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AGENCY CUSTOMER ID: INTEHOU-03 <br /> LOC#: <br /> ,a`oRo ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> Arthur J. Gallagher Risk Management Services, LLC Interval House <br /> P.O. Box 3356 <br /> POLICY NUMBER Seal Beach, CA 90740 <br /> CARRIER NAIC CODE <br /> EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br /> Computer Fraud : Limit:$2,000,000/Deductible:$15,000 <br /> Fund transfer fraud: Limit:$2,000,000/Deductible:$15,000 <br /> Money Orders and counterfeit paper currency: Limit: :$2,000,000/Deductible:$15,000 <br /> Policy: Sexual Abuse or Molestation Liability <br /> Policy#: HHS 8525626-19 <br /> Carrier: Berkley Regional Insurance Company <br /> Policy Term: 10/1/2025 To 10/1/2026 <br /> Per Claim:$1,000,000/Aggregate:$3,000,000 <br /> Policy: Professional Liability <br /> Policy#: HHS 8525626-19 <br /> Carrier: Berkley Regional Insurance Company <br /> Policy Term: 10/1/2025 To 10/1/2026 <br /> Per Claim:$1,000,000/Aggregate:$3,000,000 <br /> Policy: Commercial Property <br /> Policy#: HHS 8525626-19 <br /> Carrier: Berkley Regional Insurance Company <br /> Policy Term: 10/1/2025 To 10/1/2026 <br /> Blanket Building: Limit:$8,686,125/Deductible$1,000 <br /> Blanket Business Personal Property: Limit:$1,194,253/Deductible$1,000 <br /> Policy: Directors&Officers Liability <br /> Policy#: PHSD1828308-024 <br /> Carrier: Philadelphia Indemnity Insurance Company <br /> Policy Term: 10/1/2025 To 10/1/2026 <br /> Per Claim:$1,000,000/Aggregate:$1,000,000/Retention:$5,000 <br /> Re:Contract#A-2024-090-02 City of Santa Ana,its officers,agents,employees and volunteers are named additional insured with respect to the General <br /> Liability, Sexual Abuse and Molestation Liability,Automobile Liability policy of the named insured. Waiver of Subrogation for on General Liability, Sexual Abuse <br /> and Molestation Liability,Automobile Liability and Workers Compensation policy applies in favor of Additional insured. Such insurance is Primary and <br /> Non-Contributory.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 <br /> for any other cancellation or policy change. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />