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U7"Rtff CERTIFICATE OF LIABILITY INSURANCE DATetMMIDD/YYYY)
<br />211/201a
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the poticy(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />PRODUCES
<br />ArthurJ. Gallagher& Co.
<br />Insurance Brokers of CA, Inc. LIC 00726293
<br />505 N Brand Blvd, Suite 600
<br />Glendale CA 91203
<br />INSURED
<br />Interval House
<br />P.O. Box 3356
<br />Seal Beach, CA 90740
<br />COVERAGES CERTIFICATE NUMBER:1623108007 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />IM�SS� —___ _.___._Arfi ILTaQaFI---_ ____._ __..,..___ r -POLICY EFF POLICV E%P .. .-_-.-._.. _
<br />TR . TYRE OFItdSUSANCE P LICV NUMBER MMm 1YYVY M19Mt D- VV LIST
<br />A X COMMERCIAL GENERAL LIABILITY - Y HHS8525626.12
<br />i 90/112016 19/1/2019 EACH OCCURAENfE $1 R00000
<br />il;
<br />CLAIMS MADE LX 1 OCCUR ; j
<br />DAMAGE'ib-RB'FJ'PE 500 000
<br />} FPifEMISESIEA osd rro so
<br />_ _.
<br />MBQ EXP SA�ane peraonf $10900
<br />J
<br />PEnSONALe_ADV INJURY39004000
<br />CCNL AGGREGATE LIMIT APPLIES PER: j
<br />l GENERAL AGt7nEOATE `,g3040000
<br />X " , PRO- -
<br />POLICY , JFCT �_; LOG
<br />_ _ ..__
<br />PRODUCTS COMPAJP AGO $ 3,000,000
<br />_
<br />01HER'
<br />AUTOMOBILE LIABILITY
<br />�~� COfgecNgEDi)SINGLE LIMIT $
<br />��
<br />ANY AUTO i
<br />i BODILY INJURY (Par pp son) $
<br />OWNED '-"? SOHEDULEQ I
<br />AUTOS ONLY �—iAUTOS }
<br />e
<br />! BODILY INJURY( l.ccowfl$
<br />_ HIRED NON OWNFp
<br />i PRGPERTV dAMP'taE
<br />- AUTOSONLY AUTOS ONLY l
<br />(PQr Accideail _
<br />$
<br />C { UMBRELLA LIAR j X OCCUR ' NPX62018D025
<br />- i 1
<br />10/i/2018 1011/2019 EACHOCCUI�nCN,GE ' g?OOQOW
<br />X _ EXCESS LIAR j CLAIMSMADE
<br />—_ _' __.._...._
<br />AGGREGATE =$2,000,000.
<br />LED 1 X l RETENTION
<br />_
<br />1 = crewel miswn wu I $ Included
<br />Y WC291900006079
<br />B AN➢RKERS EMPLOYERTUAIAILITY
<br />PER 1OT
<br />?f'i/2019 't/112424 X PER aTH. -
<br />Vr�N
<br />ANYPROPRIC't0r4PARTNEPoEXCCUTIVE
<br />_ p 'N/A
<br />OFFICENMEMBER EXCLUDED
<br />CI EACH ACCIDENT �_$1,000,900 ----
<br />- ------ -
<br />(MandalorylnBE) p
<br />7 E EL DISEASE- EA EMPLOYEEI$90D99D0
<br />;1l yot,, oesadbaundr✓
<br />j
<br />-- --
<br />i9FSCHIPTIONOPOPERATIONSbalaw
<br />I _EL DISEASE -POLICY LIMIT S1,000,000
<br />A E Property Covamge I '1-I1158525626-12
<br />; 10/1/2018 1 101112019 _ Blanket Sharing $4,934,910
<br />IOPP Limit $815,000
<br />Daducllaie $1,000
<br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101, Addiimnal Remarks eonadela, may be attached If more spade is required)
<br />Policy: Crime Coverage
<br />Policy Term; 121011201$ To/0101/2019
<br />Policy Number: UC11717955.18-038
<br />Carrier: Underwriters at Lloyd's, London
<br />Employee theft: $3,000,000 / Deductible: $25,000
<br />ERISA: $3,000,000
<br />Theft of money and securlties: $3,000,0001 Deductible : $25,000
<br />Money and Securities: $3,000,000 / Deductible : $25,000
<br />Soo Attached.,.
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana Community Development Agency (M-25)
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Administrative Services Division
<br />Attu: Terri Eggers
<br />20 Civic Center Plaza, M-25
<br />Santa Ana, CA 92701
<br />AUTHORIZEDREPIESENIATIVE
<br />t`l il.J�
<br />01988-2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />2 arl 818
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