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<br />-. CERTIFICATE OF LIABILITY INSURANCE <br />. ACORD", I DATE (MMlDDIYYYY) <br />10/26/2005 <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 Llc.#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., United States Fidelity and Guaranty 25887 <br /> P.O. Box 14195 INSURER c: <br /> Orange, CA 92863 INSURER 0: <br /> A-'2.M4- 1<\4. INSURER E: <br /> <br />-Ciient#: 1502 <br /> <br />CATHORA <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 MAYBE 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 />~ = TYPE OF INSURANCE POLICY NUMBER P U EFF VE Pg~~,\" UMITS <br />A GENERAL LIABILITY CGAL0042005 07/01/05 07/01/06 EACH OCCURRENCE $1 000 000 <br /> c- DAMAGE TO RENTED <br /> X COMMERCIAL GENERAL LIABILITY $50 000 <br /> I CLAIMS MADE [K] OCCUR MED EXP (Anyone Person) $5 000 <br /> "- PERSONAL & ADV INJURY S1 000 000 <br /> GENERAL AGGREGATE $2 000 000 <br /> - <br /> ~'lAGG~En LIMIT APrilS PER: PRODUCTS - COMP/OP AGG $2 000 000 <br /> POLICY j~8T X LOC <br />A ~TOMOBILE UABILlTY CGALOO42005 07/01/05 07/01/06 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Esaccidenl) $1,000,000 <br /> ~ <br /> - ALL OWNED AUTOS BOOIL Y INJURY <br /> (Per person) $ <br /> SCHEDULED AUTOS <br /> - <br /> - HIRED AUTOS BODilY INJURY <br /> {Per accident) $ <br /> - NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> .'On12M (Per accident) <br /> , d ,'.. ~ ,.j , <br /> RRAGE UAelLlTY , AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO 1A:3/~~ r' 4 /l~ OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> ~ESSAlMeRELLA UABlUTY a(,li.\ y, .' J:; EACH OCCURRENCE $ <br /> OCCUR 0 CLAIMS MADE As bla.ll C'd_Y At OL.ey AGGREGATE $ <br /> $ <br /> q DEDUCTIBLE $ <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND D215WOO011 11/13/04 11/13/05 X I T'f{&J~~iis I _ jOJii. <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 <br /> ANY PROPRIETOR/PARTNERlEXECUTlVE <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 <br /> If rn' describe under E.L. DISEASE - POLICY LIMIT $1,000,000 <br /> S ECtAL PROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCAOONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROYlS10NS <br />Re: Mater Del High School, 1201 West Edinger Avenue, Santa Ana, CA 92707. <br />As respects 2005.2 School Year, Faculty & Staff Parking lot on the corner of Orchard & <br />Bristol, Santa Ana, CA from 6:30am. 6:00pm. <br />City of Santa Ana, Its officers, employees, agents, volunteers and representatives are <br />named as additional Insured per the attached endorsement. <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Santa Ana cia City <br />Clerk Office <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCEUED BEFORE THE EXPIRATlON <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ....3Q.... DAYS WRITTEN <br />NOTICE TO THE CERTlACATE HOLDER NAMED TO THE LEFT, BUT FAIWRE TO DO SO SHALL <br />IMPOSE NO OBUGATlON OR UABlUTY OF ANY KIM> UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />Ii) ACORD CORPORATION 1988 <br />/WCy <br /> <br />ACORD 25 (2001108) 1 of 2 <br /> <br />#S144140/M137519 <br />