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ACC <br />AGENCY CUSTOMER ID: COMMACT-20 <br />LOC #: <br />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 />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 />to 7/1/2022 <br />surance Alliance of CA <br />), Aggregate Limit: $3,000,000 <br />to <br />late Limit: $1,000,000 / Deductible: $10,000 <br />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 />norandum 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 />ACUKD 1U1 (2000/U7) © 2008 ACORD C <br />The ACORD name and logo are registered marks of ACORD <br />t RlekMrowg�muntDMewD ,.� <br />CiEV7EWEo & APPRaveo BY. <br />11iL111i'r �n.vr�otf,t �. Vi((.�nuE - <br />Risk MaNacTemen1 A17aIs.R <br />