Laserfiche WebLink
A� o® CERTIFICATE OF LIABILITY INSURANCE <br />DATE/3MIDDIY ) <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 <br />CON AC <br />NAME: Jennifer Fleming <br />Arthur Gallagher Risk Management Services, LLC <br />PHONE <br />B <br />500 N Brand Boulevard, Suite 100 <br />61644E 0251 aC No: <br />E-MAIL <br />ADDRESS: 'ennifer ftemin a" .com <br />Glendale CA 91203 <br />INS ERS AFFORDING VERIIGE <br />N IC# <br />M n 6 <br />I .:R DSBI ie <br />V <br />INSURED U <br />Sl' ER <br />Q Ce n a 10 0 an <br />I 152 <br />Interval House <br />INSURER <br />L G�e - <br />727 <br />P.O. Box 3356 <br />INSURER:: <br />Seal Beach, CA 90740 <br />NSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 666515058 REVISION 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICYNUMBER <br />POLILYEFF <br />MMIDO <br />POLICYEXP <br />MMyDDITYYYI <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERALLIABILITY <br />Y <br />HHN 8525626-18 <br />10/1/2024 <br />10/1/2025 <br />EAEA <br />CE <br />$1,000,000 <br />CLAIMS -MADE M OCCUR <br />DAED <br />PRRENTED <br />nce <br />8500,000 <br />MEarson) <br />$20,000 <br />PEINJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GEGATE <br />$3,000,000 <br />%t POLICY PRLOC <br />PRODUCTS -COMPIOP AGG <br />$3,000,000 <br />$ <br />OTHER: <br />A <br />ADTOMOBILELIABILITY <br />HHN 8525626-18 <br />10/1/2024 <br />10/1/2025 <br />COMBINED SINGLE LIMIT <br />Es accident <br />$1,000,000 <br />BODILY INJURY (Par person) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />) BODILY INJURY (Per accident <br />$ <br />X <br />HIRED X NON,OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Ps,.cc ni <br />$ <br />$ <br />A <br />UMBRELLA LIAB <br />X <br />OCCUR <br />HHS 8525626-18 <br />10/1/2024 <br />10/1/2025 <br />EACH OCCURRENCE <br />$2,000,000 <br />AGGREGATE <br />$2.000,000 <br />X <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED X RETENTION$n <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />V <br />SAT1SO405003 <br />2/1/2024 <br />2/1/2025 <br />X STATUTE EORH <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />ANYPROPRIETORIPARTNEWEXECUTIVE <br />OFPICER/MEMBEREXCLUDEDP <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS be. <br />E.L DISEASE - POLICY LIMIT <br />$1,000,000 <br />C <br />Cfber liability <br />C aims -Made fans <br />Retm Date: Full Prior Acts <br />RPS-P-50252618M <br />tOH/2024 <br />10/1/2025 <br />Limit <br />Aggregate <br />Retention <br />$1,000,000 <br />$1.000.000 <br />$2.500 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be aftachad if more space is required) <br />Policy: Crime Coverage <br />Policy Term: 10/1/2024 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 />City of Santa Ana <br />Attn: Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92701 <br />AUTHORIZED RE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PRC <br />Risk MnugemattDiwion <br />REIAEWED6 APPROVED BAY: <br />,1" <br />® Ruk Management Speantht <br />©1988-201 <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />