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AGENCY CUSTOMER ID: COMMACT-20 <br />LOC #: <br />AC R ® ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />Arthur J. Gallagher & Co. <br />NAMED INSURED <br />Community Action Partnership of Orange County <br />11870 Monarch Street <br />Garden Grove, CA 92841 <br />- <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 />term: 7/1/2021 to 7/1/2022 <br />Nonprofits' Insurance Alliance of CA <br />aim: $1,000,000, Aggregate Limit: $3,000,000 <br />Policy: Cyber Liability - <br />Policy#: ESK0132206967 <br />Policy term: 7/1/2021 to 7/1/2022 <br />Carrier: Underwriters at Lloyd's London <br />Aggregate Limit: $1,000,000 / Deductible: $10,000 <br />Cyber Liability Include Network Security and Privacy Liability <br />of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or <br />iorandum of understanding. The insurance provided in the General Liability policy is primary and any other Insurance shall be excess only, and not <br />ributing. Written notice shall be provided at least ten (10) days in advance of cancellation for non-payment of premium and thirty (30) days In advance for <br />other cancellation or policy change. <br />IA � REVIEWED&APPROVED BY: <br />101 (2008101) © 2008 ACORD C 1 x F40 + 9. V <br />The ACORD name and logo are registered marks of ACORD ��' Risk Management Analyst <br />