
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY � LOC
❑ %8T
GATE
2,000,000
PRODUCTS -CO
PRODUCTS-COMP/OP AGO
2,000,000
5
OTHER:
A
AUTOMOBILE
X
LIABILITY
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUUpTNI1OppSWWryryEEpp
AUTOS ONLY AUTOSONLV
2023-19648
6I3012023
6/30/2024
COMBINED SINGLE LIMIT
asaiae
1,000,000
BODILY INJURY Per ersan
eODILYINJURY Peraccid.,d
$
Perr ac identDAMAGE
S
S
A
X
UMBRELLA LMB
EXCESS UAB
X
OCCUR
CLAIMS -MADE
12023-19648-UMB
6/3012023
6/30/2024
EACH OCCURRENCE
5 10,000,000
AGGREGATE
10,000,000
DELI RETENTIONS
ISC Only
$ 5,000,000
B
C
WORKERS COMPENSATION
YERS L AABILRY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
IN cisRIMFIM�E EXCLUDEDT
if es, des n under
It yes, describe antler
DESCRIPTION OF OPERATIONS below,000,000
Excess over ISC
NIA
SATIS0339902
MR227411
911/2022
613012023
9/1/2023
6130/2024
X PTER OTH-
E.L EACH ACCIDENT
$ 11000,000
E.L. DISEASE -EA EMPLOYE
1,000,000
E.L.ELDISEASE-POLICY LIMIT
Limit
$
5,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
REAR California Operations of the Named Insured.
G'3CSC�C��M�D
JUL 17 2023
City of Gilroy
7351 Rosanna St.
Gilroy, CA 95020
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORISEED(R�REPRRREESENTATIVE
J# V'vv
.,..wmu ,� tav I o1uo1 U 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD