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Client/!: ISM <br />CATHORA <br />ACORD. CERTIFICATE OF LIABILITY <br />INS NCE DATE (MMID <br />09/29/03DJYYYY) <br />PRODUCER <br />Arthur J. Gallagher & Co. Ins. <br />Brokers Of CA Inc Lic.f10726293 <br />One Market Spear Twr Ste 200 <br />San Francisco, CA 94105 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />Roman Catholic Bishop of Orange <br />P.O. Box 14195 <br />Orange, CA 92863-1595 JI <br />1 r^l/L.�J /✓� <br />INSURER A: The Ordinary Mutual, a R.R.G.C. 10171 <br />INSURER B: Phoenix Assurance Company of New Yoi 35262 <br />INSURER c: Allianz Insurance Company 35300 <br />INSURER D: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSIR LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DA YEFFEp�E <br />PDDAM M)�pn ON <br />LIMITS <br />A <br />GENERAL LIABILITY <br />CGAL0042003 <br />07/01/03 <br />07/01/04 <br />EACH OCCURRENCE $1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTEDPREMISES IE,oat s50 000 <br />CLAIMS MADE O OCCUR <br />MED EXP (Any one person) $5,000 <br />PERSONAL S ADV INJURY $1,000,000 <br />GENERAL AGGREGATE s2.000.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMP/OP AGG $2000000 <br />POUCYF—j PRO- LOC <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />CGAL0042003 <br />07/01/03 <br />07/01/04 <br />COMBINED SINGLE LIMIT <br />(Ea accident) $1'000'000 <br />X <br />BODILY INJURY <br />(Per person) $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Par accident) $ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />EXCESSIUMBRELLA LIASILnY <br />EACH OCCURRENCE $ <br />OCCUR FICLAIMS MADE <br />AGGREGATE $ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />B <br />WORKERS COMPENSATION AND <br />CIA10021703 <br />11/13/02 <br />11/13103 <br />X I WC STATU- OTR - <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT $1'000,OOO <br />E.L. DISEASE -EA EMPLOYE $1,000,000 <br />OFFICERIMEMBER EXCLUDED? <br />Ryas descdee under <br />SPECIAL PROVISIONS Below <br />E.L. DISEASE -POLICY LIMIT $1'000,000 <br />C <br />OTHER Commercial <br />CLP3003555 <br />07/01/03 <br />07/01/04 <br />$250,000 <br />Property <br />1 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES IEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />Re: Catholic Charities of Orange County, 1800 E. McFadden, Santa Ana, <br />CA 92705 as respects Empowerment Zone Contract. The City of Santa Ana, <br />Its officers, employees, agents and representatives are named as additional <br />Insureds per Attachment F. <br />Clerk of the City Council <br />City of Santa Ana <br />20 Civic Center Plaza (M-30) <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENHUNGROMMIL In DAYS wRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2001/08) 1 of 2 #S112185/M107679 PCS 0 ACORD CORPORATION 1988 <br />