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Last modified
6/4/2019 4:47:32 PM
Creation date
7/10/2018 10:41:08 AM
Metadata
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Template:
Contracts
Company Name
INTERVAL HOUSE
Contract #
A-2018-133-01
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
5/15/2018
Expiration Date
6/30/2019
Insurance Exp Date
10/1/2019
Destruction Year
2024
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AGENCY CUSTOMER ID: INTEHOU-03 <br />LOC #: <br />"d, ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br />AGENCY <br />Arthur J. Gallagher & Co. <br />NAMED INSURED <br />Interval House <br />P.C. Box 3356 <br />Seal Beach, CA 90740 <br />POLICY NUMBER <br />CARRIER <br />NAIC CODE <br />EPP@CTIVE DATE; <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: <br />Forgery or alteration : Limit : $2,000,000 / Deductible : $25,000 <br />Robbery or burglary of other property: Limit: $2,000,000 / Deductible : $25,000 <br />Money and Securities : Limit: $2,000,0001 Deductible: $25,000 <br />Computer fraud : Limit : $2,000,000 / Deductible: $25,000 <br />Funds transfer fraud : Limit: $2,000,0001 Deductible : $25,000 <br />Money orders and counterfeit paper currency : Limit: $2,000,000 / Deductible i $25,000 <br />Cyber Deception : Limit : $150,000 / Deductible : $10,000 <br />Policy: Sexual Abuse Liabilityy <br />Policy Term: 10/01/2017 to %/01/2018 <br />Policy Number: HHS8525626-11 <br />Carrier: Berkleyy National Insurance Company <br />Each Claim: $1,000,000 ,Aggregate: $3,D00,000 <br />Policy: Professional Liability <br />Policy Term: 10/01/2017 to 10101/2018 <br />Policy Number: HHS8525626-11 <br />Carrier: Berkleyy National Insurance Comppany <br />Each Claim: $1,000,000 Aggregate: $3,000,000 <br />Policy: Cyber Llablllty,Retro Date:7/1/2016,Claims-Made form <br />Polloy#:NET 1280674 02 <br />Carrier: Great American Sr�Idt Insurance Company <br />Term: 10/1/2017 to 10/1/2018 <br />Limit: $1,000,000 ,Aggragate:$1,000,000 , Retention:$5,000 <br />Re: Contract #A-2017-072-01. <br />City of Santa Ana, its officers, agents, employees and volunteers are named additional Insured with respect to the General Liability policy of <br />the named insured. Such insurance Is primary and non-contributory. Waiver of Subrogation for Workers Compensatlon policy applies in favor <br />of certificate holder. Endorsement To Follow <br />All HOME, <br />The ACORD name and logo are registered marks of ACORD <br />
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