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Home My WebLink AboutCOI - Rebekah Children's Services - Certificate No. N/A | Start Date: 2024-02-01 | End Date: 2025-02-01REBECHI-02 CERTIFICATE OF L SRSPATRA3 DATE (MM/DD/` - — — . — ..... 2/6/202. '- 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 cONTAcr Jeannie Kilekas PHONE FAX (A/C, No, Ext): (408) 510-5456 (A/C, No): ADDRIESS:asieannie.Kilekroco. Iobal @p 9 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Nonprofits Insurance Alliance of California INSURED Odd Fellow - Rebekah 290 IOOF Avenue Gilroy, CA 95020 INSURER B : Service American Indemnity Company 39152 INSURER C : INSURER D INSURER E : INSURER F : COVERAGES /`C[1TIM, n Tr- . VLISIII 1.,r,iD i'4uivIDi=rc: REVISION NUMBER: THIS INDICATED. CERTIFICATE EXCLUSIONS INSR IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR A TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER (MM/DD//YYYY) (MMILDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY X X CLAIMS -MADE OCCUR EACH OCCURRENCE $ 1,000,000 X Sex Abuse $1 M/$1 M X 2024-10268 2/1/2024 2/1/2025 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 X Prof Liab $1 M/$1 M MED EXP (Any one person) $ 20,000 GEN'L PERSONAL&ADVINJURY $ 1,000,000 X AGGREGATE POLICY LIMIT APPLIES PER: J GENERAL AGGREGATE $ 3,000,000 JECT LOC PRODUCTS - COMP/OPAGG $ 3,000,000 A OTHER: AUTOMOBILE X LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000 00 $ 0 OWNED SCHEDULED 2024-10268 2/1/2024 2/1/2025 BODILY INJURY (Per person) $ A AUTOS ONLY HIRED AUTOS NON -OWNED BODILY INJURY (Per accident) $ A AUTOS ONLY ONLY PROPERTY DAMAGE (Per accident) $ A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS 202410268UMB EACH OCCURRENCE $ $ 5,000,000 DED I I RETENTON$ -MADE 2/1/2024 2/1/2025 AGGREGATE $ 5,000,000 B ISC/SSP 2,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN SATIS0564100 X STATUTE EERH $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N /A 2/1/2024 2/1/2025 E.L. EACH ACCIDENT $ 1,000,000 If yes, describe under D OF OPERATIONS below BPP E.L. DISEASE POLICY 1,000,000 2024-10268 2/1/2024 2/1/2025 - LIMIT BPP Limit $ 1,999,072 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE Young Mom's Parenting Program The City of Gilroy, its officers, employees & agents are named as an additional insured on General Liability policy per the attached endorsement. CERTIFICATE Nnl nr=R City Of Gilroy Housing & Community Development Program 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2016/03) ELLATION 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 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: REBECHI-02 SRSPATRA3 ACi RD LOC #: 0 ADDITIONAL REMARKS SCHEDULE Page 1 c AGENCY ProCo Insurance Services POLICY NUMBER SEE PAGE 1 CARRIER SEE PAGE 1 ADDITIONAL REMARKS NAIC CODE SEE P 1 NAMED INSURED Odd Fellow - Rebekah 290 IOOF Avenue Gilroy, CA 95020 EFFECTIVE DATE: SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Additional Coverages Employee Dishonesty Policy #: CCP9546363-04 Effective Date: 2/1/2024 - 2/1/2025 Carrier: Zurich Limit: $4,500,000 Employee Dishonesty Policy #: 202410268 Effective Date: 2/1/2024 - 2/1/2025 Carrier: Nonprofits' United Limit: $100,000 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2024-10268 COMMERCIAL GENERAL LIABILITY Named Insured: Independent Order of Odd Fellows* 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 CG 20 26 12 19 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