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ACORO° CERTIFICATE OF LIABILITY INSURANCE DATE(MMI1DOIYYYY) 06/30/2020 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(les) 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 402-551-8765 C.M.G. Agency, Inc 10843 Old Mill Road Omaha NE 68154 CONTACT NAME: C.M.G. Agency, Inc PMONE .402-551-8765 A/C, ADDRESS INSURERS AFFORDING COVERAGE NAICP INSURER A: INSURED The Roman Catholic Bishop of Orange 13280 Chapman Ave Garden Grove, CA 92840 INSURERS: Church Mutual Insurance COm any INSURERC: INSURERD: INSURER E: _ INSURER F: 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 INqo SUBR WV13 POLICY NUMBER POLICY EFF fMMIODIYYYYI POLICY EXP IMWDDMWILIMITS COMMERCIAL GENERAL ABILITY CLAIMS -MADE ❑OCCUR RRENCE $ E E A -EN eanp $ ny one person) $ & AOV INJURY tGENEERIALAGGREGATE s AGGREGATE LIMIT APPLIES PER: $ GEN'L POLICY jEaILOC -COMPIOP AGG $ $ OTHER. B AUTOMOBILE LIABILITY YI ANY AUTO COMBINED SINGLE LIMIT $ 3O0 OOO BODILY INJURY (Par Person) $ OWNED AOHEDULEO . AUTOS ONLY AUTOS 0313006-09-122292 071OW020 07/01/2021 BODILY INJURY (Pan inxiden) S PROPEMdefto AGE Per dd n $ ✓ HIRED NON-0VMEO .. AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB _ _ OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE $ DED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN STA U E ER ANYPROPRIETOR/PARTNERIEXECUTNE E.L. EACH ACCIDENT $ OFFICEWMEMBEREXCLUDEDI ❑ NIA (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ If yes, descrlae under DESCRIPTION OF OPERATIONS Below EL. DISEASE- POLICY LIMIT $ B Comprehensive 0313006-09-122292 07/01/2020 07/01/2021 $1,000 Deductible I Collision $1,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO te1, Atltlitionel Remarks Schedule, may M atMchad H more apace la rpuired) Coverage only extends for claims directly arising out of Catholic Charities Rental Assistance Program partnership with the City of Santa Ana commencing on July 1, 2020 and expiring on June 30, 2021. This coverage is primary and non-contributory. The City of Santa Ana, its officers, employees, agents, and representatives are named as additional insured except as it pertains to their own active negligence. See attached Excess Liability. CERTIFICATE HOLDER CANCELLATION City of Santa Ana REVIEWED &APPROVED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE By THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division Risk MANAgEMCNT DIVISION ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 JU 2120 O AUTHORIZED REPRESENTATIVE LA r ..rr MINL IL. ViLLAKIEAL 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD