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HomeMy WebLinkAboutCOI - Central Council of the Italian Catholica Federatio - Expires 2024-09-15P5260028002 POLICY NUMBER: PHPK2603932 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 Organlzation(s): Status granted i:E requi:red by a contract effective during the policy term and executed prior to the 11 occur:rence 11 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Sec~tlon II • Who Is An Insured is amended to Include as an additional Insured the person(s) or organlzation(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 Ill • 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 - P'.\ N [:, N ffi P5260028002 ~RD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/VYYY) 09/15/2023 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 pollcy(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 endorsement(s), PRODUCER LIC #0B29370 1-925-24.4-7700 ~fAAg'vT Certificates Department Edgewood Partners Insurance centers (EPIC) .); 925-244-7700 I FAX [San Mateo -Branch ID 14605] DIV# 452 iAIC Nol: 925-901-0671 P,O, BOX 5003 ADDRESS: EPICcerts@epicbrokers.com INSURER!Sl AFFORDING COVERAGE NAIC# San Ramon, CA 94583 INSURER A: PHILADELPHIA IND INS CO 18058 INSURED INSURERS: Central Council of the Italian Catholic Federation INSURERC: 8393 Capwell Drive #110 INSURERD: INSURERE: Oakland, CA 94621 INSURERF: COVERAGES CERTIFICATE NUMBER: 69664224 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BE:E:N ISSUED TO THE INSURE:D 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. INSR TYPE OF INSURANCE ~.~!'.; SuBR POLICYEFF POLICY EXP LIMITS LTR ,,.n,n POLICY NUMBER !MM/D0/YYYYI IMM/0D/YYYYI A X COMMERCIAL GENERAL LIABILITY X X l'Hl?K2603932 09/15/23 09/15/24 EACH OCCURRENCE $1,000,000 c--D CLAIMS-MADE 0 O_CCUR ~~~~~iI9e~~~~!~ncel r- $ 1,000,000 r-MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 ~- GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 1 POLICY □ fi\Wr ~ LOO PRODUCTS· COMP/OP AGG $ 3,000,000 OTHER: $ A AUTOMOBILE LIABILITY l'l!PK2603932 09/15/23 09/15/24 COMBINED SINGLE LIMIT /Ea aocldentl $1,000,000 -ANY AUTO BODILY INJURY (Per parson) $ -OWNED -SCHEDULED BODILY INJURY (Per accident) $ f--..... AUTOS ONLY I--AUTOS X HIRED X NON-OWNED rte~~.Tc~JJRAMAGE $ --AUTOS ONLY f--• AUTOS ONLY $ A X UMBRELLA LIAB x_j occuR l?HUl:l882116 09/15/23 09/15/24 EACH OCCURRENCE $ 2,000,000 r- $2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE OED I X I RETENTION$ 10, 000 $ WORKERS COMPENSATION I PER I I OTH• ANO EMPLOYERS' LIABILITY STATUTE ER YIN ANYPROPRIETOR/PARTNER/EXECUTIVE □ N/A E.L. EACH ACCIDENT $ OFFICER/MEMSEREXCLUDED? (Mandatory In NH) E.L. DISEASE· EA EMPLOYEE $ If ~es, describe under D SCRIPTION OF OPERATIONS below E.L. DISEASE· POLICY LIMIT $ DES0RIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If moro space Is required) The City of Gilroy is inoluded as Additional Insured applioable to the General Liability per attached endorsement, as required by written oontraot with respeots to the insured's operations,progr!lllls and activities during the use of the facilities at Las Animas Park by Branch #28-Gilroy. CERTIFICATE HOLDER CANCEi LATION " SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Las Animas Park THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN c/o City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 ~ail;_ I USA © 1988·2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) MCantu-smo 69664224 The ACORD name and logo are registered marks of ACORD -■ - 11 f"-< N c, N t"--"' -"' ..... ffi