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<br />r ACORD,. CERTIFICATE OF LIABILITY INSURANCE / <br /> DATE (MMlDDIYVVY) <br /> 12/28/07 <br /> PRODUCER 0726293 1-415-546-9300 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Arthur J. Gallagher & CO. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Insurance Brokers of California, Inc., License #0726293 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />One Market Plaza. Spear Tower A -.::JoQ;;2 - 0'1 '3 - 0 J ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Suite 200 <br />San Prancisco, CA 94105 ~=~O,~-:'~la' <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: ORDINARY MOT RRG CORP 10171 <br /> Catholic Charities of Orange County, Inc. <br /> INSURER B: American Home Assur Co 19360 <br /> 1800 E. McFadden Avenue INSURER C: <br /> Santa Ana, CA 92705 INSURER 0: <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. 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 />INSR DD' POLICY NUMBER POLICY EFFECTIVE ~~!f:, EXPIRATION <br /> LIMITS <br />A ~NERAL LIABILITY CGALOO42007 07/01/07 07/01/08 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES YE~~~~~nce\ $50,000 <br /> l CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $5,000 <br /> X Diocesan E&:O PERSONAL & ADV INJURY $1,000,000 <br /> X Sexual Misconduct GENERAL AGGREGATE $2,000,000 <br /> ~'~AGG~l~E LIMIT APMS PER: PRODUCTS-COMP~PAGG $2,000,000 <br /> POLICY ~tlR,: X LaC <br />A ~TOMOBILE LIABILITY CGAL0042007 07/01/07 07/01/08 COMBINED SINGLE LIMIT <br /> $1,000,000 <br /> X ANY AUTO (Ea accident) <br /> r- <br /> ~ ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> - SCHEDULED AUTOS <br /> X HIRED AUTOS BODILY INJURY <br /> X (Peraccidenl) , <br /> - NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> ~~GELlA8IUTY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> pESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTI8LE $ <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND WC9909245 01/01/08 01/01/09 X I T~WtI~;, I IOJi;'- <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1.000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000.000 <br /> ~~~~~ecc~~6~~4~NS below E.L. DISEASE - POLICY LIMIT $1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS/VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT {SPECIAL PROVISIONS <br />Re: Catholic Charities of Orange County, 1800 E. MCFadden, Santa Ana, CA 92705 as respects Empowerment Zone Contract. <br />The City of Santa Ana, its officers, employees, agents and representatives are named as Additional Insureds per <br />Attachment F. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION *Ten Day Notice for Non-Payment of Premium <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Clerk of the City Council DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />City of Santa Ana NonCE TO THE CERTIfiCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL <br />20 Civic Center Plaza (M-30J IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Tl-tE INSURER, ITS AGENTS OR <br />POBox 1988 REPRESENTATIVES. <br />San ta Ana, CA 92702-0000 AUTHORIZED REPRESENTATIVE '~.1:L~ <br />USA <br /> c <br /> <br />ACORD 25 (2001/08) proven. an <br />7857433 <br /> <br />@ACORDCORPORATION1988 <br />