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Certificate of Insurance - HomeFirstHOMEF-1 OP ID: SL '4`�'?6 CERTIFICATE 4F LIABILITY INSURANCE 11 /03/2014 °11103ATE `2014 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 Suhr Risk Services 5300 Stevens Creek Blvd. San Jose, CA 95129 Jeff State - House CONTACT NAMEJeff State, CRIS, CWCS PHONE FAX ac No E : 408-510-5440 (AC No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Nonprofits Ins. Alliance of CA 011845 INSURED HomeFirst INSURERB:New York Marine & General 16608 507 Valley Way Milpitas, CA 95035 INSURERC: - -- --- — -__ INSURER D 31194 — -- 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 BR POLICYNUMBER POLICY MWDD EFF POLICY MMIDD X LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 A X COMMERCIAL GENERAL LIABILITY X 201408779NPO 11/01/2014 11/01/2015 MED EXP (Any one person) CLAIMS -MADE FXI OCCUR $ 20,000 PERSONAL &ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMITAPPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,00 Emp Ben. $ Included X POLICY 7 PRO LOC AUTOMOBILE LIABILITY Ea ,rdaDntS)INGLELIMIT $ 1,000,00 BODILY INJURY (Per person) $ A X ANY AUTO 201408779NPO 11/01/2014 11/01/2015 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED ALTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE PER ACCIDENT $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,00 AGGREGATE $ 10,000,00 A EXCESS LIAB CLAIMS -MADE 201408779UMBNPO 11/01/2014 11/01/2015 DED I X I RETENTION 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YINB ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER(MEMBER EXCLUDED? (Mandatory in NH) N I A WC201400006426 06/30/2014 06/30/2015 X WC LIMIT EP TORY LIMITS ER E-LEACHACCIDENT $ 1,000,00 E L DISEASE - EA EMPLOYEE $ 1,000,0011 E L DISEASE - POLICY LIMIT $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below A Directors/Officers 201408779DONPO 11/01/2014 11/01/2015 D&O Limit 1,000,00 C Crime 105856597 11/01/2014 11/01/2015 EE Theft 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is named additional insured with respect to liability arising out of the named insured's operations per endorsement form CG2026 attached. RE: All California Operations of the Named Insured. CEK I IFICA I E HULUEK l./AIVI.CLL/A I IUIV CITYCAM City of Campbell Attn: HCD Coordinator 70 North 1 ST Street 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 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 4 k POLICY NUMBER: 2014-08779-NPO COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Oraanization(s) Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0