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�K" CERTIFICATE OF LIABILITY INSURANCE OATE(MMDDYYYY)
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hz/s/zozo
<br />OLDER. 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 certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)
<br />PRODUCER
<br />Arthur J. Gallagher & Co.
<br />Insurance Brokers of CA., Inc.
<br />505 N Brand Blvd, Suite 600
<br />Glendale CA 91203
<br />INSURED IN I LHOU-03 INSURER B: Great AmericanSpirit
<br />Interval House
<br />P.O. Box 3356 INSURER C : New York Marine And
<br />Seal Beach, CA 90740 ...
<br />COVERAGES CERTIFICATE NUMBER•258746756
<br />• REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO
<br />THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
<br />DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY
<br />DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />INSR ADDL SUBR
<br />PAID CLAIMS.
<br />POLICY EFF
<br />LTR TYPALGINSURANCE D POLICY NUMBER MM/DD/YYYY
<br />POLICY EXP
<br />MMIOD/YYVY LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY V HHS8525626-13 10/1 /2019
<br />10/1/2020
<br />EACH OCCURRENCE $1,000,000
<br />CLAIMS -MADE T OCCUR
<br />DAMA ETO ENT
<br />PREMISES Ea occurtence $500,000
<br />MED EXP (Any one person) $10,000
<br />PERSONAL& ADV INJURY $1.000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />X POLICY ❑ PRO- ❑
<br />LOC
<br />GENERAL AGGREGATE $3,000,000
<br />JECT
<br />PRODUCTS - COMP/OP AGG $3,000.000
<br />OTHER:
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />HHS8525626-13
<br />10/1/2019
<br />10/1/2020
<br />COMBINEDSINGLE LIMIT
<br />$1,000,000
<br />ANY AUTO
<br />Ea accident
<br />BODILY INJURY(Perperson)
<br />$
<br />OWNED CHEDULED
<br />S
<br />AUTOS ONLY AUTOS
<br />HIRED NON
<br />X
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />$
<br />AUTOS ONLY AUTOSONLY
<br />V
<br />Per accident
<br />A
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />HHN8585444-10
<br />10/1/2019
<br />10/1/2020
<br />X
<br />EXCESS LIAB
<br />EACH OCCURRENCE
<br />$2.000,000
<br />AGGREGATE
<br />$2000,000
<br />CLAIMS -MADE
<br />X
<br />DED I I RETENTION$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />WC202000005078
<br />2li/2020
<br />Z/1/2021
<br />X PER OTH-
<br />$
<br />YIN
<br />ANYPROPRIETORIPARTNER/EXECUTNE
<br />STATUTE ER
<br />OFFICER/MEMBEREXCLUDED?
<br />NIA
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />(Mandatorydetain NH)
<br />E.L. DISEASE -EA EMPLOYE
<br />$1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />B
<br />Cyber Liability
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />Claims -Made form
<br />NET 1280674-04
<br />10/1/2019
<br />10/1/2020
<br />Limit
<br />$1,000,000
<br />Ratio Date: 7/12016
<br />A99regate
<br />$1,000,000
<br />Retention
<br />$5,000
<br />DESCRIPTION OF OPERATIONS / EDCATIONS / VEHICLES (ACORD 101, AddiOonal Remarks Schedule, maybe attached if more space is required)
<br />Policy: Crime Coverage
<br />Policy Term: 10/01 /2019 to 10/01 /2020
<br />8
<br />Policy : ndeUC11 ricers t Lloyd's,
<br />Carrier: Underwriters at Lloyd's, London
<br />REVIEWED & APPROVED
<br />Employee theft: Limit:$3,000,000 / Deductible: $25,000
<br />By Risk MANAGEMENT DIVISION
<br />ERISA: Limit:$3,000,000
<br />Theft of 25,000
<br />1I
<br />Money and Securities: Limit:$3,000,000 Deductible: $25,00uctible 0
<br />O 10
<br />U
<br />See Attached...
<br />r FQTIFIr ATP lint nED _ ---_—_
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th floor
<br />Santa Ana CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />All riahte resnrvnd
<br />11110 HCUKU name and logo are registered marks of ACORD
<br />
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