Form_SCTNID_CTGRY.XX0316ACORD25_ACORD
<docindex><index>ACORD</index></docindex> BDF_PCA
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
PRODUCER CONTACT
NAME:
PHONE
(A/C, No, Ext):
FAX
(A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
INSR
LTR
ADDL
INSD
SUBR
WVDTYPE OF INSURANCE
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
OTHER:
PRO-
JECT LOC
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
SCHEDULED
AUTOS
NON-OWNED
AUTOS ONLY
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS-MADE
DED RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y/N
N / A
POLICY NUMBER POLICY EFF POLICY EXP
(MM/DD/YYYY) (MM/DD/YYYY) LIMITS
$
$
$
$
$
$
$
EACH OCCURRENCE
DAMAGE TO RENTED
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
PREMISES (Ea occurrence)
$
$
$
$
$
COMBINED SINGLE LIMIT
PROPERTY DAMAGE
BODILY INJURY (Per person)
(Ea accident)
BODILY INJURY (Per accident)
$
$
$
AGGREGATE
EACH OCCURRENCE
E.L. EACH ACCIDENT
INSURED
$
$
$E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
PER STATUTE OTH- ER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD © 1988-2015 ACORD CORPORATION. All rights reserved.
(Per accident)
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).
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.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
[email protected]
09/04/2025
1-800-444-4487
THE VILLAGE OF LOVE FOUNDATION
490 43RD ST
OAKLAND, CA 94609
THE CITY OF ALAMEDA
2263 SANTA CLARA
ALAMEDA, CA 94501
Progressive Commercial Lines Customer and Agent Servicing 407649593747123209D090425T164317
Progressive Insurance
PO Box 94739, Cleveland, OH 44101
Progressive Express Insurance Company 10193
A X 00820768Y N 03/28/2025 09/28/2025
2,000,000
A 00820768Y N 03/28/2025 09/28/2025
See ACORD 101 for additional coverage details. $
Form_SCTNID_CTGRY.XX0108ACORD101_ACORD
<docindex><index>ACORD</index></docindex> BDF_PCA
Progressive Insurance
00820768
Progressive Express Insurance Company 10193
THE VILLAGE OF LOVE FOUNDATION
490 43RD ST
OAKLAND, CA 94609
03/28/2025
AGENCY CUSTOMER ID:
LOC #:
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY
POLICY NUMBER
CARRIER NAIC CODE
NAMED INSURED
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance 1 1
Additional Coverages
Insurance coverage(s) Limits…………………………………………………………………………………………………………………………………………………………………………………… Uninsured/Underinsured Motorist $2,000,000 Combined Single Limit Description of Location/Vehicles/Special Items
Scheduled autos only…………………………………………………………………………………………………………………………………………………………………………………… 2007 HONDA 5FNRL38787B104460ODYSSEY
Collision $500 w/Waiver Ded
Comprehensive $500 Ded
Medical Payments $5,000 each person
Rental Reimbursement $50 Per Day ($1,500 Max)
Roadside Assistance Selected w/$0 Ded
…………………………………………………………………………………………………………………………………………………………………………………… 2007 HONDA 5FNRL387X7B065001ODYSSEY
Collision $500 w/Waiver Ded
Comprehensive $500 Ded
Medical Payments $5,000 each person
Rental Reimbursement $50 Per Day ($1,500 Max)
Roadside Assistance Selected w/$0 Ded …………………………………………………………………………………………………………………………………………………………………………………… 2013 KIA 5XYKW4A2XDG382861SORENTO
Collision $500 Ded
Comprehensive $500 Ded
Medical Payments $5,000 each person
Rental Reimbursement $50 Per Day ($1,500 Max)
Roadside Assistance Selected w/$0 Ded …………………………………………………………………………………………………………………………………………………………………………………… 2007 HYUNDAI 5NMSH13E17H039110SANTA FE
Collision $500 Ded
Comprehensive $500 Ded
Medical Payments $5,000 each person
Rental Reimbursement $50 Per Day ($1,500 Max)
Roadside Assistance Selected w/$0 Ded …………………………………………………………………………………………………………………………………………………………………………………… 2008 HONDA 5FNRL38648B061387ODYSSEY
Collision $500 Ded
Comprehensive $500 Ded
Medical Payments $5,000 each person
Rental Reimbursement $50 Per Day ($1,500 Max)
Additional Information
Certificate holder is listed as an Additional Insured.
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
PROGREIIIVE.
COMMERCIAL
Policy number:
Underwritten by:
Insured:
Policy Period:
Mailing Address
Progressive Casualty Insurance Co
PO Box 94739
Additional insured endorsement Cleveland, OH 44101
1-800-444-4487
Name of Person or Organization For customer service, 24 hours a day, 7 days a week
This endorsement modifies insurance provided under the commercial auto policy and any endorsements thereto affording liability coverage.
The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page and showing liability coverage.
Limitof Liability
Bodily Injury each person/ each accident
Property Damage each accident
Combined Liability each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number:
Issued to (Name of Insured):
Effective date of endorsement: Policy expiration date:
Form 1198 (07/16)
M_CL
00820768
Progressive Express Insurance Co.
THE VILLIAGE OF LOVE FOUNDATION
October 1, 2024
Sep 28, 2024
Sep 28, 2025
Progressive Express Insurance Co.
THE CITY OF ALAMEDA
2263 SANTA CLARA
ALAMEDA, CA 94501
$ 2,000,000
00820768
THE VILLIAGE OF LOVE FOUNDATION
September 28, 2024
September 28, 2025