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`'`� u CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DO YYY)
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 2/5/2020
<br />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 />,,.,r..Rrr.n I: Ir me certmcate holder is an ADDITIONAL INSURED, the pOlicy(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 />this certificate does not confer rights to the certificate holder in lieu of such endors. r,aratic1
<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
<br />Interval House
<br />P.O. Box 3356
<br />Seal Beach, CA 90740
<br />COVERAGES cFlznialreTc Mnaaovo...��-,.,...,-„ _
<br />THIS
<br />IS TO CERTIFY THAT THE POLICIES
<br />POLICIES
<br />OF
<br />O
<br />INSURANCE
<br />INSURANCE
<br />LISTEDBELor DD
<br />LISTED BELOW HAVE
<br />REVISION NUMBER:
<br />-
<br />INDICATED.
<br />NOTWITHSTANDING ANY REQUIREMENT,
<br />BEEN
<br />TERM OR CONDITION OF ANY
<br />ISSUED TO
<br />CONTRACTOR
<br />THE INSURED
<br />NAMED ABOVE FOR THE
<br />POLICY PERIOD
<br />CERTIFICATE
<br />MAY BE ISSUED OR MAY
<br />PERTAIN,
<br />THE INSURANCE AFFORDED BY
<br />OTHER
<br />DOCUMENT WITH RESPECT
<br />TO WHICH THIS
<br />EXCLUSIONS
<br />AND CONDITIONS OF SUCH
<br />POLICIES.
<br />LIMITS SHOWN MAY HAVE BEEN
<br />THE POLICIES
<br />REDUCED
<br />DESCRIBED
<br />HEREIN IS SUBJECT TO
<br />AL
<br />L THE TERMS,
<br />INSR
<br />BY
<br />PAID CLAIMS.
<br />LTR
<br />TYPE OF INSURANCE
<br />AUDI
<br />INSO
<br />S BR
<br />We
<br />POLICYNUMBER
<br />POLICY OFF
<br />MM/DDM
<br />POLICY EXP
<br />/Y MMDDYYY
<br />-�I.Of$Y$OpQ
<br />LIMITS
<br />A
<br />X
<br />COMMERCIALGENERAL LIABILITY
<br />y
<br />HHS8525626-13
<br />EACHOCCURRENCE
<br />$1,000,000
<br />10/1/2019
<br />Cl-AIMS-MADEXI OCCUR
<br />MS VrePRES Ea .rne
<br />$600,000
<br />MEO EXP (Any aria person)
<br />$10.000
<br />GEMLAGGREGATE LIMIT APPLIES PER
<br />P ERSONAL& ADV INJURY
<br />$1,000,000
<br />GENERALAGGREGATE
<br />$3,000,000
<br />X POLICY 1-1 LOG
<br />JECT
<br />PRODUCTS-COMP/OPAGG
<br />$3,000,000
<br />OTHER:
<br />Go DINED LIMB
<br />A
<br />AUTOMOBILE LIABILITY
<br />HH58525626-13
<br />10/1/2079
<br />10/1/2020
<br />ANY AUTO
<br />FaA accidacdtl (
<br />$1,000,000
<br />BODILY INJURY (Per person)
<br />s
<br />OWNED 6CHEDULED
<br />AUTOS ONLY AUTOS
<br />X HIRED X NON -OWNED
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTYDAMAGE(per
<br />AUTOS ONLY AUTOS ONLY
<br />accident)
<br />$
<br />$
<br />A
<br />UMHRELLALIAB X OCCUR
<br />HHN8585444-10
<br />10/1/2019
<br />10/1/2020
<br />X EXCESS LIAR CLAIMS -MADE
<br />EACH OCCURRENCE
<br />$2.000,000
<br />X
<br />AGGREGATE
<br />$2,000,000
<br />OEO RETENTION$
<br />X PER DTH-
<br />S
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />WC202000005076
<br />2/1/2020
<br />271 /2021
<br />ANYPROPMETOR/PARTNER/EXECUTNE YIN
<br />STATUTE ER
<br />EL EACH ACCIDENT
<br />$1,000,OOp
<br />OFFICEWMEMBEREXCWDED?
<br />(Mandatory in NH)
<br />NIA
<br />E.L. DISEASE -EA EMPLOYE
<br />$1,000.000
<br />If yes, dascdbe under
<br />DESCRIPTIONo OPERATIONSbelow
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />B
<br />Ctui Liability
<br />Cai
<br />NET 12B0674-04
<br />10/1/2019
<br />farm
<br />1071/2020
<br />Limit
<br />$1,000,000
<br />Data:?
<br />Relm Data: 7/112016
<br />AggrR.teat,.a
<br />$1,000,000
<br />Retenlian
<br />$5,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (AICORD 101, Additional Remarks Schedule, may be attacM1etl If mere space la required)
<br />Policy: Crime Coverage
<br />Policy Term: 10/01/2019 to 10/01/2020
<br />Policy : UC11 ricers t Lloyd's,
<br />8 REVIEWED & APPROVED
<br />Carrier: Underwriters at Lloyd's, Landon
<br />Employee theft: Limit:$3,000,000 / Deductible: $25,000 gV RISK MANAGEMENT DIVISION
<br />:
<br />ERISALimit:$3,000,000
<br />Theft of money and securities: Limit:$3,000,000 / Deductible : $25,000
<br />Money and Securities: Limit:$3,000,000 / Deductible : $25,000 B 1 O
<br />See Attached...
<br />CERTIFICATE HOLDER ....,,.�..._._.. cl
<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 />ecnGn 94 I9nlRmat
<br />ACORD CORPORATION.
<br />....� 'walu urc ICUlsrereo marKS or AwKO
<br />
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