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HomeMy WebLinkAboutCOI - Procore Technologies, Inc - Expires 2025-07-14AC RO D CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DOIYYYY) 7/17/202 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), AUTHOR REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, If SUBROGATION IS WAIVED, subject to the terms and conditions this certificate does not confer rights to the certificate holder in lieu the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. of the policy, certain policies may require an endorsement. A statement on of such endorsement(s). PRODUCER Woodruff -Sawyer & Co. 2 Park Plaza, Suite 500 Irvine, CA 92614 INSURED Procore Technologies, Inc. 6309 Carpinteria Ave. Carpinteria, CA 93013 COVERAGES PROCORE-n1 CERTIFICATE NUMBER: 47507 CONTACT NAME: Certificates PHONE g4.4_g72.6326 1CAEat): E(AAILNo, ADDRESS: certificates@woodruffsawyer.com INSURER(S) AFFORDING COVERAGE INSURER A : Lloyds of London INSURER B : Federal Insurance Company INSURER C: Chubb National Insurance Company INSURER D : Vigilant Insurance Company FAX (A/C, No): NAIC II 20281 0052 20397 INSURER E : Pacific Employers Insurance Company 22748 INSURER F : QBE Specialty Insurance Company • 11515 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 A➢DL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD1YYYY) POLICY EXP (MMIDD/YYYY) LIMITS 3 X COMMERCIAL GENERAL LIABILITY Y 36085196 7/14/2024 7/14/2025 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea $ 1,000,000 occurrence) MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 P POLICY X JECT X LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY 73643846 7/14/2024 7/14/2025 COMBINED {SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ _ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ Comp Ded I Coll Ded $ 1,000 B X UMBRELLA LIAR X O OCCUR 56723213 7/14/2024 7/1412025 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 10,000,000 DED RETENTION $ $ vow WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 71840303 71840304 7/14/2024 7/14/2025 X PER STATUTE OTH- ER ANYPROPRIETORJPARTNER/EXECUTIVE OFEICERIMEMBEREXCLUDED? YIN N NIA 71840305 7/14/2024 7/14/2024 7/14/2025 7/14/2025 E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) If describe E.L. DISEASE - EA EMPLOYEE $ 1,000,000 yes, under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A F E Primary Cyber/E&O 1st Excess CyberfE&O 2nd Excess Cyber/E&O 01MRCT000015002 130007614 NPL006696503 7/14/2024 7/14/2024 7/14/2024 7/14/2025 7/14/2025 7/14/2025 Limit Per Claim/Aggregate: Per Claim/Aggregate: $5,000,000 $5M xs $5M $5M x $10M DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: Service Agreement: Fire Department Personnel Testing. City of Gilroy, its officers, officials and employees are included as additional insured as respects General Liability to the extent provided in the attached form. CERTIFICATE HOLDER CANCELLATION City of Gilroy, its officers, officials and employees 7351 Rosanna Street Gilroy CA 95020 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 CHUBB' Liability Insurance Endorsement Policy Period JULY 14, 2024 TO JULY 14, 2025 Effective Date Policy Number Insured Name of Company Date Issued This Endorsement applies to the following forms: GENERAL LIABILITY Who Is An Insured Additional Insured - Scheduled Person Or Organization JULY 1, 2024 360851% Procore Technologies, Inc. FEDERAL INSURANCE COMPANY Under Who Is An Insured, the following provision is added. Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by this policy. However, the person or organization is an insured only: if and then only to the extent the person or organization is described in the Schedule; to the extent such contract or agreement requires the person or organization to be afforded status as an insured; for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. Liability Insurance Additional Insured - Scheduled Person Or Organization continued Form 80-02-2367 (Rev. 5-07) Endorsement Page 1 CHUBB' Liability Endorsement (continued) Conditions Other Insurance - Primary, Noncontributory Insurance - Scheduled Person Or Organization Under Conditions, the following provision is added to the condition titled Other Insurance. If you are obligated, pursuant to a contract or agreement, to provide the person or organization shown in the Schedule with primary insurance such as is afforded by this policy, then in such case this insurance is primary and we will not seek contribution from insurance available to such person or organization. Schedule Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy. All other terms and conditions remain unchanged. Authorized Representative Liability Insurance Additional insured - Scheduled Person Or Organization last page Form 80-02-2367 (Rev. 5-07) Endorsement Page 2 CHUBB' Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured Name of Company Date Issued This Endorsement applies to the following forms: GENERAL LIABILITY EMPLOYEE BENEFITS ERRORS OR OMISSIONS Conditions Other Insurance - Primary, Noncontributory Insurance - Scheduled Person Or Organization JULY 14, 2024 TO JULY 14, 2025 JULY 142024 36085196 Procore Technologies, Inc, FEDERAL INSURANCE COMPANY Under Conditions, the following provision is added to the condition titled Other Insurance. If you are obligated, pursuant to a written contract or agreement, to provide the person or organization described in the Schedule (that is also included in the Who Is An Insured section of this contract) with primary insurance such as is afforded by this policy, then this insurance is primary and we will not seek contribution from insurance available to such person or organization. Schedule Persons or organizations described in the Who Is An Insured section of this contract and that you are obligated, pursuant to a written contract or agreement, to provide with primary insurance as is afforded by this policy, but only to the minimum extent required by such contract or agreement. All other terms and conditions remain unchanged. Authorized Representative Liability Insurance Conditions - Other Insurance - Primary, Noncontributory Insurance - Scheduled Person Or Organization last page Form 80-02-2653 (Rev. 7-09) Endorsement Page 1 Conditions (continued) Transfer Or Waiver Of Rights Of Recovery Against Others Liability Insurance We will waive the right of recovery we would otherwise have had against another person or organization, for loss to which this insurance applies, provided the insured has waived their rights of recovery against such person or organization in a contract or agreement that is executed before such loss. To the extent that the insureds rights to recover all or part of any payment made under this insurance have not been waived, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. This condition does not apply to medical expenses. Form 80-02-2000 (Rev. 4-01) Contract Papa 24 of 32