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Home My WebLink AboutSourcewise 01.17.2024SOURCEW-01 SRSPATRA3 DATE (MM/DDI '*�•.�r�-rr*ti•r rrICAT-E OF LIABILITY INVURANCE 1i17/2a04 -n 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), AUTHORL_&_� 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 House - SRS Suhr Risk NAMProCo Insurance Services PHONE FAX FA/C, No): 910 E Hamilton Ave EMAIL #410 ADDRESS: None@none.com Campbell, CA 95008 INSURERS AFFORDING COVERAGE NAIC # INSURED Sourcewise 3100 De La Cruz Blvd, #310 Santa Clara, CA 95054 INSURER A: Alliance of Nonprofits for Insurance, Risk Retention Group 10023 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: rr x1rPAnrQ r1=0T11:1rAT1= R11111AM1=D- 0=111CInhi KII inAMCD- 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 MM/DD/YYYY POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ] OCCUR 2024-14829 1/1/2024 1/1/2025 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED 5009000 PREMISES Ea occurrence $ MED EXP (Any oneperson) $ 20,000 X Owner's & Contractor X See "Other Covg" PERSONAL & ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � PRO- I LOC GENERAL AGGREGATE $ 31000,000 PRODUCTS - COMP/OP AGG $ 310007000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 15000,000 Ea accident $ BODILY INJURY Perperson) $ X ANY AUTO 2024-14829 1/1/2024 1/1/2025 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ - - - —X--UMBRELLALIAB OCCUR 2,000,000A EACH AGGREGATE $ EXCESS LIAB CLAIMS -MADE 2024-14829-UMB 1/1/2024 1/1/2025 DED X I RETENTION $ 10,000 Agg & SSSPL $ 21000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A PER STATUTE OERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Social Services Prof 2024-14829 1/1/2024 1/1/2025 Aggregate Limit 31000,000 • Social Services Prof 2024-14829 111/2024 1/1/2025 Occurrence 110009000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof of coverage. GCR I 111t-IGA I E HULDhR CANCELLATION Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94022 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