Laserfiche WebLink
DATE <br />ACORD,, CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 06/2512004 <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. - Regional cart center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />26 Century Blvd. <br />P. O. Box 305191 INSURERS AFFORDING COVERAGE <br />Nashville, TN 372305191 <br />INSURED Sisters of St. Joseph of Orange <br />INSURERA: Hartford Insurance Company of the Midwest 37478 -001 <br />PERIOD INDICATED. NOTWITHSTANDING <br />THIS CERTIFICATE MAY BE ISSUED OR <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />LIMITS <br />480 S. Batavia street <br />INSURERB. <br />INSURERC'. <br />Orange, CA 92868 <br />INSURER O' <br />INSURER E' <br />$ <br />COVERAGES <br />POLICIES OF INSURANCE LISTED <br />REQUIREMENT, TERM OR CONDITION <br />PERTAIN, THE INSURANCE AFFORDED <br />AGGREGATE LIMITS SHOWN <br />BELOW HAVE BEEN ISSUED TO THE INSURED <br />OF ANY CONTRACT OR OTHER <br />BY THE POLICIES DESCRIBED HEREIN <br />MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />POLICY NUMBER <br />NAMED ABOVE <br />DOCUMENT WITH <br />IS SUBJECT <br />C EFFECTIVE <br />FOR THE POLICY <br />RESPECT TO WHICH <br />TO ALL THE TERMS, <br />POLICY EXPIPATION <br />PERIOD INDICATED. NOTWITHSTANDING <br />THIS CERTIFICATE MAY BE ISSUED OR <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />LIMITS <br />THE <br />ANY <br />MAY <br />POLICIES. <br />INSR <br />LTR <br />TYPE OF <br />EACH OCCURRENCE <br />$ <br />FIRE DAMAGE (Any one fire) 1 <br />$ <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />person) <br />PERSONAL& <br />$ <br />ADD <br />PERSONAL &ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />S <br />PRODUCTS.COMP /OPAGG <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY PRO LOD <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ee acci0 <br />$ <br />ANY AUTO <br />ALL OWNED AUTOS <br />BODILY INJURY <br />(Perperssn) <br />$ <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />BODILY INJURY <br />(Per accdent) <br />$ <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGELIABILRY <br />ANY AUTO <br />-y <br />,.,- 7t -/�1'~ <br />�. <br />'� <br />AUTO ONLY - EA ACCIDENT <br />$ <br />EAACC <br />OTHERTHAN <br />AUTO ONLY. AGG <br />$ <br />$ <br />EXCESS LIABILITY <br />OCCUR CLAIMS MADE <br />\� <br />''� P, hca�i <br />\�Ly . -P / <br />U_IV/ <br />EACHOCCURRENCE <br />S <br />AGGREGATE <br />$ <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />A <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />72WNC93300 <br />5/31/2004 <br />5/31/2005 <br />WC STATU- OTH- <br />X TRY t <br />E.L. EACH ACCIDENT <br />S 2 500 D D D <br />E.L. DISEASE. EAS PLOYEE <br />$ 2,500,000 <br />E. L. DISEAS E- POLICY 1-1 IT <br />1 8 2 5DD DDD <br />OTHER <br />DESCRIPTION OF OPERATIONSLOCAnONSNEHICLESIE XCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Re: BSSO dba Taller San Jose, Block Grant - 810 N. Poinsetta, Santa Ana, CA 92701 <br />CERTIFICATE HOLDER I I ADDITIONAL INUUKLU; iNbum=m— 1�_.. ------- - - - - -- - -- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL XdGY.I61SXX11 MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF1C�`IGOElSKYri �Y-YdSl6x,L <br />IXilfdP4:X Ib515�SFI Gdim5105MXiXiEQ LiF]f7G761QfKI01fIXClt15XR��,var eseDx %5%N660CY.7A7C <br />Santa Ana Work Center p(�jQq�g <br />1000 E. Santa Ana Blvd. AUTHORIZED REPRESS TATI <br />Suite 2000 <br />Santa Ana, CA 92701 <br />ACORD 25 -S (7197) Co11:1027012 Tp1:272507 Ce t:449D 11 <br />©ACORD CORPORATION 1988 <br />