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'ORH CERTIFICATE OF LIABILITY INSURANCE
<br />THIS CERTIFICATE IS ISSUED AS A MATTER 4F 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 INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the cert1 in: : holder is an ADDITIONAL INSURED, fhe policylies) muss 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 ondorsement. A statement on
<br />this certificate does not confer rights to the certificate, hnldnr in IIe„ . f a„�� ..licy, certain
<br />PRODUCER
<br />Arthur J. Gallagher & Co.
<br />Insurance Brokers of CA, Inc. LIC #0726293
<br />605 N Brand Blvd, Suite Boo
<br />Glendale CA 91203
<br />INSURED
<br />Interval House
<br />P.O. Box 3356
<br />Seal Beach, CA 90740
<br />COVERAGES CERTIFICATE NUMBER• 1 2
<br />THIS
<br />INDICATED.
<br />IS TO CERTIFY THAT THE POLICIES
<br />NOTWITHSTANDING
<br />OF
<br />INSURANCE
<br />. 30.d1875
<br />LISTED BELOW HAVE BEEN
<br />ISSUED TO
<br />THE INSURED
<br />REVISION NUMBER:
<br />NAMED A86VE FOR
<br />THE POLICY
<br />ANY REQUIREMENT,
<br />TERM OR CONDITION OF ANY
<br />CONTRACT
<br />OR OTHER
<br />DOCUMENT
<br />PERIOD
<br />CERTIFICATE
<br />MAY BE ISSUED OR MAY
<br />PERTAIN,
<br />THE INSURANCE AFFORDED BY
<br />THE POLICIES
<br />WITH RESPECT
<br />TO WHICH THIS
<br />EXCLUSIONSAND
<br />CONDITIONS OF SUCH
<br />POLICIES.
<br />LIMITS SHOWN MAY HAVE BEEN
<br />REDUCED
<br />DESCRIBED
<br />HEREIN IS SUBJECT
<br />TO ALL THE TERMS,
<br />INSR
<br />TR
<br />-�..�...e..�...,_._...®.._
<br />TYPE OF INSURANCE
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<br />POLICY NUMaE
<br />BY
<br />POL CT
<br />PAID CLAIMS.
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<br />A
<br />X COMMERCIAL GENERAL UABKITY
<br />CAIMS MADE
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<br />I
<br />HH88525626-12
<br />IR M
<br />70/7/2418
<br />yyyy
<br />10/1/2019
<br />I
<br />LIMITS
<br />EACH OCCURRC1111,
<br />AVOG"CM1,1l
<br />$1u000 000 .-
<br />-�CLAIMS-MADE
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<br />$1000000
<br />-8000
<br />POLICY
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<br />A
<br />000000
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<br />HIRED NONQNVNED
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<br />e441LY INJURY IParamltlant}
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<br />$
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<br />PROPERTY bAMAbE---
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<br />UMBRELLALIAa X OCCUR
<br />X EXCC�3 LIAa
<br />NPXS20180025
<br />10Al2g78
<br />IOP12019
<br />EACH OCCURRENCE
<br />.....�__
<br />$ 2 000 000
<br />_ CLAIMS -MADE
<br />------
<br />�- —'
<br />DEO X ` RETENTION $
<br />AGGREGATE
<br />0
<br />52000000
<br />D
<br />WORKERS COMPENSATION
<br />AND EMP64YERS LIA6IUTV
<br />ANYPROPRIETORIPARTNER/EXECUTIVE YIN I
<br />i
<br />W020100000507a
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<br />P—T ER—T'''�`'
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<br />$
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<br />N/AI
<br />E,L EACHACCIDCNT
<br />_ y
<br />$.1000000
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<br />If ySddesalbe waver
<br />DESCRIPTION OF OPERATIONS palaw
<br />,
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<br />_EL
<br />DISEABE_EAEMPLOVBE'910000,Otl
<br />.�
<br />C
<br />O bar LleWllty
<br />NET 1280-6-7§-03
<br />F„L. OISEA-I2-POLICY LIMIT i�
<br />$1,A00,000
<br />POP,ate:7Porn
<br />Relro Date: 711/201A I
<br />70/1/2g19
<br />10Hi2019
<br />Limit
<br />-A
<br />�
<br />$1,004,040
<br />I
<br />!
<br />Ratenban
<br />$1,U40,g00
<br />$5,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IA44RD 1a1. AtldlHonal Remarks Schedule, may ba attached ilmpra span is rayulratl) Policy: Crime Coverage
<br />Policy Term: 12Po1/2018 To 10/0112019
<br />Policy NUmber: UC 11717955,18-038
<br />Carrier: Underwriters at Lloyd's, London
<br />Employee theft: $3,000,000 / Deductible: $25,000
<br />ERISA: $3,000,000
<br />Theft ofmoney and securities: $3,000,000 / Deductible: $2.5,000
<br />Money and Securities: $3,000,000 / Deductiblo : $25,000
<br />See Attached...
<br />CERTIFICATE HOLDER
<br />City of Santa Ana
<br />Risk Management Div
<br />20 Civic Center Plaza,
<br />Santa Ana CA 92702
<br />ACORD 25 (2016/03)
<br />MIYl51 N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />019 ACCORDANCE WITH THE POLICY PROVISIONS,
<br />M, IAMBERi
<br />CO 1985.2015 ACI
<br />The ACORD name and logo are registered marks of ACORD
<br />reserved.
<br />
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