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<br />ACORDTM CERTIFICA TE OF LIABILITY INSURANCE Page 1 of 2 I DATE <br />05/18/2007 <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. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P. o. Box 305191 <br /> Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Sisters of St. Joseph of Orange INSURER A: Hartford Insurance Company of the Midwest 37478-001 <br /> 480 South Batavia INSURER B: <br /> Orange, CA 92868 <br /> INSURER C: <br /> INSURER D: <br />I 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 [ADD'L TYPE OFINSURANCE POLICY NUMBER POLICY EFFECTIVE Pgi!fl(ff=~N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> r-- ~~~~~H9E~~cJ~~cel <br /> COMMERCIAL GENERAL LIABILITY $ <br /> I- o CLAIMS MADE 0 OCCUR <br /> - MED EXP (Ally one person) $ <br /> c-- PERSONAL& ADV INJURY $ <br /> I- GENERAL AGGREGATE $ <br /> ~'L AGGREGATE LIMIT APPliES PER: PRODUCTS - COMP/OP AGG $ <br /> POLICY l'l.':'~g: n LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> r-- $ <br /> ANY AUTO (Ea accident) <br /> r-- <br /> c-- ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCH EOULED AUTOS (Per person) <br /> I- <br /> HIRED AUTOS BODILY INJURY <br /> r-- $ <br /> NON-OWNED AUTOS (Per eccident) <br /> c-- <br /> PROPERTY DAMAGE $ <br /> (Per accidenl) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ~ ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> :J OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br />A WORKERS COMPENSA110N AND 72WNC93300 5/31/2007 5/31/2008 X I T~~~rrllNs I IOl~' <br />EMPLOYERS' LIABILITY <br /> ANY PROPRIETORlPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 000 000 <br /> OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1 000 000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below EL. DISEASE. POLICY LIMIT $ 1 000,000 <br /> OTHER <br /> " .... If .>.' /' .,:" .---, -.... ,~, -. I~ <br /> ~~' , ~. J... '......... ,....~. .~ <br />DESCRlP110N OF OPERATlONS/LOCA110NSIVEHICLES/EXCLUSlONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />Re: SSJO dba Taller San Jose, Block Grant, 810 N. Poinsetta, Santa ~01 <br /> -.--- <br /> ....,...... <br /> . . .;.. 4'" .;.~...:..... '''-';'~Y pl.~:c:=-.l.':y <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa ana, its officers, agents <br />and Employee Community Development Agency <br />20 Civic Center Plaza <br />No. M25 - P.O. Box 1980 <br />Attn: Lucy Flores <br />Santa Ana, CA 92702 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA110N <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL ~ DAYS WRITTEN <br />NOncE TO THE CERTlFICATE HOLDER NAMED TO THE LEFT, BlIT FAILURE TO DO SO SHALL <br />IMPOSE NO OBlIGA110N OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTA11VES. <br />AUTHORIZED REPRESE <br /> <br />ACORD 25 (2001/08) <br /> <br />Coll:1988514 Tpl:633028 <br /> <br /> <br />@ ACORD CORPORATION 1988 <br />(~ . J. , <br /> <br />