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AGENCY CUSTOMER ID: COMMACT-20 <br />LOG M <br />A� 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 />NAIL 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 />Professional Liability <br />:y term: 7/1/2022 to 7/1/2023 <br />ier: Nonprofits' Insurance Alliance of CA <br />Claim: $1,000,000, Aggregate Limit: $2,000,000 <br />Cyber Liability <br />ESL0239479512 <br />arm: 7/1/2022 to 7/1/2023 <br />late Limit: $1,000,000 / Deductible: $10,000 <br />Liability Include Network Security and Privacy Liability <br />Ana, its officers, agents, representatives, employees and volunteers are named additional insured with respect to the operations of the named <br />insurance provided In the General Liability policy is primary and any other insurance shall be excess only, and not contributing. Waiver of <br />on General Liability applies in favor of additional insured. Written notice shall be provided at least ten (10) days in advance of cancellation for <br />I of premium and thirty (30) days in advance for any other cancellation or policy change. <br />ACORD 101 (2008/011 <br />9nnR ACnPn Cf ( 11■Il It rs�x,x,naye,�,an;�.,ia,i, <br />The ACORD name and logo are registered marks of ACORD v N <br />