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ROMAN CATHOLIC BISHOP -2004
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ROMAN CATHOLIC BISHOP -2004
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Last modified
1/3/2012 2:16:51 PM
Creation date
10/10/2005 3:35:55 PM
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Contracts
Company Name
Roman Catholic Bishop
Contract #
A-2004-144
Agency
Planning & Building
Council Approval Date
7/19/2004
Insurance Exp Date
7/1/2005
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<br />ACORD," CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDfYYYY) <br />10/14/2005 <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 /> A Corporation Sole INSURER c: <br /> P.O. Box 14195 INSURER 0: <br /> A. ~ ,- - 44 <br /> Orange, CA 92863 "ill J::) - 14 INSURER E" <br /> <br />Client#. 1502 <br /> <br />CATHORA <br /> <br />COVERAGES <br /> <br /> -. <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERJOD 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 />r~!lii~ts. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />T TYPE OF INSURANCE POL.ICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />A ~NERAL L1ABIUTY CGAL0042005 07/01105 07/01/06 EACH OCCURRENCE '1 000 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED .50 000 <br /> l CLAIMS MADE [Xl OCCUR MEa EXP (Anyone person) .5000 <br /> "- PERSONAL & ADV INJURY .1 000 000 <br /> "- GENERALAGGREGATE .2 000 000 <br /> n'L AGG~EnE LIMIT API~~tIPER: PRODUCTS. COMPfOP AGG .2 000 000 <br /> POliCY ~~Ei X LOC <br /> ~OMOBILE LIABILITY COMBINED SINGLE LIMIT . <br /> ~ ANY AUTO (Eaaccidenl) <br /> ~ ALL OWNED AUTOS BODILY INJURY <br /> . <br /> SCHEDULED AUTOS {Per person) <br /> e- <br /> I- HIRED AUTOS BODILY INJURY <br /> . <br /> I- NON-oWNED AUTOS (Peraccidenl) <br /> e- PROPERTY DAMAGE . <br /> (peracddenl) <br /> RRAGE LIABILITY AUTO ONLY- EA ACCIDENT . <br /> ANY AUTO OTHER THAN EAACC . <br /> AUTO ONLY: AGG . <br /> ~ESSlUMBREl.LA LIABIl.ITY EACH OCCURRENCE . <br /> ~ OCCUR D CLI.\IMS MtDE AGGREGATE . <br /> . <br /> R DEDUCTIBLE ^: L ~:_ . . <br /> ./ .. i~-,,- i :..~; , <br /> RETENTION I . <br /> WORKERS COMPENSATION AND k1 ;:I~ ~,I-!fI 1...~~5!~T'!;!;.1 IO,I,ti- <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT . <br /> ANY PROPRIETORlPARTNERlEXECUTIVE -"-- t:wra ---.-,. <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $ <br /> If yes, describe llnder "j;,l;!,lt Ci, ' E.L. DISEASE. POLICY LIMIT . <br /> SPECiAl PROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS Il.OCATIONS! VEHICL.ES I EXCLUSIONS ADDED By ENDORSEMENT I SPECIAL PROVISIONS <br />Re: 51. Joseph Church, 727 N. Minter Street, Santa Ana, CA 92701. As <br />respects Parish Fiesta, facility to be used: School Yard & Hall, 608 Civic <br />Center De., East, Santa Ana, CA on October 10 to 14, 2005 at 5.10pm; <br />Oelober 15, 2005 at 2.1 0:00pm and October 16th, 2005 at 2.9:00pm. <br />(See Attached Descriptions) <br /> <br />City of Santa Ana, Its officers, <br />agents, employees, <br />representatives, volunteers <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br /> <br />CANCELLATION <br />SHOUL.D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELL.ED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WIl.l. ENJI~IL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, B~RftJI.n~x <br />_...x.....,.kD:NDDCIIX.UDIDI.~~ afDX!lXX x <br /> <br />CERTIFICATE HOLDER <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />ACORD 25 (2001108) 1 of 3 <br /> <br />#S143669/M137516 <br />
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