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Arthur J. Gallagher & Co. <br />The Gallagher Centre, Two Pierce Place, Itasca, IL 60143-3141 - (800) 807-0300 or (630)-694-5425 <br />CERTIFICATE OF INSURANCE <br />Name and address of certificate holder <br />City of Santa Ana <br />Doug McGeachy <br />60 Civic Center Plaza PD/M-18 <br />Santa Ana CA 92702 <br />Name and address of the insured <br />Brothers of the Christian Schools and Affiliates <br />1205 Windham Parkway <br />Romeoville, IL 60446-1679 <br />Phone: (800) 807-0300 <br />And including: 1134066 <br />COUN OF ORANGE SOC OF ST VINCENT DE PAUL <br /> Applicable <br />Company Policy Number (See Reverse Side) Expiration <br />Princeton Excess & Surplus Lines Ins.Co. G2-A3-EX0000019-03 A , B , C , D , J 06/15/2010 <br />London and Various Carriers V093734 A 06/15/2010 <br />TNCRRG Inc FM10219-12 B, C, J 06/15!2010 <br />Zurich American Insurance Company BAP9377761-06 C 06/15/2010 <br />(All states incl. Puerto Rico) <br />Safety National Casualty Corporation SP4041137-IL E 01/01/2011 <br />American Zurich Insurance Company WC9377758-06 F 01/01/2011 <br />Zurich American Insurance Company WC9377759-06 G 01/01/2011 <br />Hartford Steam Boiler FBP4909989 I 06/15/2010 <br />REMARKS <br />Evidence of General Liability Coverage $1,000,000 each occurrence Automobile Liability Coverage $1,000,000 CSL each occurrence <br />including owned, non-owned and hired vehicles for County of Orange Society of St Vincent De Paul, 180 S Cypress Street, Orange, <br />CA with respects to City of Santa Ana for Use of Parking Lot located at: 1020 W Civic Center Drive. City of Santa Ana, its offrcers, <br />officials, members, employees, agents, volunteers & representatives are added as additional insured solely, strictly, and specifically in <br />relation to the above use of Parking Lot. Coverage is primary and any other coverage of the additional insured shall not contribute. 30 <br />days prior written notice of cancel is given to all certificate holders. Workers Compensation is not evidenced on this certificate as <br />coverage is not provided <br />Cancellation: <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 />"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 maybe 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 />Limifs maybe aggregated and the aggregate limits may have been reduced by the paid claims. " <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 ALTERTHE COVERAGE AFFORDED BY THE POLICIES USTED ABOVE. <br />ARTHUR J. GALLAGHER & CO <br />~G:C..~uei~-- <br />Catherine Duffin <br />Date: 01/19!2010 liz Division Chief Operating Officer <br />APPItOY1F~ ~ ~ 1rC11FC)I?~ <br />`~.-~ <br />