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Home My WebLink AboutINS CERT 2008-07-01 08/07/08 ConfirmNet -) 14154352438 Pg 1/3 Fax confirm net lnsuran", Cerlifical.. Experts TO: Town of Tiburon and ~heir officers, agents and employees FaaK: 1.415.435.2438 Attn:Attn: Diane Crane Iacopl FROM: Roman Catholic Archbishop of San Francisco Phone: Agency: Arthur J. Gallagher & Co. Insurance Brokers of California, Inc., License #0126293 Phone: 1-415-545-9300 Subject: Rom.1n Catholic Archbishop of San FunelllCO - Town of Tiburon This document was brought to you by CertificatesNow and Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. in San Francisco, CA. If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance. The data included in this notice and in the attached document is confidential to ConiinmNet and Arthur J. Gallagher & Co. Insurance Brokers of California. Inc. cc: The data Inclu",d in thiS notice and In the attached docurrent is confi",nllal to ConfirmN..t and th.. party responsll>e for bnrging you thiS Information Certificate Delivery by CertificatesNow - www.Cof'tflrmNel.com .877.669.8600 08/07/08 ConfirmNet -) 14154352438 Pg 2/3 ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DATEIMMIDO/YYVVj 08/07/08 PRODUCER 0726293 1-415-546-9300 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher & CO. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Brokers of California, Inc. , License #0726293 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR One Market Plaza, Spear Tower ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 San Francisco, CA 94105 INSURERS AFFORDING COVERAGE NAIC# INSURED iNSURERA.ORDINARY WT RR.G CORP 10171 Roman Catholic Archbishop of San Francisco INSURERS: Farmingtor:._ Cas Co 41483 On. Peter YorKe Way INSURER C: - San Francisco. ell. 94109 INSURER D: INSURER E COVERAGES 1 HE:: POLICIES OF INSURANCe LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 1 HE POLICY PERIOD INDICA TED. NOTWITHSTANDING ANY REQUIRI:.MENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH Rc.SPECT 10 WHICH THIS CER.TIFICATE MAY BE ISSUED Of{ MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVl BElN RlDUCED BY PAlO CLAIMS. ~SR N~~ POLICy NUMBEf'!: PJ',N~~:~~&~I~,E p~~fJ,~:~T~ON llMIlS UR TYP 0 URANCE A ~NERALLIA81L1TY CGAL002200e 07/01/08 07/01/09 EACH OCCURRENCE $1, 1lllll,OOll -"- ~=r~ERCIAL GENERALllABILlTY PREMISES Eaocc.urence $ 1,000,000 - CLAIMS MADE 0 OCCUR MEO EXP(Any ooeperr.oo) $5,000 - - PERSONAL Il. ADV INJURY $1,000,000 f-- I GENERAL AGGREGATE $ 2,000,000 Iil~AGG~EnE LIMIT APnS~ER: PRODUCTS COMPJQJ AGG $2,000,0~0_ X POLICY ~JWT LOC Liquor Liability 1,000,000 A ~TOMOBILE LIABILITY CGAL002200B 07/01/0B 07/01/09 COM8iNFO SiNGLE LIMIT ~ ANY AUTO (Eaaccldent) $1,000,000 ~ All OWNED AlITOS BODilY INJURY $ ~ SCHEOUlEDAUTOS (Perpersor;) ~ HIREDAlITOS BODILY INJURY (Peracclder1l) $ ~ NaN a\MI.IED AUTOS - PRUPERTY DAMAGE S (per-accidlll'll) R~G"IA."" AlITa ONLY - F.AACCIDENT $ ANY AUTO OTHERfHAN EA ACC $ AUTO ONLY AGO S O~SSiUMBf'!:ELLALIABlLITY EACH OCCURRENCE S OCCUR Cl CLAIMS MADE AGGREGATE S S R OEOUC"SLE S RETENTION S $ B WORKERS COMPENSATION AND TFU8419JB4l50B 01/01/08 01/01/09 X I T~~~I~JNs I IOFT;lt "'MPLOYERS'L1ABILnV E ll::ACHACCIUFNr $1,000,000 ANY PROPRIElOOIPARTNERlEXfCUTIVE OFfICERlMFt.ABER EXCLUDED; E l DISEASE EAEMPLOYEE $1,000,000 ~~~~I~.tS~~~Vf~~NS below E..L DISEASE POLICY LIMIT $1,000,000 OTHER 07/01/08 07/01/09 A Counselor! E&O Liability cGAL002200e Per Claim 1.000,000 ClaimS-Made Form ggregate 3,000,000 DESCRIPTION Of OPEf'!:A TIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENOOf'!:$EMENT I SPECIAL PROVISIONS RE: 51;. Hilary Church, 751 Hilary Dr., 'riburon, CA 94920. As respects to St. Hilary School Field Day being held on 06/12/2009. CERTIFICATE HOLDER CANCELLATION SHOULD ANY Of THE ABOVE DESCRIBED POLICIES Bt: CANCELLED BEFORE THE EXPlRA liON of Tiburon DATE THI;.REOF. THE ISSUING INSUf'!:ER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Town and their officers, agents and employees NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TOOO SO SHALL Attn: Diane Crane lac.opi IMPOSE NO OBliGATION Of'!: LIABILITY OF ANY KINO UPON THE INSUR!;;R, lIS AGIoNTS OR 1505 Tiburon Blvd. REPRESENTATIVES Tiburon, CA 94920 AUT HORIZEO REPRESE NT AliVE ;J:'.,.,.... r~/I" ',b....~ USA ~? .;/ - ACORD 25 (2001/08) prasadsan 9506077 @ACORDCORPORATlON1988 08/07/08 ConfirmNet-) 14154352438 Pg 3/3 IMPORTANT If the certificate holder Is an ADDITIONAL INSURED. the policy(ies) must be endorsed. A stalement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions 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 Tt1e Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08)