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~.----" ~--T. Client#: 21346 T+ C/Zv't;ML~n~ ~ N alb ~ ~~SOCIEPAU ACORD,w CERTIFICATE OF LIABILITY INSURANCE USI Northern California SO California Street, Suite 650 San Francisco, CA 94111 415 273-8700 INSURED Society of St Vincent de Paul 422 West Almond Avenue Orange, CA 92666 GATE (MM/DOiY YYYI 01/30!07 I nw t,cr~ I IrI~AI t IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER A: ESSEX Insurance Company ! 39020 INSURER B: Commerce and Industry Insurance Comp 19410 INSURER C: INSURER 0: COVERAGES :.,~;Y REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH REOSPECTORO WH COHLTHYS CERTIDFIICDA7EAMAY BE I SUED OR ~ ~~ M C AV ERTAIN 7HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS Q~ =O ' , L,C ScCr ES aGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LN R ,A D L LTR NSR^ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION Y LIMITS A ;GENERAL UABILI7y ~-~ I 3CU7170 10~27~06 10~27~07 EACH OCCURRENCE S1 QQQ QQQ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED _ 55O QQQ CLAIMS MADE ~ OCCUR MED EXP (Any one person) 51 QQQ i X 5500 Ded Per Claim PERSONAL a ADV INJURY sEXCLUDED L~ I '-• GENERAL AGGREGATE 52 QQQ QQQ : AGGREGATC uulT APPLIES PER. `-' PRO PROOUCrs coMP;oPAGG sEXCL'L1DED X POLICY T LOC ;AUTOMOBILE LIABILITY 'r~ ANV A TO COMBINED SINGLE LIMIT U (Ea acaoenq 5 ~~ ALL OWNED AUTOS ' !SCHEDULED AUTOS ~~ BODILY INJURY (Per person) S ~ I HIRED AUTOS ~-7 ~ j~rR~~I L: AS TC F RM . NON~OwNED AUTOS - - - BODILY INJURY (Per acadenl) S I~~! Z PROPERTY DAMAGE I ~ (Per acci0en p 'GARAGE LIABILITY i- ti, .1 , li',.C 1 A Ci A AUTO ONLY ~ EA ACCIDENT 'i 5 ANY AUTO ~ s~lsta:Tt t me ty ~' ~ ~ OTHER THAN EA ACC S I AUTO ONLY qGG S EXCESS/UMBRELL.A LIABILITY , ~ ~ ~ EACH OCCURRENCE 5 ;~ OCCUR ~ CLAIMS MADE AGGREGATE 5 ~_' S `"~ DEDUCTIBLE S ' ~ RETENTION S B '~ WOR 5 , KERS COMPENSATION AND 3424145 Q1~01~07 01~01~Og X wcsTATU~ 0TH. ', EMPLOYERS' LIABILITY ~ ANV aRO~RIETOR/PARTNER/EXECUTIVE JFFiL_NME,`1D ' K XCL D' D E1. EACH ACCIDENT 51,000,000 , t C J c ! ~I, II yes cescn De unoer E.L. DISEASE ~ EA EMHLUYEE 51,000,QV~ SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 51 000 QQQ I OTHER , , DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS In the event of non-payment, 10 days notice of cancellation may be given. RE Society of St. Vincent De Paul, Institute for Conflict Management(Consultants). City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured as respects to General Liability (endorsement to follow from carrier). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Clty Of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~~ OAVS WRITTEN 2O CIVIC Center PIaZa (M-3O) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAD Santa Ana, CA 927(]2 IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON 7HE INSURE, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 Of 2 #90233 19LJN ©ACORD CORPORATION 1988 I I