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Certificate of Insurance - Next Door Solutions (2)
AOC4C>R" ® 70T5E, (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 18/2023 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 CONTACT Business Professional Insurance Associates NAME: Eileen Gin PHONE . (650)341-4484 FAX No:(650)341-4465 1519 South B Street UVC.San Mateo, CA 94402 AMAIL ADORES egin@bpia.net License #: OD69286 INSURERS AFFORDING COVERAGE NAIC a _ INSURERA: Service American Indemnity Co INSURED INSURER B : Next Door Solutions to Domestic Violence INSURERC: 234 E. Gish Road, Ste. 200 INSURERD: _ San Jose; CA 95112 iNSURERE: i INSURER F : I I rr1VFRArFS rFRTIFIrATF NIIMRFRr DDDOR5R0-1973139 REVISION NUMBER: 3 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 SUER POLICY NUMBER EFF /YYYY MM DDY POLICY EXP MM DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY —1 CLAIMS -MADE OCCUR EACH OCCURRENCE $ $ $ $ DA AGE ToRENTED PREM SES (E. occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT ❑ LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE -7 EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N If yes, describe under DESCRIPTION OF OPERATIONS below N/A $ATIS171435R01 05/25/2023 05/25/2024 X SraT TE EORH $ 1,000,000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Evidence of Insurance. rCDTICIrATC ur%l M=D rAAIrFI I ATlrIKI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Campbell THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Sharon Teeter ACCORDANCE WITH THE POLICY PROVISIONS. 70 No. First Street AUTHORIZED REPRESENTATIVE Campbell, CA 95008 1�.-- ERG © 1988-2015'ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and loqo are reqistered marks of ACORD Printed by ERG on 05/18/2023 at 11:21AM