The URL can be used to link to this page

Home My WebLink AboutCOI - South Santa Clara County Fire Protection District - Expires 2024-07-01�`o�izo® CERTIFICATE OF LIABILITY INSURANCE DARTE (MWO23YYY) 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 Arthur J. Gallagher Risk Management Services, LLC 595 Market Street Suite 2100 CONTACT PHONE FAX • 415-546-9300 A/c Na:415-536.8499 ADDRESS: San Francisco CA 94105 INSURER(S) AFFORDING COVERAGE NAICIf INSURER A: CAMWC Joint Powers Risk and Insurance ice se 9293 INSURED FIREAGE-01 INSURER B South Santa Clara County Fire Protection District 15670 Monterey Street INSURER C: INSURER D: Morgan Hill, CA 95037 INSUREfl E INSURER F: COVERAGES CERTIFICATE NUMBER: 127183164 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. ILTF TYPE OF INSUflANCE ADDLii7lB 1101 POLICY NUMBER MOLDDNYYF NoL,1C11EIP LIMITS A GENERAL LIABILITY Y APJMPOO523-01 7/1/2023 7/1/2024 EACHOCCUR_RENCE S1,000,000 TCOMMERCIAL CLAIMS -MADE F—XI OCCUR ELATE PREMISES Ea occurrencel $1,000,000 MED EXP (Any one person) $10.000 PERSONAL& ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 GEN'L X POLICY PRO- JECT LOG PRODUCTS - COMP/OP AGO $3,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) s ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON.OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAR OCCUR EACHOCCURRENCE IS AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICER/M MBEREXCLU ED�ECUTIVE ❑ NIA [STEARTUTEERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If Yes, d cdbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE. POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS/ VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached If more space le required) City of Gilroy, its Officers, Officials and Employees are also named as Additional Insureds as respects the shared of Battalion Chief Agreement. JUL 2 5 2023 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. reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Arthur J. Gallagher Risk Management Services, LLC 595 Market Street, Suite 2100 San Francisco CA 94105 MDG2023 00127130 01 1I111111'I1I1III1I11ll8ll1l1111111111II1I'1'lll�l��llllllll lll'll •' City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 We are providing you with a Certificate of Insurance confirming our client's coverage. Want to get certificates of insurance faster? "Go Green with Gallagher" by receiving digital copies of certificates via e-mail in the future. Or, do you no longer require a certificate of insurance for our client? Please contact us at COI.UpdateMyEmail@AJG.com and provide the following information for processing: 1. Confirmation that a certificate of insurance is no longer required; or 2. E-mail address to send future certificates of insurance in lieu of U.S. Mail delivery 3. Insured Code: FIREAGE-01 4. This Certificate Number: 127183164 To learn more about the Insurance and Risk Management Services offered by Gallagher, please visit us at www.ajg.com/us/about-us/how-we-work/core-360. Gallagher does not share your e-mail as detailed in our privacy policy found at https:// www.ajg.com/us/privacy-policy/. POLICY NUMBER: APJMP00523-01 Named Insured: Fire Agencies Insurance Risk Authority (FAIRA) ADDITIONAL INSURED — DESIGNATED PERSON OR ORGANIZATION THIS ENDORSEMENT MODIFIES THE FOLLOWIONG COVERAGE FORM: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name of Additional Insured Person(s) or Organization(s): BLANKET ADDITIONAL INSUREDS As required by written agreement. 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 or completed operations, or 2. in connection with 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. JPA-GL 00006 00 (04/22) ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. Includes copyrighted material of Insurance Services Offices, Inc. with its permission. Page 1 of 1