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HomeMy WebLinkAboutCOI - Eden Housing, Inc. - Certificate No. 1429921960 | Start Date: 2023-12-31 | End Date: 2024-12-31i 0 A / 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 License#:: 0D69293 CONTACT NAME: Ell en Margado PHONE FAX (A/C, No, Ext): (A/C, No); E-MAIL ss: Elleen Morgado@ajg.com INSURERf AFFORDING COVERAGE NAIC H INSURER A : Nonprofits' Insurance Alliance of CA 10023 INSURED EDENHOU-02 Eden Housing, inc, 22645 Grand Street Hayward, CA 94541 INSURER B ; HDI Global Specialty SE INSURER C , Everest Specialty Underwriters Services LLC INSURER D INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 142992 60 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 LTR TYPE OF INSURANCE ADM INSD SUER WO POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/VYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE L X OCCUR 202371666 12/31/2023. 12/31/2024 EACH OCCURRENCE $1,000,000 DAMAGE O(Ea occurrence) $ 500,000 MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $1,000,000 Deductible - NIL . GENERAL AGGREGATE $ 3,000,000 _X GEN'L AGGREGATE LIMIT APPLIES X PER: LOC PRODUCTS - COMP/OP AGO $ 3,000,000 $ A AUTOMOBILE _ X LIABILITY ANY AUTO OWNED X SCHEDULED AUTOS AUTOS ONLY 202371566 12/31/2023 12/31/2024 COMaaccidBINEDent)SINGLELIMIT (E $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ _PPerrac id ntjAMAGE A X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE 202371565UMB 12/31/2023 12/31/2024 EACH OCCURRENCE $5,000,000 AGGREGATE $ 5,000,000 $ DED RETENT ON$ c WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXC LUDED7 (Mandatory In NH) If es, describe under DESCRIPTION OF OPERATIONS below YIN N /A CA10001726241 1/6/2024 1/8/2026 X STATUTE �RH E.L. EACH ACCIDENT $1,000,000 E.L.DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 e Professional Liability FRL0000107601 9/13/2023 9/13/2024 PerClelm/Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Professional Liability is written on a claims made basis. 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 Project Name; Wheeler Manor and Redwood Apartments Project Address; Wheeler Manor - 651 Sixth Street & 650 W. 5th St; 7465 Carmel St., Gilroy, CA See Attaohed,,. CERTIFICATE HO DER CANCELLATION The City of Gilroy and its Mayor and City Council, Agents, Officers and Employees 7351 Rosanna St 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 mom Vti§1 ( ACORD 25 (2016/03) d 1988-2015 ACORD CORPORATION. Ali rights reserved. The ACORD name and logo are registered marks of ACORD _Rti AGENCY CUSTOMER ID: EDENHOU-02 LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Arthur J. Gallagher Risk Management Services, LLC NAMED INSURED Eden Housing, Inc. 22645 Grand Street Hayward, CA 94541 Fal lcv NUMBER CARRIER NAIC CODE EFFECTIVE DATE; ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE 96020 and Redwood Apartments - 9005 Kern Avenue, Gilroy, CA 95020 Named Insured Includes: Eden Redwoods LLC and Wheeler Manor LLC, and Redwoods Wheeler, L.P, Certificate Holder is Included as Additional Insured per attached endorsement. ACORD 101 (2008/01) 02008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 202371565 COMMERCIAL GENERAL LIABILITY CG 2018 0413 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. 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