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Home My WebLink AboutINS CERT 2007-07-01 (2) Jan 28 2008 9:02PM Saint Hilar~ School 415-435-5895 p.3 j 22/08 ConfirmNet -) 14154351862 Pg 2/3 31; C( ACORD", CERTIFICATE OF LIABILITY INSURANCE I DA TIE (WIIIIDDI'l"'I'IYI 01/;2/08 PMC)UuCER 0126293 1--115-546-9300 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Qallagher " CO. ONLY AND CONFERS NO RIGKTS UPON THE CERTIFICATE Ju.uraace Broker. of California, ruc., Lieen.. '07a5393 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR aue .arket: PlaiA, Spear Tover ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 300 SaD Irr811cieco, CA 94105 INSURERS AFFORDING COVERAGE NAIC If. INJURED INSURERA: OJtDINARY Wf Jt1G CORP l.C:"71 Roaac. Catholic Arehh1.hop of 8~ r~.ncieco INSURERS: ..raiagton cae Co 41~8l on. Peter Yorke Way IN~C: San ~r811ci.eo, ~ 8410i INSURER 0: INSURERE: COVERAGES THE POliCIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY' PERIO:) INDICATED. NOlWIHtST ANDING ANY REQUREMEi"ST, TERM OR CO NO IT 10'1 OF ANY CONTRACT OR OruER DDCUI\ENT WITH RESPECT 10 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, 1HE INSURANCE AFfOROEC BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDlTIOr~S OF SUCH POliCIES. AGGREGATE LIMITS S HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~"T': ~= pOLley HUMai:R PDLICY'eFFEC1IVE I PQl.ICYUP1RATION LIMITS A ~NEKAl UAIIlLITY CQALOO22007 07/01/07 07/01/08 EACH OC~RENCE $ 3.,0[-0,000 X CCMtERCJAL Clf.Nf:fW.lIAB:U TV =~S i'a CX:WI'BIlaII $ 50, tlO 0 ~ o CLAIAS MADE ~ OCCUR I-- MEV EXP (Any :lfl& pefSOnl $ S, 0['0 f-- Pl:RSONAL allDVINJtMY Sl,OOO,OOO I-- GENERAl. AGGREGATE S 2, COO, 000 GEN'lAGGREOATEOL aUf APPLIES ~ PRODUCTS - CO "-PlOP AGG $ 2. 0(<0,000 n Pa..lCV l-, ~ n LOC A ~1CllllOIILE L1A61l1n' CGA['OO~:lOO7 07/01/07 07/01/08 COMBINED SIHOLE LIMIT X (Eua:;ldsnl) S J., OCO I 000 ~ Nf'( AUTO X. ALL OWNED A UT::JS BOOILV' INJURY >- (~persClOi $ X SCl-EDULED AUTOS ......- X. HIRED AUTOS BOOIL Y INJURY I-- (Per Bcddenl.~ $ X NON.O'MojEDAUTOS I-- ~ PROPERTY DAMAGE S (P eI iIC clGen! i R-'''-Lm AUTO ONL Y - EA AC C IDfNT S N4Y AUTO OTHER THAN EA. N::~_ L- AUTO ONLY: N3IG $ :=J~SlWIlIIIR.LLA UAIltLITY EACH OCCURRENCE $ OCCUR D CLAI MS MADE AOGREOATE $ $ l IEJUCTIBlE Ii RETENTION S , 8 WORkEIllS COllflP~$A ltON AND TTU84J.9Je41508 O~/Ol/0B 01/01/09 K. I T"cfRYSJ rJMs f I~- E"'f'LOYERS" LIABILITY E .L. EACH ACCIDENT $1,0['0,000 ~~'( PROf'RETOfWARTNERlEXECLITIVE OFA CERIMBieER EXClU reo'? E.l. DI~E. EA EMPLOY1:E S1-,OCO,GOO ~~I~m13"NS below E.L DISEASE. POllCYlNtT $3.,0(-0,000 OTHIK CQAL0022 00'1 07/01/07 07/01/08 Pel: CIa! 11 l,oe.o.()Oo A coun8elo~. E~O Liability Claima-Xa4a Fo~ Ag;ra!late 3,O(,O,()OO DESCRIPTION Of OPERt.'TIONIJLOCATlOWSI VEI'1IC~S/ UCLUSION8AOOED BV ENDORSEMENT IIPECIALPROVIBlONS RB: St. Hilary Churob, 1&1 Hilary Dr., 711:>112:'011, CA SOU:;aO. Ae respect. CO CYO G1rla SOccer practice from April, a008 eo Hay, 2009 and ~t. Rilary School field nay OD June 0'. 2008 CERTIFICATE HOLDER CANCELLATION SHOULD ~y OF THE ABOVE DESCRl8ED POLICIES f3E CANCELLED BEFORE 1 HE E)CPtRATlON ToWD. of Tlhurotl DATE THEREOF, 1HIii RUING '~.UFUiR WILL ENUliAYOR 10 MAtL ~ 1),I\V5 WRITTEN aad their o~fic.~., agene. and. eJl\Ployeell NOllCE. TO lH e CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILU!U: "(I) DO ao .HALL 'IlIPOaE NO OBLIGATION OR UABILriY OF ANY IOND uPON l'HE INSURER, ITS AGEl1fT8 Oft 1505 Tlburon alvd. REPAElEHTAlN!:S. TliNr~, CA 94920 AUlHORIZED REPRESENTATIVE ";},1>>''';~/ (X-I.-. USA //' :/ -. ACORD 25 (20D1fGB) 8ar..laatl 8037 !9:l C>ACORC CORPORATION 1988 Jan 28 2008 9:02PM Saint Hilar~ School 415-435-5895 ./22/08 ConfirmNat -) 14154351862 Pg 3/3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. A statement on this certifK:ate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and condKions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not consti1ule a contract between the issuing insurer{s), authorized representative or producer, and the certificate holder, nor does it amrmallvely or negatively amend, extend or atter the coverage afTorded by the policies listed thereon. p.4 vrzy ACORD 25 (Z001108)