Laserfiche WebLink
<br />Arthur J. Gallagher & Co. <br /> <br />The Gallagher Centre, Two Pierce Place, ltasca, IL 60143-3141 630/773-3800 <br /> <br />CERTIFICATE OF INSURANCE <br /> <br />Name and address of certificate holder <br /> <br />Name and address of the insured <br /> <br />$1, \J I NtE...'\ D~ pjJ \) L <br /> <br />City of Santa Ana <br />Development Agency (M-25) <br />20 Civic Center Plaza <br />Santa Ana CA 92702-1988 <br /> <br />Brothers of the Christian Schools and Affiliates <br />1205 Windham Parkway <br />Romeoville, IL 60446-1679 <br />Phone: (800) 807-0300 <br /> <br />And including 1134066 <br />SOCIETY OF ST VINCENT DE PAUL <br /> <br />~ <br /> <br />Company <br /> <br /> Applicable <br />Polley Number (See Reverse Side) Expiration <br />G2-A3-EXooOO019-01 A,B,C,H 06/15/2008 <br />CB 100103-07 A 06/15/2008 <br />FM10219-10 B,C,H 06/15/2008 <br />BAP9377761-04 C 06/15/2008 <br />SP 1G39-IL D 01/01/2008 <br />WC9377758-03 E 01/01/2008 <br />WC9377759-03 F 01/01/2008 <br />FBP4909989 G 06/15/2008 <br /> <br />Princeton Excess & Surplus Lines Ins.Co. <br />London and Various Carriers <br />TNCRRG Inc <br />Zurich American Insurance Company <br />(All states incl. Puerto Rico) <br />Safety National Casualty Corporation <br />Zurich American Insurance Company <br />Zurich American Insurance Company <br />Hartford Steam Boiler <br /> <br />REMARKS <br /> <br />Evidence of General Liability Coverage (B) $1.000,000 each occurrence (with cross liability coverage) for Society of Saint Vincent <br />DePaul, 180 S Cypress, Orange. CA with respects to City of Santa Ana for an application for a Community Development Block Grant <br />(HUD Grant) and adding the City of Santa Ana. its officers, agents. representatives, employees and volunteers as additional insured <br />solely. strictly and specifically in relation to the above grant. This coverage is primary over any coverage or self-insured coverage of <br />City of Santa Ana. Workers Compensation coverage is not evidenced on this certificate. Certificate is amended to give 30 days <br />written notice for cancellation. <br /> <br />Cancellation: <br /> <br />Should any of the above-described policies be canceled before the expiration date thereof. the issuing company will endeavor to mail <br />30 days written notice to the above-named certificate holder. but failure to mail such notice shall impose no obligation or liability of any kind upon <br />the company <br /> <br />"This is to certify that policies of insurance listed above have been issued to the insured named above and are in force at this time. <br />Notwithstanding any requirement, term, or condition of any contracts or other document with respect to whiCh the 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 policies. . <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AMEND. EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED ABOVE. <br /> <br />Date: <br /> <br />06/19/2007 <br /> <br /> <br />o \,O~ <br />~\) ~S '\: <br />{lif?"RO <br /> <br />ARTHUR J. GALLAGHER & CO <br /> <br />~~~ <br /> <br />Catherine Duffin <br />Division Chief Operating Officer <br />