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Certificate of Insurance - Project Sentinel, Inc
3216 Project Sentinel, Inc. Certificate of Insurance (page 4 of 19) 07/07/2014 12:22:19 PM ACORN CERTIFICATE OF LIABILITY INSURANCE DATE7/7/2017,/201 /YVYY) 4 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 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 NAME: Heffernan Insurance Brokers/SelectSolutions Insurance Services 1350 Carlback Avenue Walnut Creek, CA 94596 .° N 866-500-6359 ac No: (855) 804-8449 E-MAIL _ ADDRESS: PRODUCER CUSTOMER I INSURERS AFFORDING COVERAGE NAIC X INSURED INSURER A: Oak River Insurance Company 34630 INSURERS: Non Profits Insurance Alliance of California NaN Project Sentinel, Inc. 1490 El Camino Real Santa Clara, CA 95050 INSURERC: North American Elite Insurance Company NaN INSURERD: OBE Insurance Corporation NaN INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 SUBRj POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDD _ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO PREMISES EaEoccurrence) $ 500,000 MED EXP (Any one person) $ 20,000 CLAIMS -MADE ✓� OCCUR PERSONAL & ADV INJURY $ 1,000,000 B 2014006IONPO 7/1/2014 7/1/2015 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY PRO? LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ B SCHEDULED AUTOS HIRED AUTOS 20140061ONPO 7/l/2014 7/1/2015 PROPERTY DAMAGE (Per accident) $ ✓ $ NON -OWNED AUTOS $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DEDUCTIBLE $ li $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NLIM WC STATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N /A 2200013651121 9/1/2013 9/1/2014 E.L. DISEASE - EA EMPLOYE - - $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Professional Liability (Errors and Omissions) 20140061ONPO 7/1/2014 7/1/2015 Occurrence /Aggregate $1,000,000 /$2,000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Certificate Holder is included as an additional insured - funding source. B: Directors and Officers Liability 2014-00610-DO-NPO 7/1/2014 - 7/1/2015 $1.000,000 C: Property Coverage CWB0001483-13-00610 7/1/2014 - 7/1/2015 D: Accidental Death & Dismemberment MHH010307 7/1/2014 - 7/1/2015 $750,000 Lr Cr[ 1 Ir_1%1M 1 cm mVLVCr[ t.�HIVI'CLLH I IVIV City of Campbell Attn: Paul Kermoyan 70 No. First St. Campbell, CA 95008 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 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD