Laserfiche WebLink
CERTIFICATE OF LIABILITY INSURANCE I <br />DATEJAMIODNYYYI <br />1 09/30/2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed, <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such andorsement(s) <br />PRODUCER 402-551-6765 �"',Te C:G,A�rencvIncfa <br />C.M.C. Agency, Inc O���s II 4p2 551 876510843 Old Mill Road 6RCCA, <br />INSURED <br />The Roman Catholic Bishop of Orange <br />13280 Chapman Ave <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />IAAN, ..®..v.,®_...,®.._.®._ ,,..W._,..,_.. A i1R.-...v-_._�.�.;_.. PO C.-aw, P t H% <br />TYPE OFINSURANCB POLICYNUMBER. OD YY MMIDD Y LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />,mow <br />EACH OCCURRENCE <br />-1 <br />CIAIMS.MADE OCCUR <br />:Pi3F_MISEs trr'q,w lta+Tear <br />S_ <br />.MEO EXP (Any onep roan) <br />$ <br />PERSONAL&AOV INJURY <br />S <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />8 <br />EJECT El <br />POLICY <br />.PRODUCTS -COMPIOP AGG <br />$... <br />ER: a.w <br />q_ <br />$ <br />B <br />AifVTOLIABILITY <br />✓ <br />........ <br />d€nMBI DSINGLE 1 <br />1300000 <br />ANYAUTO <br />BODILY INJURY (Per paleon) <br />$ <br />OWNED SCHEDULED <br />W� AUTOS ONLY AUTo5 <br />0313008409-010951 <br />07/01/2019 <br />07/01/2020 <br />BODILY INJURY(P., eccmnnq <br />,—.__....,.>—.:J._ <br />$ <br />HIRED NON -OWNED <br />Ry-MRW} AAOS <br />AUTOS ONLY AUTOS ONLY <br />�(pr cridantl <br />$ <br />_ <br />Y <br />VMeRELLA LIAS _ OCCUR <br />FW <br />EACH OCCURRENCE <br />$ <br />_ CUIMSLMADE <br />.AGGREGATE <br />OED RETFNTIONS-. <br />$.. <br />WORKERS COMPENSATION <br />_ <br />- <br />PEf OTC <br />---��' <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETOWPARTNENEXECU71VE <br />@TG (TE. �_Fgaf <br />E,L. EACH ACCIDENT. <br />$.. <br />OFFICF.RIMFMBFRCXCLUOFDy <br />NIA <br />_---._._,.-"L <br />--- -- <br />W� <br />(MendnrorylnNHl <br />E.L.DBEASF-EAEM?LOVEE <br />$ <br />Iryyae, Jasmibe under <br />OFp.PERATI <br />" <br />-r-----_ <br />DES RI TIO ONE I ny+ <br />€A.. -DISEASE --POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101, Addlllanal Renlarks Sfbedalo, maybe allachad lf,varR space is re'.4 0) <br />Coverage is verified for Catholic Charities of Orange County for the term of the certificate, <br />City Oi Santa Ana REVIEWED APPROVED LtF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Risk f Santa Ana <br />DIVi50D gy ry Wq r> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />By Risk IY iANACIE(t'EM D iViSiON ACCORDANCE WITH IHE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 0 022 <br />2 1� AIITHORIEfD REPRESENTATIVE <br />iJ L%Fz cii yjp. /�p+nry, Vic. <br />FR/AN4 Nt C2, VILL"ARY-Al-. 01988.2 115 ACORD CORPORATION, All rights reservo <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />