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ACoRE® CERTIFICATE OF LIABILITY INSURANCE DAr1/292DTt'YYY)
<br /> 024
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 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 /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) 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 endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME: Maureen(MoMo)McDonald
<br /> Arthur J. Gallagher Risk Management Services, LLC PHONE Extl:818.539.8625 FAX
<br /> 500 N Brand Boulevard, Suite 100 (Arc No):818.539.8725
<br /> EMAIL @ Ig corn
<br /> Glendale CA 91203 ADDRESS: aureen_mcdonald
<br /> Digitally' �� rI JIt ERAGE NAIL It
<br /> Angie Licensedi:'D69293 INSURER A:Berkley Regional Insurance ompany 29580
<br /> INSURED )N SH 0 ) •
<br /> Interval House A hnie:�rOemnity Company 39152
<br /> P.O. Box 3356 I RERC:Underwriters at Lloyd's,London 32727
<br /> Seal Beach, CA 9074 Date72O2Q•O5.23
<br /> COVERAGES CERTIFICATE NUf,BO 1034270190 3•O —O�IoOREVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR !NSW—WVD (MM/DDIYYYY) (MMIDD/YYYY),
<br /> A X COMMERCIAL GENERAL LIABILITY Y HHS 8525626-17 10/1/2023 10/1/2024 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTED
<br /> PREMISES(Ea occurrence) $500,000
<br /> MED EXP(Any one person) $20,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000
<br /> X POLICY n PRO-
<br /> JECT LOC PRODUCTS-COMP/OP AGG $3,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY HHS 8525626-17 10/1/2023 10/1/2024 COMBINED SINGLE LIMIT $1,000,000
<br /> (Ea accident)
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY _ AUTOS ONLY (Per accident)
<br /> $
<br /> A UMBRELLA LIAB X OCCUR HHS 8525626-17 10/1/2023 10/1/2024 EACH OCCURRENCE $2,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000
<br /> DED X RETENTION$n $
<br /> g WORKERS COMPENSATION Y SATISO405003 2/1/2024 2/1/2025 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> C Cyber Liability RPS-P-50252618M 10/1/2023 10/1/2024 Limit $1,000,000
<br /> Claims-Made form Aggregate $1,000,000
<br /> Retro Date:Full Prior Acts Retention $2,500
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Policy:Crime Coverage
<br /> Policy Term: 10/1/2022 To 10/1/2025
<br /> Policy#:107707393
<br /> Carrier:Travelers Casualty and Surety Company of America
<br /> Employee theft:Limit:$2,000,000/Deductible:$15,000
<br /> ERISA: Limit:$2,000,000
<br /> Forgery&Alteration:Limit$2,000,000/Deductible:$15,000
<br /> Theft Money and Securities:Limit:$2,000,000/Deductible:$15,000
<br /> See Attached...
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PRC\
<br /> Attn: Risk Management Division o°R,�9s Risk Managem
<br /> ent Division
<br /> 20 Civic Center Plaza, 4th Floor AUTHORIZED REP ESENTATIVE ','� L c,y R�EW@&APPRQI/mBY:
<br /> Santa Ana, CA 92701 R .... f I A4 e;,e Ac v4
<br /> Jarman
<br /> I Risk Management Specialist
<br /> ©1988-2015 ACORD /
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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