HomeMy WebLinkAboutCOI - Eden Housing, Inc. - Certificate No. 37846360 | Start Date: 2023-12-31 | End Date: 2024-12-31Ac RIJ CERTIFICATE OF LIABILITY INSURANCE
.... -
DATE(MM,Dd/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 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
San Francisco CA 94105
Licenso# 0D69283
CONTACT
NAME; Eileen Morgado
PHONE FAX
(A/C, No, Ertl); (A/c, No):
E-MAIL Eileen Morgadoeajg.com
INSURER(S) AFFORDING COVERAGE
NAIL #
INSURER A: Nonprofits' Insurance Alliance of CA
10023
INSURED EDENHOU-02
Eden Housing, Inc.
22645 Grand Street
Hayward, CA 94541
INSURER a , Everest Specialty Underwriters Services LLC
INSURER C :
INSURER D ,
INSURER E :
INSURER F o
COVERA
ES
CERTIFICATE NUMBER:37846360
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,
INSR
LTA
TYPE OF INSURANCE
ADM
INSR
SUER
Wyd
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
DAMAGE TO RENTED
PREMISES (a occurrence)
$ 500,000
MED EXP (Any one person)
$ 20,000
X
Deductible • NIL
PERSONAL & ADV INJURY
$1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER;
GENERAL AGGREGATE
$ 3,000,000
POLICY
SECT PRO•
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
BODILY INJURY (Per person)
$
OWNED
AUTOS ONLY
--
SCHEDULED
AUTOS
BODILY INJURY (Per accident)
$
X
HIRED
AUTOS ONLY
X.
NON -OWNED
AUTOS ONLY
PROPERTY DAMAGE
JPer accident)
$
4-
A
X
UMBRELLALIAB
X
OCCUR
202371565UM6
12/31/2023
12/31/2024
EACH OCCURRENCE
$ 5,000,000
EXCESS LIAR
CLAIMS -MADE
AGGREGATE
$
--
DED
RETENT ON $
$
B
WORKERS COMPENSATION
AND EMPLOYERS'
CA10001726241
1/8/2024
1/8/2025
X
STATUTE
QRH
LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE
Y / N
E L, EACH ACCIDENT
$1,000,000
OFFICER/MEMBEREXCLUDED?
(Mandatory In NH)
N/A
E,L DISEASE • EA EMPLOYEE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L DISEASE • POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, 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 # 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: Gilroy Sobrato Apartments, 9389 Monterey Road (IN CONSTRUCTION), Gilroy, Santa Clara, CA, 95020. Name Insured Includes: Gilroy Sobrato
LLC.
CERTIFICATE HOLDER
CANCELLATION
City of Gilroy and its elected officials, board members,
officers, employees, agents
and representatives, Department of Housing and Corn
7351 Rosanna. Street
Gilroy CA 95020
USA
I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITHTHE POLICY PROVISIONS,
AUTHORIZEDREPRESENTATIVE
tAk bfkt' Kan t '..)
ACORD 25 (2016/03)
O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: 202371565 COMMERCIAL GENERAL LIABILITY
CG20180413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED
MORTGAGEE, ASSIGNEE OR RECEIVER
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Person(s) Or Organization(s)
Designation Of Premises
Any person or organization acting as mortgagee,
assignee, or receiver with respect to locations scheduled
on the policy.
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 their liability as mortgagee,
assignee, or receiver and arising out of the
ownership, maintenance, or use of the premises
by you and shown in the Schedule.
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. This insurance does not apply to structural
alterations, new construction and demolition
operations performed by or for that person or
organization.
C. 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.
000000 02 02 007072 016430 P
CG20180413
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