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AGENCY CUSTOMER ID: INTEHOU-03 <br />_ LOC #: <br />,A`� o�® ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />NAMED INSURED <br />Arthur J. Gallagher & Co. <br />Interval House <br />P.O. Box 3356 <br />Seal Beach, CA 90740 <br />POLICY NUMBER <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />Computer fraud: Limit:$3,000,000 / Deductible : $25,000 <br />Funds transfer fraud: Limit:$3,000,000 / Deductible: $25,000 <br />Money orders and counterfeit paper currency: Limit:$3,000,000 / Deductible : $25,000 <br />Clients' Property (Other): Limit:$3,000,000 / Deductible: $25,000 <br />Policy: Abuse or Molestation Liability <br />I To 10/1/2020 <br />/Aggregate: $3,000,000 <br />Professional Liability <br />k: HHS8525626-13 <br />-: Berkley National Insurance Company <br />Term: 10/1/2019 To 10/1/2020 <br />aim: $1,000,000 /Aggregate: $3,000,000 <br />Berkley National Insurance Company <br />Term: 10/1/2019 To 10/112020 <br />t Building : Limit: $5,231,005 / Deductible $1,000 <br />t Business Personal Property: Limit: $872,540 / Deductible $1,000 <br />& Officers Liability <br />Philadelphia Indemnity Insurance Company <br />arm: 10/1/2019 To 10/1/2020 <br />IT: $1,000,000 /Aggregate: $1,000,000 / Retention: $0 <br />of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insured with respect to the operations of the named <br />Workers Compensation coverage is evidence only. <br />surance is Primary and Non -Contributory. Written notice shall be provided at least ten (10) days in advance of Cancellation for non-payment of premium <br />/ (30) days in advance for any other cancellation or policy change. <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />2008 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />All riahtC YPGPNPfi <br />