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RightFax 9/11/2003 7:28 PAGE 2/3 RightFax <br />ACORD„ CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 <br />09/11/2003 <br />PRODUCER 877 -559 -6769 <br />Willis North America, Inc. - Regional Cart Center <br />11201 N. Tatum Blvd. <br />Suite 300 <br />Phoenix, Az 65028 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INSURED .Sisters of St. Joseph of Orange <br />160 South Batavia -7 <br />Orange, CA 92666 � ��'C <br />- <br />a ✓`�� -C/ e'- / `� <br />INSURERA: American Unity Group Ltd 00929 -001 <br />INSURER6: <br />A <br />INSURER G: <br />INSURERE: <br />COVERAGES <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 HERON IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />SHOULDMYOFTHEABOVEDESCRIBEDMUCIESDECANCELLEDBBORETHEE PIMMON <br />TYPEOFNSURANCE <br />POUCYNUMBER <br />POUCY HFEC E <br />6/30/2003 <br />ED AST <br />POUCY IXR <br />LIMITS <br />No. 1125 - P.O. Box 1980 <br />A <br />If BIERAL LIABILITY <br />MLRFACWLGENEALLUBILITY <br />CIAMSMAOE 10 OCCUR <br />DNI- CGL -03 -01 -019 <br />APPRO <br />6/30/2006 <br />FORM <br />EAGHOGCURRFNCE <br />E <br />FIRE DAMAGEMo,elre <br />E <br />MMEXP w em <br />§ <br />PERSONAL 6 ADV INJURY <br />§ Q <br />GENEAALAGGREGATE <br />E 2.000.000 <br />GENLAGGREGATE <br />POLICY <br />LMT APPLIES PER <br />Z, Loc <br />PRODUCTS- COMROPAGG <br />E <br />AUrOMOSILEUAMUTY <br />ANYAUTO <br />ALL0INEDAUTOS <br />SCHEDIAEDAUTOS <br />11REDAUTOS <br />NON- ONEDAUTOS <br />Laura SIIL, <br />Deputy City <br />COMMEDSINGLEUMR <br />lFs&=bent) <br />E <br />dy <br />Attorney <br />BODILY INJURY <br />lPwpw ) <br />§ <br />BODILY INJURY <br />(Pweccdew) <br />E <br />PROPERTY DAMAGE <br />(Pweaidenp <br />E <br />GARAGELIAMUTY <br />MYAUTO <br />AUTOONLY- EAACCIDENT <br />§ <br />OTHER THAN EA AGO <br />AUTOONLY: AGO <br />E <br />E <br />EXCESS UAMLDY <br />OCCUR FI CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION E <br />EACHOCCURRENCE <br />E <br />AGGREGATE <br />E _- <br />L <br />§ <br />E <br />WORKERS COMPIDISATIONNNO <br />91PLOYERS'LIAMUTY <br />ATU- - <br />S <br />EL EACH ACCIDENT <br />E <br />EL DISEASE -EA EMPLOYEE <br />E <br />EL DISEASE - POLICY LMT <br />§ <br />OTHER <br />DESCRIPTION OF OPERATONSILOCATIONGrygyCLL S,EXCLUSIONS ADDED BY ENDOR8B/ER/6PEGAL PROVISIONS <br />Certificate Holder added as Additional Insured by endorsement to policy subject to the terms set <br />forth in the endorsement. SSJO dba Taller San Jose, Block Grant, 810 N. Poinsetta, Santa Ana, G <br />92701 <br />225-6 LNBT) C011:e12178 Tpl:202105 Cert:3414504 ®ACORDCORPORATION1888 <br />/Iwi- <br />SHOULDMYOFTHEABOVEDESCRIBEDMUCIESDECANCELLEDBBORETHEE PIMMON <br />DATE THEREOF, THE ISSUING INSURER WILL MOEAVOR TO /MIL 30 CAY6 WRITT,, <br />City Of Santa ans, its Officers, agents <br />and Employes COMMUnity Development Agency <br />20 Civic Center Plaza <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LET, <br />No. 1125 - P.O. Box 1980 <br />Attn: Lucy Floras <br />Santa Ana, CA 92702 <br />A RO:ED 7EP �EITATIVE <br />, / `, <br />225-6 LNBT) C011:e12178 Tpl:202105 Cert:3414504 ®ACORDCORPORATION1888 <br />/Iwi- <br />