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/tf.-fR"rr CERTIFICATE OF LIABILITY INSURANCE <br />DATE`MM'°°"MJ <br />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 pollcy(es) must have ADDITIONAL INSURED Provisions of he 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 Ilan of such endorsomonl(sl. <br />PRODUCER - 402-551-8765 - <br />C.M.G.Agency,Inc°4ris,6xDiQ"�°55 <br />p; n��-� G, ano I - --- <br />87G <br />10843 Old Mill Road <br />MAIL^If— <br />-,,,,,,,;,----- jilSURERR AFFORDING ceYEft{1�3E�^T�� <br />NAG!_ <br />Omaha, NE GA154 <br />INSURERA:— - <br />_. _ <br />INSURE° <br />. <br />NaDRERU Church Mutual Insurance C_ampany_ <br />The Roman Catholic Bishop of Orange <br />13280 Chapman Ave <br />INSURER II: <br />INSURERS....v....,..-..ten <br />Garden.0rove,ri.A- IA � <br />.............�.,.� <br />INSURER F. <br />..._—.-�._ <br />CERTIFY THAT THE POLICIES OF INSURANCE BELOW HAVE BEEN ISSUED TO ONE INSURED NAMED ABOVE THE POLICY PERIOD <br />THIS 18 TOINDICATED. <br />M OR <br />INIOICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />ES <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. LIMIT59HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />FITS <br />T TYPEOFINSUNANCE POLICYNVMSER Y M110 YY <br />LIMI <br />COMMERCIAL GENERAL LIABILITY <br />- - <br />EALIi OLGD[tRENCE <br />YAM CIffyo <br />-.ti CLAIMS41ADE..D OCCUR <br />A0?fM— <br />.P,LiPallxsfao 1"911 <br />_ <br />MED EXPYAny an.lor—sm. <br />PER30NALEA0VINJURY $ <br />GENLAGGRCGATELIMITAPPLIESPER` <br />OENERALAGGREGATE g <br />I.—.—_.. <br />POLICY jCCT OLOC <br />�....... .....�.., <br />-J <br />.PRODUCTS COMPIOPAGG { _ <br />B <br />AUTOMOBILE <br />LIABILITY <br />DaASeIry EDIsINGLC I IT <br />i 3oO 0e <br />..� <br />ANYAUTG <br />BODILY INJURY (Per parson) <br />'BODILY <br />q <br />m..' <br />OWNED .,. SCHEDULER <br />AUTOSONLY : AUTOS <br />-� <br />03i300G-09-010951 <br />07/01/2019 <br />07101/2020 <br />IN._..^—^^^'^.--^---'.. <br />BODILY INJURY (Per acaennq <br />—. <br />s <br />HIRED MONAUTOWNED <br />P P-0ATY0AMA -- <br />ONLY LY <br />S <br />UMBRELLA LIAR <br />OCCUR <br />.EACH OCCUIInENCE <br />S <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />-�-�—� <br />-WORKERS <br />COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />---«-----•----- <br />ANYPROPRIETOWPARTNEWEXECUTIVE ❑ <br />OFFICERIMEMBEREXCLUOEOY <br />MIA <br />EJ..EAGHACCIDENTymT <br />(MOn,Mory In NH) <br />Ir ve, Jusc,ibn under <br />G.L. DISEASC - EA EMPLOYEE <br />--- <br />{ <br />----.---__. <br />0 Cal no 0^ a L,L�/j,IODIS gpl9w <br />-_ <br />EL: OISF,A9F,-POUCYLIMII <br />Y <br />DESCRIPTION OFOPCRATIONS I LOCATIONS IVEHICLER(ACORD101. AddHW.alRmnerks SObanuln. may be Bleached It lnory spats is required) <br />Coverage is verified for Catholic Charities of Orange County for the term of the <br />certificate, <br />City of Santa Ana REVIEWED & AI"MOVED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />By Risk MANAGEMENT DiVISiON ACCORDANCE WITHTHEPOLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />I0 0 2 2 19 ADTHORIZEO REPRESErvTATiVE - - -� <br />e <br />FRAN , NF Icy. VILLARFAI_� ©1908•2015 ACORD CORPORATION. All rights raserwd. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of AGOR❑ <br />