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ACORH <br />`� <br />AGENCY CUSTOMER ID: COMMACT-20 <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br />AGENCY <br />Arthur J. Gallagher & Co. <br />NAMED NBURED <br />Community Action Partnership of Orange County <br />11870 Monarch Street <br />Garden Grove CA 92841 <br />POLICY NUMBER <br />CARRIER <br />MAIL CODE <br />EFFECTIVE DATE: <br />, IVIYML RCIYINRR`l <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />Policy: Professional Liability <br />Policy#: 2022-00441 <br />Policy term: 711/2022 to 711/2023 <br />Carder: Nonprofits' Insurance Alliance of CA <br />Per Claim: $1,000,000, Aggregate Limit: $2,000,000 <br />Policy Cyyber Liability <br />Policy#: ESL0239479512 <br />Policy tens: 7/112022 to 7/1/2023 <br />Cartier: Underwriters at Uoyd's London <br />Aggregate Limit: $1,000.000 / Deductible: $10,000 <br />Cyber Liability Include Network Security and Privacy Liability <br />City of Santa Ana, Its officers, agents, representatives. employees and volunteers are named additional insured with respect to the operations of the named <br />insured. The insurance provided in the General Liability policy is primary and any other insurance shall be excess only, and not contributing. Waiver of <br />Subrogation 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 />non-payment of premium and thirty (30) days in advance for any other cancellation or policy change. <br />W Mwpca dwan <br />a� Ir rEKYmLANAt]V®9< <br />ACORD 101 (2008101) ,� 7nna Amen cr rt„YM.uq.,,e+GaiaAa� <br />V V <br />The ACORD name and logo are registered marks of ACORD <br />