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HomeMy WebLinkAboutCOI - Community Solutions - Expires 2024-10-01 (3)/4COif? ®" w COMMSOL-02 CERTIFICATE OF LIABILITY INSURANCE SRSPATRA3 DATE (MM/DD/` IV/I otcv, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. ' 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), AUTHORI— 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 ProCo Insurance Services 910 E Hamilton Ave #410 Campbell, CA 95008 CONTACT Jeannie Kilekas PHONE FAX (Arc, No, Ext): (408) 510-5456 (wc, No): al oglEss:jeannie.Kilekas@proco.global INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Nonprofits Insurance Alliance of California INSURED Community Solutions for Children, Families and Individuals 9015 Murray Avenue #100 Gilroy, CA 95020 INSURER B : Cypress Insurance Company (CA) 10855 INSURER c :The Hanover Insurance Company 22292 INSURER D : Fidelity and Deposit Company of Maryland 39306 INSURER E : INSURER F : • "—""—'-"""'"" KGVIo1VIV P1UIVICCK: 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 POLIC ES 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 INSD SUBR WVD POLICY NUMBER POLICY EFF jMM/DD/YYYY) POLICY EXP (MM/DD/YYYYL LIMITS A X COMMERCIAL GENERAL LIABILITY X 202311296 10/1/2023 10/1/2024 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE I Xi OCCUR DAMAGPREMISES(EaoccErence) $ 100,000 X Prof. Liab $11 M/$3M MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 _GENGENERAL X 'L AGGREGATE POLICY OTHER: LIMIT APPLIES PER: JECT L_J LOC AGGREGATE 3,000,000 $ PRODUCTS -COMP/OP AGG $ $ A AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED 202311296 10/1/2023 10/1/2024 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE • 202311296UMB 10/1/2023 10/1/2024 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED X RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE II OFFFFICER/MEMBE EXCLUDED? LJ (Mandatory in NH) If yes, describe under NIA COWC458128 7/1/2023 7/1/2024 X STATUTE OERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C D Crime Fidelity Bond/CE BDF-H742878-02 CCP253046203 9/1/2023 7/1/2023 9/1/2024 7/1/2024 EE Theft EE Theft 500,000 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is requi ed) City of Gilroy, its Officers, Representatives, Agents and Employees are named as an additional insured on General Liability policy per the attached endorsement. CANCELLATION City of Gilroy Calgrip One program 7351 Rosanna Street Gilroy, CA 95020-6197 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2023-11296 COMMERCIAL GENERAL LIABILITY Named Insured: Community Solutions for Children, Families and Ind. ( CG 20 26 12 19 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): Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. 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 12 19 © Insurance Services Office, Inc., 2012 Page 1 of 1