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HomeMy WebLinkAboutCOI - Rebekah Children's Services - Certificate No. N/A | Start Date: 2024-02-01 | End Date: 2025-02-01 (4)REBECHI-02 CERTIFICATE OF LIABILITY INSURANCE SRSPATRA3 DATE (MM/DD/` 1'. L/V/bVb' 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), AUTHORL-- REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. i 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 (A/c, No, Ext): (408) 510-5456 FAX No): aDORIESS:Jeannie.Kilekas@proco.global INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Nonprofits Insurance Alliance of California INSURED Odd Fellow - Rebekah Children's Services dba: Rebakah's Children's Services Accounts Payable 290 IOOF Avenue Gilroy, CA 95020 INSURER B : Service American Indemnity Company 39152 INSURER C: INSURER D : INSURER E: INSURER F : • _.-... -'•. - ""'•"-' .`• RGV IJIVIV IV VIVIDGR: 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 (MMIDD/YYYYI POLICY EXP (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X 2024-10268 2/1/2024 2/1/2025 EACH OCCURRENCE $ 1,000,000 X CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 500,000 $ X Sex Abuse $1 M/$1 M MED EXP (Any one person) $ 20,000 X Prof Liab $1 M/$1 M PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE POLICY LIMIT APPLIES PRO-- JECT PER: LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 $ A AUTOMOBILE X LIABILITY SCHEDULED AUTOS AUTO ONLY 2024-10268 2/1/2024 2/1/2025 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 BODILYINJURY(Perperson) _$ $ BODILY INJURY (Per accident) $ (Per accident) DAMAGE $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 202410268UMB 2/1/2024 2/1/2025 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED RETENTION$ ISC/SSP $ 2,000,000 B WORKERSNEMPLOYERS' COMPENSATION ANY PROPRIETOR/PARTNER/EXECUTIVE MCoMEMnBER EXCLUDED? If yes, describe under Y/N N/A SATIS0564100 2/1/2024 2/1/2025 X STATUTE ERH 1,000,000E,L.EACHACCIDENT $ E.L. DISEASE - EA EMPLOYEE 1,000000 $ E.L. DISEASE - POLICY LIMIT 1,000,000 $ A BPP 2024-10268 2/1/2024 2/1/2025 BPP Limit 1,999,072 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mo e space is required) City of Gilroy, its officers, representatives, agents, and employees are named as an additional insured on General Liability policy per the attached endorsement. DER CANCELLATION City of Gilroy 7351 Rosanna St. Gilroy, CA 95020-6141 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 AGENCY CUSTOMER ID: REBECHI-02 ACORD AGENCY ProCo Insurance Services LOC #: 0 ADDITIONAL REMARKS SCHEDULE POLICY NUMBER SEE PAGE 1 CARRIER SEE PAGE 1 ADDITIONAL REMARKS NAIC CODE SEE P 1 SRSPATRA3 NAMED INSURED Odd Fellow - Rebekah Children's Services dba: Rebakah's Children's Services Accounts Payable 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