HomeMy WebLinkAboutCOI - Eden Housing, Inc. - Certificate No. 1715809850 | Start Date: 2023-12-31 | End Date: 2024-12-31ACC) b® CERTIFICATE OF LIABILITY INSURANCE
I
DATE(MMIDq/YYYY)
1 /5/2024
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 poiicy(ies) must have ADDITIONAL. INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, pertain 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
San Francisco CA 94105
License#: 0p69293
CONTACT
NAME, Eileen M orgada
PHONE FAX
(A/C, No, Ext)r (A/C, Nor
a DRESS: Eileen MorsadoCa,ajg,com
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A ; Nonprofits' Insurance Alliance of CA
10023
INSURED EDENHOU-02
Eden Housing, Inc:
22645 Grand Street
Hayward, CA 94541
INSURER B ; Everest Specialty Underwriters Services LLC
INSURER C e
INSURER D
INSURER E ;
INSURER F ;
COVERAGES
CERTIFICATE NUMBER:1715809850
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.
R
INSLTR
TYPE OF INSURANCE
ADDL
INSD
STJB-R
WVD
POLICY NUMBER
— POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
,----- ---
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
202371565
12/31/2023
12/31/2024
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE
X
OCCUR
DAMAGTED
PREMISES O(Ea occurrence)
$ 500,000
X
Deductible- NIL
MED EXP (Any one person)
$20,000
$1,000,000
PERSONAL & ADV INJURY
$ 3,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER;
GENERAL AGGREGATE
POLICY
j p
X
LOC
PRODUCTS - COMP/OP AGO
$ 3,000,000
OTHER:
$
A
AUTOMOBILE LIABILITY
202371565
12/31/2023
12/31/2024
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
ANY AUTO
OWNED
AUTOS ONLY
V—
SCHEDULED
AUTOS
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
$
$
HIRED
U ONLY
XAUUTo
ONLY
accident) DAMAGE
(Per
$X
A
X
UMBRELLALIAB
X
OCCUR
202371565UMB
12/31/2023
12/31/2024
EACH OCCURRENCE
$5,000,000
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
$ 5,000,000
DED
1 RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
CA10001726241
1/8/2024
1/8/2025
X
STATUTE
RRH
ANYPROPRIETOR/PARTNER/EXECUTIVE
I,/ N
E.L. EACH ACCIDENT
$1,000,000
OFFICER/MEMBEREXCLUDED?
(Mandatory in NH)
N/A
El. DISEASE - EA EMPLOYEE
$1,000,000
If es, describe under
DESCRIPTION OF OPERATIONS below'
E.L. DISEASE • POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks 5ohedule, may be attached if more space is required)
Additional Umbrella Layers:
Allied World - Policy #03093725 - Effective, 12/31/2023-12/31/2024 - Limit $5,000,000
Arch - Policy IA UXP105420200 - Effective 12/31/2023-12/31/2024 - Limit $5,000,000
Texas Insurance Company - Policy # JTI23XANN0300301 - Effective 12/31/2023-12/31/2024 - Limit $5,000,000
Location: Connell Apartments, 610 & 620 Fairview and 7010 Princevalle, Gilroy, Santa Clara, CA, 95020. Name Insured Includes: South County Housing
Corporation.
CERTIFICATE HOLDER
CANCE
LATIO
City of Gilroy and its elected officials, board members,
Officers, employees, agents
and representatives, Department of Housing and Com
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.
AUTHORIZED REPRESENTATIVE
, f ''t''°
ACORD 25 (2016/03)
O 1988.2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: 202371565 COMMERCIAL GENERAL LIABILITY
CG20261219
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 Persons) 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;
whichever is less,
This endorsement shall not increase the
applicable limits of Insurance.
000000 02 02 007067 016422 P
CG 20 2612 19
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