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<br />r ACORD", CERTIFICATE OF LIABILITY INSURANCE I DATECMMlDDNVYY) <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-;;Joo:;l- 043-0) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 200 <br />San Francisco, CA 94105 8-=03-ISg. <br /> ):"-:;;-':';;:,'1 'C'OS'1 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 19380 <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 QR 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 />l,~: r..~~'i POLICY NUMBER PO~.!SY EFFECTIVE POLICY EXPIRATION LIMITS <br />A ~NERAL. LIABILITY CGALOO42007 07/01/07 07/01/08 EACH OCCURRENCE $1.000,000 <br /> X COMMERCIAL GENERAL LJABILlTY I PREMiSES rEa occurence) $ 50, 000 <br /> I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $5,000 <br /> X Diocesan E&O PERSONAL & ADV INJURY $ 1,000,000 <br /> I- $ 2, 000, 000 <br /> r-!- Sexual Misconduct GENERAL AGGREGATE <br /> GEN'L AGG:EnE LIMIT APrilS PER: PRODUCTS-COMP~PAGG $2,000,000 <br /> n POLICY PRQ,: X LOC <br />A AUTOMOBILE LIABILITY CGAL0042007 07/01/07 07/01/08 COMBINED SINGLE LIMIT <br /> X 51,000,000 <br /> ANY AUTO (Eaaccident) <br /> - <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> - (PerpersOl1) <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS BODILY INJURY <br /> X (Per accident) $ <br /> NON-QWNED AUTOS <br /> - <br /> I- PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE UABIUTY AUTO ONLY - EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> :5ESS1lJMBRELLA L1A81L1TY EACH OCCURRENCE $ <br /> OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> =1 DEDUCTIBLE $ <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND WC9909245 01/01/08 01/01/0. X I WCSTATU" I IOJ.\" <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 <br /> ANY PAOPRIETORfPAATNERfEXECUTIVE $1,000,000 <br /> OFFlCERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE <br /> ~~~~I~~~~O~ln~~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 /> (M-301 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza <br />POBox 1988 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE , f..-. <br />Santa Ana. CA 92702-0000 j'-if'c:' <br />USA <br /> <br />ACORD 25 (2001/08) provenBan <br />7857433 <br /> <br />@ACORD CORPORATION 1988 <br />