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<br />-, <br />ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE IMM/DDNYYV) <br />04118/05 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Arthur J. Gallagher & Co. Ins. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Brokers of CA Inc Lic.#0726293 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />One Market Spear Twr Ste 200 <br />San Francisco, CA 94105 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: The Ordinary Mutual, a R.R.G.C. 10171 <br /> Roman Catholic Bishop of Orange INSURER B: <br /> P.O. Box 14195 INSURER c: <br /> Orange, CA 92863 A -"~'O+-/,/'-I INSURER D: <br /> INSURER E: <br /> <br />Client#. 1502 <br /> <br />CA THORA <br /> <br />COVERAGES <br /> <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 HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE PQUCY NUMBER PDo..t~~:~~8~~IE Pg~W/~'::b~~N LIMITS <br />A ~NERAL LIABILITY CGAL0042004 07/01/04 07/01/05 EACH OCCURRENCE $1 000 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE 19F~~NTED $50 000 <br /> l CLAIMS MADE [Xl OCCUR MED EXP (Anyone person) $5000 <br /> - PERSONAL & ADV INJURY .1 000 000 <br /> - GENERAL AGGREGATE $2 000 000 <br /> ~'L AGG~nE LIMIT APrilS PER: PRODUCTS. COMP/OP AGG $2 000 000 <br /> POLICY ~~8T. X LOC <br />A ~TOMOBILE LIABILITY CGAL0042004 07/01/04 07/01/05 COMBINED SINGLE LIMIT <br /> ~ ANY AUTO (Eaaccident) $1,000,000 <br /> - ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> - SCHEDULED AUTOS <br /> ~ HIRED AUTOS BODILY INJURY <br /> $ <br /> ~ NON..{)WNED AUTOS (Per accident) <br /> - PROPERTY DAMAGE . <br /> (Pereccident) <br /> ==iAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC $ <br /> ~ ~~ 'CADI1\A AUTO ONLY: AGG $ <br /> ~ESSIUMBRELLA LIABILITY Al'l"KVV= f'GY EACH OCCURRENCE $ <br /> OCCUR D CLAIMS MADE .....;-r! / /'- AGGREGATE $ <br /> /-"'-/'''~_/- .!'. / , , $ <br /> =i ~EDueTIBLE , Laura St tt Sheedy $ <br /> RETENTION $ ^ ""istant ity Attorney $ <br /> WORKERS COMPENSATION AND I we STATU-, I IOJ~- <br /> EMPLOYERS'L1ABIUTY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYE $ <br /> ~P~~I~~~~~v~~16~s below E.L. DISEASE. POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />RE: Hispanic Ministry, 2811 East Villa Real Drive, Orange, CA 92867 as <br />respects use of Santa Ana Stadium facilities for Conference/Charismatic <br />Renewal Diocesan Movement on May 14 & 15, 2005. The City of Santa Ana, <br />its officers, agents, employees & volunteers are named as Additional <br />Insured per attached endorsement. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana, its officers, <br />agents, employees & volunteers <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL E~IL --30..... DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, B~I.OUUll'lMXXX <br />1:JIRJtJDuIII._".~~.tl~"'JCDallGlJOIlkOIkX <br />lIIIBNR..,.,JID9O( <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />ACORD 25 (2001/08) 1 of 2 <br /> <br />#S134802lM123829 <br />