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Home My WebLink AboutCOI - South Santa Clara County FPD - Expires 2029-0701ACORL' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 7/15/2024 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 INSURED South Santa Clara County Fire Protection District 15670 Monterey Street Morgan Hill, CA 95037 License#: 0D69293 FIREAGE-Eli CONTACT NAME: PHONE 415-546-9300 E-MAIL ADDRESS: X (NC, No): 415-536-8499 INSURER(S) AFFORDING COVERAGE INSURER A: MA XL Insurance Company UK Limited INSURER B : INSURER C : INSURER D INSURER E : INSURER F : NAIC ✓! COVERAGES CERTIFICATE NUMBER: 1984287270 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MDDIYYYY) POLICY EXPMI (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y B1262RT0219724 7/1/2024 7/1/2029 EACH OCCURRENCE $ 1,500,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $1,500,000 GEN'L X AGGREGATE POLICY OTHER: Annual LIMIT APPLIES PRO ,iECT PER: LOC GENERAL AGGREGATE $ 15,000,00G PRODUCTS - COMP/OP AGG $ Public OFficialslEPL $1,500,060 AUTOMOBILE LIABILITY ANY AUTO OWNED _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per acclder6) $ $ UMBRELLA LIAB EXCESS LIAB O OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEC RETENTON$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUOED? I I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- STATUTE ER E.L, EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTI ON OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it mom apace is required) City of Gilroy, its Officers, Officials and Employees are also named as Additional Insureds as respects the shared of Battalion Chief Agreement, CERTIFICATE HOLDER CANCELLATION i City of Gilroy 7351 Rosanna Street 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. AU—HORIZEDREPRESENTATIVE j ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD FIRE AGENCIES INSURANCE RISK AUTHORITY 100°/ Reinsured by AXA XL Insurance Company UK Limited Policy Number Memorandum Period From To B1262RT0219724 07/01/2024 07/01/2025 12:01 A.M. Standard Time at the described location FAIRA Address: Fire Agencies Insurance Risk Authority, Et al. 595 Market Street, Suite 2100 San Francisco, CA 94105 Endorsement No. 4 THIS ENDORSEMENT CHANGES THE MEMORANDUM OF COVERAGE. This endorsement may be used to modify coverage provided under the following: BLANKET ADDITIONAL INSURED This endorsement may be used to modify insurance provided under the following: GENERAL LIABILITY COVERAGE PART AUTOMOBILE LIABILITY COVERAGE PART SCHEDULE Coverage Part(s) Modified By This Endorsement Per Written Contract Additional Insured Description Of Contract Contract Date Per Written Contract Per Written Contract Per Written Contract A. The following is added to Section B. WHO IS A COVERED PARTY of each applicable Coverage Part listed in the SCHEDULE above: Any person(s) or organization(s) listed in the SCHEDULE to whom you are obligated by virtue of a written contract to provide insurance solely with respect to bodily injury or property damage is an Insured. However, insurance for such additional Insured applies only to bodily injury and property damage required within the terms of the contract and only to the extent that such additional Insured is liable for bodily injury or property damage caused by your acts or omissions in the performance of your operations. B. The following is added to Section D. LIMITS OF INDEMNITY of each applicable Coverage Part listed in the SCHEDULE above: The Limits of Indemnity afforded to the additional Insured shown in the SCHEDULE will be limited to the Limits of Coverage required within the terms of the contract or the Limits of Coverage of this Memorandum, whichever is less. The Limits of Coverage afforded to such additional Insured will apply in excess of the Member Deductible shown in the Item 4. of the Declarations. Any insurance provided in this endorsement is part of and not in addition to the Limits of Coverage shown in item 3. of the Declarations for each applicable Coverage Part. Page 1 of 1 000000 02 02 005112 012138 P