My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
CATHOLIC CHARITIES OF ORANGE COUNTY (7)
Clerk
>
Contracts / Agreements
>
C
>
CATHOLIC CHARITIES OF ORANGE COUNTY (7)
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/20/2024 9:59:51 AM
Creation date
9/2/2021 12:32:26 PM
Metadata
Fields
Template:
Contracts
Company Name
CATHOLIC CHARITIES OF ORANGE COUNTY
Contract #
A-2021-107-08
Agency
Community Development
Council Approval Date
7/6/2021
Expiration Date
3/31/2022
Destruction Year
2028
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
46
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
'•'4CR CERTIFICATE OF LIABILITY INSURANCE <br />�-" <br />DATE (MMSIDMM') <br />08/16/2021 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANTt If the certificate holder is an ADDITIONAL INSURED, the pDlicy(ies) must have ADDITIONAL INSURED provisions or be endorsed, <br />If SUBROGATION IS WAIVED, subject to the terms and Conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of auch endorsoment a . - <br />PRODUCER 402-551-8765 <br />C.M.G. Agency, Inc <br />10843 Old MITI Road <br />Omaha NE 68154 <br />NO FACT G.M.G.Agency, Inc <br />"DIVE . T 2-551-8765 F <br />oA1L <br />AFFORDINO d <br />INSURERSVERAOE <br />ENDe <br />INSURERAI <br />INSURED _ <br />RC Bishop of Orange <br />13280 Chapman Ave. <br />Garde a 92840 <br />INSURER B: Church Mutual insurance Company <br />INSURER C t <br />INSURER D; <br />FINEURER E <br />NSURER F: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />ADDL <br />it==11 <br />SUMTYPEOFINSURANOE <br />MLICY UMOER <br />PMIOU EFF <br />MhVDO EXP <br />LIMBS <br />COMMERCALOENERALUABILITY <br />CLAIMSMADE ❑OCCUR <br />EACHOCCURRENCE <br />$ <br />PREMISES Ee oca <br />$ <br />$ <br />MED EXP one person <br />PERSONAL$ ADV INJURY <br />$ <br />GENLAGGREGATE UNIT APPLIES PER: <br />POLICY Elmr LOC <br />GENERALAGGREGATE <br />$ <br />PRODUCTS-COMP/OPAGG <br />$ <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />A14YAWO <br />Eeaac E OSInd NGLELIMR <br />$ 300,000 <br />BODILY INJURY (Par person) <br />$ <br />OWED SC <br />AUTOS ONLY AUTOSULEO <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />0313006-09-241160 <br />07/01/2021 <br />0710MO22 <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />er swMantl$ <br />S <br />UMBRELLAUAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LAB <br />CLAIMS -MADE <br />DED <br />I I RETENTION <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS•LABILRY YINSTUrE <br />ANYPROPRIErOWARTNEWEXECUTNE <br />CEMER <br />OMandatoryln Nlq FXCLUDED9 ❑ <br />If yesd <br />ERRdescribe antler <br />IPTION OPERATIONS below <br />MA <br />PER 0714 <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYEE <br />S <br />E.L. DISEASE -PODGY LIMIT <br />$ <br />B <br />Comprehensive <br />03,3006-09-241160 <br />07101/2021 <br />07/01/2022 <br />$1000 Deductible <br />ColliSlon <br />$1000 Deductible <br />DESCRIPTION OFOPERATIONS (LOCATIONS /VEHICLES (ACORD 101, AddlVunal Remarks Schedule, may boatached Enron, space is required) <br />Coverage only extends for claims directly arising out of Catholic Charities Rental Assistance Program <br />partnership with the City of Santa Ana commencing on September 1, 2021 and expiring on March 31, 2022. <br />The City of Santa Ana, its officers, employees, agents, and representatives are named as additional <br />insured. This coverage is primary and non-contributory. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Risk Management Division SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />Santa Ana, CA 92-102 <br />AUTHORIZED REPRESENTATIVE Rkle ManegtrlmntDlWI <br />C�p 8 .?�:a 5 REVIEWEDA& APPRfiOVEEDBY. <br />01988.2015ACORD CO Risk Management Spedalist <br />ACORD 25 (2016103) The ACORD name and Ingo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.