Agenda Item A.18
CONSENT CALENDAR
Meeting Date: December 19, 2023
TO: Mayor and Councilmembers
FROM: Robert Nisbet, City Manager
CONTACT: Shannon Kirn, Acting Assistant to the City Manager SUBJECT: Amendment to MOU with WEV for Small Business Loan Program RECOMMENDATION:
Authorize the City Manager to execute Amendment No. 1 to the Memorandum of Understanding with Women’s Economic Ventur es, Agreement No. 2020 -058, for Small Business Loan Program.
BACKGROUND:
On July 7, 2020, the City Council approved a Memorandum of Understanding (MOU) between the City of Goleta and Women's Economic Ventures (WEV) to fund the ReStart Loan (RSL) Program and the Small Business Basic Loan Program in the amount of $200,000 for small business loans to Goleta businesses. Funds were intended to support businesses that had been impacted by the pandemic and resulting shutdowns. Funds were received by WEV in August of 2020.
Between August 2020 and August 2021, application activity for WEV loans slowed down dramatically due to the other sources of grant and loan funding available to businesses.
Small businesses began having more success accessing Paycheck Protection Program (PPP) and Economic Injury Disaster Loan (EIDL) funding through their banks and through the Small Business Administration. These funds were more attractive to businesses due to the opportunity for forgiveness (PPP) or the very low interest/long-term terms (EIDL).
In 2022, WEV experienced a surge of interest in business funding and received approximately 312 interest form submissions for the loan program from small businesses in Santa Barbara and Ventura Counties. In 2022, WEV la unched a “Streamline Loan Program” which provides access to up to $10,000 in funding to existing businesses. This program has been popular among small business owners because it requires less documentation and funds can be received more quickly for importa nt business investments. See link for more detail on the program:
https://www.wevonline.org/programs/streamlined-business-loans/ Thus far in 2023, WEV has received over 150 i nterest forms for their funding programs, indicating that interest and need is still very high. WEV believes that the ongoing interest 1 Meeting Date: December 19, 2023
across the small business sector is a strong indicator that there is a need for funding that is not currently being provi ded by banks or other traditional business funding sources.
Due to its status as a Community Development Financial Institution (CDFI) and its strong ties to the business community, WEV is in an excellent position to be the go-to source for funding for small business.
Throughout this period, WEV has received very few applications from Goleta -based businesses. WEV has only received one eligible application from a Goleta -based business that was funded. This loan was approved for $10,000 to be disbursed in two tranches. The client received one tranche of $5,000 but was unable to provide the necessary documentation to obtain the second tranche. The client has since defaulted on the $5,000 loan and WEV is working with their attorney to try and collect these funds.
DISCUSSION:
This amendment request is due to the lack of activity in the existing WEV ReStart Loan Program. S taff recommend amending the purpose and requirements of the MOU to encourage the Goleta businesses to use the new Streamlined Loan Program by making it easier to apply and to get approved . Below is a description of the activity since the inception of the existing loan program and a summary of the proposed Amendment No. 1 (Attachment 1). The original Agreement No. 2020-058 is provided in Attachment 2.
Staff met with WEV to discuss next steps and the best way to improve this program to garner more interest from Goleta businesses. Staff propose to amend the MOU to update the existing ReStart Loan Program to WEV’s Streamlined Loan Program that has seen great traction in Santa Barbara and Ventura counties . WEV will administer the updated Streamlined Loan P rogram for one year as a “pilot program” to see if Goleta -based businesses are interested in the program. The goal for this Streamlined Loan Program is to ensure these funding opportunities are known and available to Goleta -based businesses. As the money cycles back into the fund through loan repayment, WEV will continue to make new loans to Goleta-based businesses. Amendment No. 1 is provided in Attachment 1. The changes are summarized below:
Run program for one year, until December 2024
Amend the eligibility criteria to make it easier to apply:
o Remove the requirement that businesses must demonstrate a COVID-19 financial impact
o Streamline the financial documents required
o Update the interest rate from 4.5% to 6.5% to be more in line with other economic development lenders
As established in the MOU, the grant award is intended to continue in perpetuity or until the funding is exhausted . The City will also continue to have the ability to terminate the agreement with 90 days’ notice and, at its sole discretion, may forgive all outstanding loan balances made with this grant as stated in the MOU (Attachment 2). If the program does not gain traction by December 2024, staff plan to return to Council to consider a different method such as a forgivable loan program.
2 Meeting Date: December 19, 2023
WEV will make additional efforts to raise awareness of these loans to businesses located in Goleta, including:
Walking some of the primary small business corridors/locations to drop off information
Promoting the availability of these loans on social medias Attending city-sponsored events to promote the program Coordinating with the Chamber of Commerce and other economic development agencies to promote the program and raise awareness
WEV also requests that the City of Goleta aid in efforts to raise awareness by promoting the program on the City website and through any other existing and active social channels, if applicable.
FISCAL IMPACTS:
There is no fiscal impact associated with this item other than staff time associated with finalizing the amendment.
ALTERNATIVES:
Council could provide direction different than the recommendation, such as creating a forgivable loan program or a grant opportunity with the funds. Council could al so give notice to terminate the MOU with WEV, requiring WEV to transfer the grant funds not disbursed back to the City, however this would diminish the partnership with a culturally focused organization and eliminate the present opportunity to support local businesses.
Reviewed By: Legal Review By: Approved By:
___________________ ___________________ _________________ Kristine Schmidt Megan Garibaldi Robert Nisbet
Assistant City Manager City Attorney City Manager
ATTACHMENTS:
1. Proposed Amendment No. 1 to MOU Agreement No. 2020-58 with WEV for Small Business Loan Program
2. MOU Agreement No. 2020-58 with WEV for Small Business Loan Program 3 ATTACHMENT 1
Proposed Amendment No. 1 to MOU Agreement No. 2020-58 with WEV for Small Business Loan Program
4 City of Goleta
Amendment No. _1_ to Agreement No. _2020-058_
AMENDMENT NO. _1_
TO A MEMORANDUM OF UNDERSTANDING
BETWEEN THE CITY OF GOLETA
AND
WOMEN’S ECONOMIC VENTURES
This Amendment No. _1_ to the Memorandum of Understanding by and between the City of Goleta, a municipal corporation (“City”) and Women’s Economic Ventures (WEV) dated _July 28, 2020_ (“Agreement,” Agreement No. 2020-58) is made on this _____ day of ___, 20______.
SECTION A. RECITALS
1. This Agreement was originally entered into to provide a grant in the amount of $200,000 to WEV and establish a framework of cooperation and agreement between the aforementioned parties to provide ReStart Loans to Goleta- based businesses in response to the COVID-19 pandemic.
2. The Agreement currently provides in Exhibit A entitled “Loan Program Criteria and Terms for the City of Goleta”; and
3. The parties desire to amend the purpose of this agreement and Exhibit A by establishing the Streamline Loan Program and amending the eligibility criteria and terms as more completely and particularly set forth in the Scope of Work, attached as Exhibit "A-1"; and
4. City Council approved this Amendment No. 1, on this _____ day of ____, 20_____.
SECTION B. AMENDED TERMS
Now therefore City and Consultant agree as follows that the Agreement be, and hereby is, amended as follows:
1. Section 1. Purpose is amended to read as follows:
This document serves to establish a framework of cooperation and agreement between the aforementioned parties as it pertains to a partnership to provide Small Business Lonas to Goleta-based businesses.
2. This Agreement is amended to delete and replace in its entirety:
DocuSign Envelope ID: F9B8E2CE-74AE-4983-990D-ADA8F6058730 5 City of Goleta
Amendment No. _1_ to Agreement No. _2020-058_
a. Exhibit A “ Loan Program Criteria and Terms for City of Goleta ” with Exhibit A -1 “ Loan Program Criteria and Terms for City of Goleta (Amended)” attached hereto and incorporated herein.
3. Except as otherwise specifically provided herein, all other provisions of the Agreement shall remain in full force and effect.
In concurrence and witness whereof, this Amendment No. 1 has been executed by the parties effective on the date and year first above written.
CITY OF GOLETA CONSULTANT
____________________________ ______________________________ Robert Nisbet, City Manager Kathy Odell, CEO, Women’s Economic Ventures
ATTEST:
_____________________________
Deborah Lopez, City Clerk
APPROVED AS TO FORM:
MEGAN GARIBALDI, CITY ATTORNEY
_____________________________
Scott Shapses, Deputy City Attorney
DocuSign Envelope ID: F9B8E2CE-74AE-4983-990D-ADA8F6058730 6 City of Goleta
Amendment No. _1_ to Agreement No. _2020-058_
Exhibit A-1
Loan Program Criteria and Terms for City of Goleta (Amended) Interest Rates and Fees
WEV Streamlined Loan Program
Loan Amount Up to $10,000
Interest Rate (fixed) 6.50%
Origination Fee 1%
Program Description:
These business loans are appropriate for (examples, not limited to):
Marketing, advertising, or branding
Inventory
Professional certifications or training
Hiring expenses
Promotional material creation
Trade shows or other promotional opportunity registrations Equipment purchases
Eligibility
To be eligible for a Goleta Streamlined Loan, all applicants must:
Own 51% or more of a business located in the City of Goleta Have a minimum personal credit score of 660
Have a credit report showing no evidence of derogatory reporting within the past twelve months, no bankruptcy within the past 3 years, and no outstanding tax liens, judgments, or other derogatory public records
Have been in business for more than one year
Have a business checking account and provide a recent bank statement showing no Non - sufficient funds (NSF) or overdraft (OD) activity
Have a current City of Goleta business license
For loans over $5,000, applicants must also:
Have no operating losses reflected on prior year business tax return Provide a personal guaranty of owner, if applicable
DocuSign Envelope ID: F9B8E2CE-74AE-4983-990D-ADA8F6058730 7 ATTACHMENT 2
MOU Agreement No. 2020-58 with WEV for Small Business Loan Program 8 DOCUMENT ROUTING AND APPROVAL FORM
Requires Council Approval:
☐NO
☐YES
Meeting Date:
Requires Vendor Set -up:
☐NO
☐YES
If no, Vendor Number:
Director Level Approval:
☐NO
☐YES
Site Authority:
Provide summary of agreement below:
Document Name and Type: Project Name :
Vendor Name:
Contact Person:
Address:
Phone Number:
Email Address:
Business License Number:
City Project Manager:
Contact Number:
Email Address:
AMOUNT NOT TO EXCEED : ON CALL SERVICES? : ☐NO ☐YES*
*On call s ervices require one spreadsheet to track multiple PO’s COUNCIL APPROPRIATION NEEDED : ☐NO ☐YES*
*May requ ire Purchasing Officer ’s override to input Requis ition
ROUTING PROCESS DESCRIPTION DATE INITIAL
Department Head
Initiation
Authority to initiate agreement
Risk Manager Staff to initiate review of insurance provision in agreement City Attorney Contract review/A pprove as form
Finance Director,
Purchasing Officer
Funding Methods Approved/
Authorized, Purchase
Requisition reviewed.
Requisition N umber:
Vendor Staff sends agreement to vendor via DocuSign for electronic signature and requests Insurance documents.
Staff (DocuSign User) Staff receives electronically signed agreement and insurance documents from vendor.
Risk Manager Risk Management shall rate Insurance and provide documents to Project Manager upon approval
City Manager City Manager will approve and sign the agreement.
City Clerk City Clerk will approve and sign the agreement.
FINALIZED ON: INITIAL RESOLUTION NO
(IF APPLICABLE)
Staff Routing Agreement:
Contact Number:
Email Address:
Vendor Staff will assign the vendor to receive a fully executed copy of the agreement via DocuSign.
PLEASE RETURN SIGNED DOCUMENTS TO THE CITY CLERK’S OFFICE
BELOW FOR CITY CLERK PROCESSING ONLY
FILE NUMBER
July 7, 2020 - approved
All parties agree that the City of Goleta will provide a grant in the amount of $200,000 to Women’s Economic Ventures for use in its ReStart Loan (RSL) Program.
Memorandum of Understanding between City of Goleta and WEV ReStart Loan (RSL) Program
Women's Economic Ventures (WEV)
$200,000
Kathy Odell, CEO
333 S. Salinas St., Santa Barbara, CA 93103
805-965-6073
[email protected]
Jaime Valdez
(805) 961-7500
[email protected]
Shanna Dawson
805-961-7554
[email protected]
TBD - budgeted for
DocuSign Envelope ID: 8272DA94-6E9A-4C63-A907-AC0268C056AD 7/9/2020
7/9/2020
7/9/2020
7/13/2020
7/23/2020
7/23/2020
7/23/2020
7/28/2020
MEMORANDUM OF UNDERSTANDING
between
the City of Goleta
and
Women’s Economic Ventures (WEV)
1. Purpose
This document serves to establish a framework of cooperation and agreement between the aforementioned parties as it pertains to a partnership to provide ReStart Loans to Goleta-based businesses in response to the COVID-19 pandemic.
2. Primary Contacts
City of Goleta WEV
NAME Jaime Valdez, Principal Project Manager Kathy Odell, CEO ADDRESS 130 Cremona Drive, Goleta, CA 93117 333 S. Salinas St., Santa Barbara, CA 93103 PHONE (805) 961-7500 805-965-6073
E-MAIL [email protected] [email protected]
3. Agreements
A. All parties agree that the City of Goleta will provide a grant in the amount of $200,000 to Women’s Economic Ventures for use in its ReStart Loan (RSL) Program.
B. All parties agree to exclude any liability to the City of Goleta except for the amount of the grant . WEV indemnifies and holds City harmless from and against any claim, action, damages, costs (including, without limitation, attorney fees), injuries, or liability, arising out of this Agreement, or its performance. Should City be named in any suit, or should a ny claim be brought against it by suit or otherwise, whether the same be groundless or not, arising out of this Agreement, or its performance, WEV will defend City (at City’s request and with counsel satisfactory to City) and will indemnify City for any judgment rendered against it or any sums paid out in settlement or otherwise.
C. All parties agree that this grant award minus any loan losses is intended to continue in perpetuity. As money cycles back into the fund, WEV will continue to use the grant to make new loans to Goleta-based businesses through its RSL or Basic Loan program. It is not to be utilized for any other purpose.
D. All parties agree that loans will be made using the eligibility criteria and terms outlined in Exhibit A below.
E. All parties agree that WEV will provide an annual summary to include number of loans made, types of businesses supported, and other standard metrics.
F. All parties agree that, at its discretion, the City of Goleta may forgive all outstanding loan balances made with this grant.
4. Termination
Within 90 days’ notice, the City Council may terminate this Agreement without cause, at which time, WEV will transfer any grant funds not disbursed back to the City and loan repayments on outstanding loans made using City grant funds to the City as they are received.
5. Modification
Modifications to the scope of this partnership shall be made by mutual consent of the parties, the issuance of a written modification, signed and dated by all parties, and approved by the City of Goleta prior to any changes being performed.
DocuSign Envelope ID: 8272DA94-6E9A-4C63-A907-AC0268C056AD 2020-058 10 6. Conflict of Interest
Any real or perceived conflicts of interest must be disclosed to the City of Goleta, including any City staff serving as paid staff or board of directors for Women’s Economic Ventures.
7. Non-Assignability
The services to be rendered by WEV pursuant to this Agreement are considered to be unique, personal services, and WEV may not assign, delegate, subcontract, transfer, or otherwise substitute its interest or obligations in this Agreement without prior written consent of City. Any attempt by WEV to assign any performance of the terms of this Agreement is null and void and shall constitute a material breach of this Agreement.
8. Insurance
Before commencing performance under this Agreement, and at all other times this Agreement is effective, WEV will procure and maintain the following types of insurance with coverage limits complying, at a minimum, with the limits set forth below:
Type of Insurance Limits (combined single)
Commercial general liability: $1,000,000
Professional Liability $1,000,000
Business automobile liability $1,000,000
Workers compensation $1,000,000
9. Signatures
By signing below, the aforementioned parties agree to the terms of this memorandum of understanding.
Michelle Greene, City Manager, City of Goleta DATE
Kathy Odell, CEO Women’s Economic Ventures DATE
DocuSign Envelope ID: 8272DA94-6E9A-4C63-A907-AC0268C056AD 7/15/2020
7/23/2020
11 Exhibit A
Loan Program Criteria and Terms for City of Goleta
ReStart Loan Program
Up to $25,000
Eligibility Criteria
• Businesses that are based in the City of Goleta
• No derogatory credit reporting for the past twelve months (if related to COVID -19 crisis, exceptions may be made) • Historical ability of business to pay existing and requested debt must be demonstrated and will be validated by either tax returns or profit and loss statements
• Most recent bank statements verifying no presence of Overdraft or Insufficient Funds activity (if related to the COVID-19 crisis, exceptions may be made)
• Applicant(s) must own and control at least 51% of the business • All owners of 20% or more of the business must provide personal guaranty • Have resided within Santa Barbara County or Ventura County for at least one year • Be a U.S. citizen or legal permanent resident, or have an ITIN (NOTE: applicants possessing an ITIN are eligible for loan amounts up to $10,000)
• Must demonstrate COVID-19 financial impact
• Funds must be used for costs associated with re-opening/re-establishing business as a result of COVID-19 closure or significant detriment.
Terms
• Up to $25,000
• 4.50% fixed interest rate
• Up to 60-month repayment
• $150 processing fee; 3rd party costs paid by applicant • Interest only payments for the first six payment cycles Basic Loan Program
up to $25,000 for startups (< 12 months in business) and $150,000 for expansions Eligibility Criteria
• Businesses that are starting or expanding operations in the City of Goleta • Own and control at least 51% of their business
• Provide guarantees of any 20% or greater owner of the business • Reside at least one year within the targeted area or underserved adjacent area prior to applying and be a legal U.S. resident*
• Be able to show that the loan can be repaid with business and/or personal income, accounts receivable or another source of income and that the need for capital is not a result of some crisis which the loan is unlikely to resolve • Provide satisfactory secondary sources of repayment if repayment of the loan is based solely on projected business income
• Be of legal age to enter into a contract
* Borrowers with ITINs are eligible to apply for loans $10,000 and under.
Terms
Term of one to five (1-5) years, no more than seven to ten (7-10) years, depending upon the size of the loan and the use of funds (i.e. the useful life of the asset(s) financed and/or held as collateral).
DocuSign Envelope ID: 8272DA94-6E9A-4C63-A907-AC0268C056AD 12 Interest Rates and Fees
Tier 1 Tier 2 Tier 3
Loan Amount Up to $5,000 Over $5,000 and up to $50,000 Over $50,000 Interest Rate 10.00% 9.00% 8.00%
Origination Fee 3.0% 2.50% 2.0%
DocuSign Envelope ID: 8272DA94-6E9A-4C63-A907-AC0268C056AD 13 CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
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
PAYCHEX INSURANCE AGENCY, INC.
150 SAWGRASS DRIVE
ROCHESTER, NY 14620
CONTACT
NAME:
PHONE FAX
(A/C, NO. EXT): (A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
INSURED
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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
INSR WVD (MM/DD/YYYY) (MM/DD/YYYY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PROJECT LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON-OWNEDHIRED AUTOS AUTOS
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS-MADE
DED RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITYA
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? Y/N
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
EACH OCCURRENCE
AGGREGATE
WC STATU-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
CERTIFICATE HOLDER CANCELLATION
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) ©1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
04/01/2020
WOMENS ECONOMIC VENTURES (A CORP)
333 S SALINAS ST
SANTA BARBARA, CA 93103
Paychex Insurance Agency Inc
877-266-6850 585-389-7426
[email protected]
Technology Insurance Company 42376
04/05/2020 04/05/2021TWC3862371
PROOF OF COVERAGE
Y N/A
X
1,000,000.00
1,000,000.00
1,000,000.00
DocuSign Envelope ID: 8272DA94-6E9A-4C63-A907-AC0268C056AD 14 CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
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
PAYCHEX INSURANCE AGENCY, INC.
150 SAWGRASS DRIVE
ROCHESTER, NY 14620
CONTACT
NAME:
PHONE FAX
(A/C, NO. EXT): (A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
INSURED
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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
INSR WVD (MM/DD/YYYY) (MM/DD/YYYY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PROJECT LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON-OWNEDHIRED AUTOS AUTOS
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS-MADE
DED RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITYA
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? Y/N
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
EACH OCCURRENCE
AGGREGATE
WC STATU-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
CERTIFICATE HOLDER CANCELLATION
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) ©1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
04/01/2020
WOMENS ECONOMIC VENTURES (A CORP)
333 S SALINAS ST
SANTA BARBARA, CA 93103
Paychex Insurance Agency Inc
877-266-6850 585-389-7426
[email protected]
Technology Insurance Company 42376
04/05/2020 04/05/2021TWC3862371
CITY OF OXNARD
RISK MANAGER
300 W. THIRD ST STE 302
OXNARD, CA 93030
Y N/A
X
1,000,000.00
1,000,000.00
1,000,000.00
OXNARD PUBLIC LIBRARY MEETING ROOM
DocuSign Envelope ID: 8272DA94-6E9A-4C63-A907-AC0268C056AD 15 CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
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
PAYCHEX INSURANCE AGENCY, INC.
150 SAWGRASS DRIVE
ROCHESTER, NY 14620
CONTACT
NAME:
PHONE FAX
(A/C, NO. EXT): (A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
INSURED
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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
INSR WVD (MM/DD/YYYY) (MM/DD/YYYY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PROJECT LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON-OWNEDHIRED AUTOS AUTOS
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS-MADE
DED RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITYA
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? Y/N
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
EACH OCCURRENCE
AGGREGATE
WC STATU-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
CERTIFICATE HOLDER CANCELLATION
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) ©1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
04/01/2020
WOMENS ECONOMIC VENTURES (A CORP)
333 S SALINAS ST
SANTA BARBARA, CA 93103
Paychex Insurance Agency Inc
877-266-6850 585-389-7426
[email protected]
Technology Insurance Company 42376
04/05/2020 04/05/2021TWC3862371
CITY OF SANTA BARBARA
COMMUNITY DEVELOPMENT DEPARTMENT
PO BOX 1990
SANTA BARBARA, CA 93102
Y N/A
X
1,000,000.00
1,000,000.00
1,000,000.00
DocuSign Envelope ID: 8272DA94-6E9A-4C63-A907-AC0268C056AD 16 CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
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
PAYCHEX INSURANCE AGENCY, INC.
150 SAWGRASS DRIVE
ROCHESTER, NY 14620
CONTACT
NAME:
PHONE FAX
(A/C, NO. EXT): (A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
INSURED
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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
INSR WVD (MM/DD/YYYY) (MM/DD/YYYY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PROJECT LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON-OWNEDHIRED AUTOS AUTOS
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS-MADE
DED RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITYA
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? Y/N
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
EACH OCCURRENCE
AGGREGATE
WC STATU-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
CERTIFICATE HOLDER CANCELLATION
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) ©1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
04/01/2020
WOMENS ECONOMIC VENTURES (A CORP)
333 S SALINAS ST
SANTA BARBARA, CA 93103
Paychex Insurance Agency Inc
877-266-6850 585-389-7426
[email protected]
Technology Insurance Company 42376
04/05/2020 04/05/2021TWC3862371
City of Santa Maria
Department of Administrative Services,
Special Project Div.
110 E. Cook St.
Santa Maria, CA 93464
Y N/A
X
1,000,000.00
1,000,000.00
1,000,000.00
DocuSign Envelope ID: 8272DA94-6E9A-4C63-A907-AC0268C056AD 17 CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
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
PAYCHEX INSURANCE AGENCY, INC.
150 SAWGRASS DRIVE
ROCHESTER, NY 14620
CONTACT
NAME:
PHONE FAX
(A/C, NO. EXT): (A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
INSURED
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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
INSR WVD (MM/DD/YYYY) (MM/DD/YYYY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PROJECT LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON-OWNEDHIRED AUTOS AUTOS
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS-MADE
DED RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITYA
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? Y/N
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
EACH OCCURRENCE
AGGREGATE
WC STATU-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
CERTIFICATE HOLDER CANCELLATION
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) ©1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
04/06/2020
WOMENS ECONOMIC VENTURES (A CORP)
333 S SALINAS ST
SANTA BARBARA, CA 93103
Paychex Insurance Agency Inc
877-266-6850 585-389-7426
[email protected]
Technology Insurance Company 42376
04/05/2020 04/05/2021TWC3862371
CITY OF SAN BUENAVENTURA its officers, officials, agents, employees & volunteers 501 POLI STREET
VENTURA, CA 93001
Y N/A
X
1,000,000.00
1,000,000.00
1,000,000.00
DocuSign Envelope ID: 8272DA94-6E9A-4C63-A907-AC0268C056AD 18 DocuSign Envelope ID: 8272DA94-6E9A-4C63-A907-AC0268C056AD 19 CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
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
PAYCHEX INSURANCE AGENCY, INC.
150 SAWGRASS DRIVE
ROCHESTER, NY 14620
CONTACT
NAME:
PHONE FAX
(A/C, NO. EXT): (A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
INSURED
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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
INSR WVD (MM/DD/YYYY) (MM/DD/YYYY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PROJECT LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON-OWNEDHIRED AUTOS AUTOS
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS-MADE
DED RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITYA
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? Y/N
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
EACH OCCURRENCE
AGGREGATE
WC STATU-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
CERTIFICATE HOLDER CANCELLATION
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) ©1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
04/01/2020
WOMENS ECONOMIC VENTURES (A CORP)
333 S SALINAS ST
SANTA BARBARA, CA 93103
Paychex Insurance Agency Inc
877-266-6850 585-389-7426
[email protected]
Technology Insurance Company 42376
04/05/2020 04/05/2021TWC3862371
COUNTY OF SANTA BARBARA
HOUSING & COMMUNITY DEVELOPMENT DEPT
105 E ANAPAMU STREET
SANTA BARBARA, CA 93101
Y N/A
X
1,000,000.00
1,000,000.00
1,000,000.00
DocuSign Envelope ID: 8272DA94-6E9A-4C63-A907-AC0268C056AD 20 CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
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
PAYCHEX INSURANCE AGENCY, INC.
150 SAWGRASS DRIVE
ROCHESTER, NY 14620
CONTACT
NAME:
PHONE FAX
(A/C, NO. EXT): (A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
INSURED
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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
INSR WVD (MM/DD/YYYY) (MM/DD/YYYY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PROJECT LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON-OWNEDHIRED AUTOS AUTOS
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS-MADE
DED RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITYA
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? Y/N
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
EACH OCCURRENCE
AGGREGATE
WC STATU-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
CERTIFICATE HOLDER CANCELLATION
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) ©1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
04/01/2020
WOMENS ECONOMIC VENTURES (A CORP)
333 S SALINAS ST
SANTA BARBARA, CA 93103
Paychex Insurance Agency Inc
877-266-6850 585-389-7426
[email protected]
Technology Insurance Company 42376
04/05/2020 04/05/2021TWC3862371
COUNTY OF VENTURA
HALL OF ADMINISTRATION L #1940
800 S VICTORIA AVE
VENTURA, CA 93009
Y N/A
X
1,000,000.00
1,000,000.00
1,000,000.00
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MODIFICATION OR WAIVER OF INSURANCE REQUIREMENTS
Vendor/Consultant: Women’s Economic Ventures (WEV)
Contract No.: WEV Restart Loan program – MOU between WEV and COG Scope of Work: City of Goleta will provide a grant to WEV for use in its Restart Loan program for Goleta businesses.
Reason for Modification/Waiver: Professional liability is not necessary for recipients of this grant program. Waiving professional liability requirement.
_ Monique Estrada______ _07/22/2020__________
Risk Manager/Designee Date
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