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<br />, <br /> <br />RigÞt.,'ax <br />....'. <br /> <br />7/7/2004 3:21 <br /> <br />PAGE <br /> <br />2/3 <br /> <br />RightFax <br /> <br />ACORD~ CERTIFICATE OF LIABILITY INSURANCE Page I DATE <br />1 of 2 07/07/2004 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Willis North America, Inc. - Regional Cert Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 26 Centu:r:y Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P. o. Box 305191 <br /> Nashville, TN 372305191 INSURERS AFFORDING COVERAGE <br />~- ... _.._~_.. .---.-----. ----- <br />INSURED Sisters of St. Jos.ph of Orange INSUAERA: American Unity Group Ltd C0929-°E.~ <br /> 480 South Batavia INSURERB <br /> Orange, CA 92868 ... .. . ... <br /> ~~RC ---- .~------- .. <br /> INSURERD -..-.._~--- <br /> INSURER E <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWfTHST AN01NG <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 AFF0ADED BY THE POLICIES DESCRIBED HEREIN IS SUßJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIDCLAIMS. <br /> <br />INfR TYPE OF INSURANCE POLJCYNUMBER POUCYMEFfEC;WE I P°,ilPYEXPIRATIONj <br /> <br />UMlTS <br /> <br />A <br /> <br />GENERAL UABIUTY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE [X] OCCUR <br /> <br />UNI-CGL-04-01-020 <br /> <br />6/30/2004 <br /> <br />6/30/2005 <br /> <br />EACH OCCURRENCE $ <br />FIRE DAMAGE (Aryonetre) $ <br />MED EXP Anyone rson $ <br />ÆRSONAl &ADV INJURY $ - <br />Ç>ENERALAGGREGATE .-- $ <br />PRODUCTS. COMP'oP AGG $ <br /> <br />2 000 000 <br /> <br />-J._-... <br /> <br />.~. 000. OQ1L <br />2 O.QQ., 000 <br /> <br /> <br />GEN'LAGGREGATE LIMIT APPLlESÆR <br />PRO. <br /> <br />Loo <br /> <br />ALJTOMOBILEUABIUTY <br />ANY AUTO <br /> <br />AlL OWNED AUTOS <br />SCHEDULEDAUTOS <br /> <br />COMBINED SINGLE LIMIT $ <br />(Eaacciden1) <br />BODILY INJURY $ <br />(perpersonJ <br />BODILY INJURY $ <br />(per accident] <br />PAOÆATY DAMAGE $ <br />(perac:ciden1) <br /> <br />HJREDAUTOS <br />NON-OWNED AUTOS <br /> <br />GARAGElIABJUTY <br />ANY AUTO <br /> <br />"L({,.. 'A/lee. lJiliU!/JL¡ <br />/1 ("N''-' ~r <br />i <br /> <br />AUTO ONLY . EAACCIDENT $ <br />EA ACC $ <br />AGG $ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />OTHER THAN <br />AUTOONLY' <br /> <br />EXCESS LIABILITY <br />OCCUR D CLAJMSMADE I <br /> <br />I DEDUCTIBLE <br />RETENTlON $ <br />WORKERS COMPENSATlONAND <br />EMPLOYERS'LIABllITY <br /> <br />EACHOCCUARENCE <br />AGGREGATE <br /> <br />ì .2.... <br /> <br />WCSTATU. OTH- <br />TŒlYlIMnS ER <br />E.L. EACH ACCIDENT $ <br />I EL. DISEASE - EA EMPLOYEE $ <br />EL DISEASE - POlICY LIMIT $ <br /> <br />OTHER <br /> <br />DESCRIPTlON OF OPERATlONSlLOCATIONSlVÐ-IIClESlEXCLUSIONSADDED BY ENDORS EMENT/SPEClAl PROVISIONS <br />The Certificate Ho1.de:r is named as Additi.onal Insrued by endorsement <br />term. set forth in the endorsement. <br /> <br />to the po1.icy subject to the <br /> <br />Re: SSJO dba Ta1.ler San Jose, B1.ock Grant - 810 N. Poinsetta, Santa Ana, CA 92701 <br /> <br />CERTIFICATE HOLDER <br /> <br />ADDmONAL INSURED; INSURER LETTER. <br /> <br />CANCELLATION <br /> <br />SHOULD ANY OFTHEABOVE DESCRIBED POUCIES BECANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ~MAIL 22- DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE l~L <br /> <br />Santa. Ana. Work. Center <br />10~0 E. Santa. Ana. B~vd. <br />SUJ.tø 2000 <br />Santa Ana, CA 92701 <br /> <br />DIJ'1W¥!tmL'!í!o'rJ.IIl'NIN'M1oI...~.....~ <br /> <br />ACORD 25-S [TIffT) <br /> <br />Coll:1036~34 Tpl:280941 C <br /> <br /> <br />CACORDCORPORATION'~ <br /> <br />~" <br />