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cc�Rv°° CERTIFICATE OF LIABILITY INSURANCE
<br />DATEIMMIDDIYVYV)
<br />2/1/2019
<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 cordfioato holder is an ADDITIONAL INSURED, the policy(les) 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 ohdorsoment(s).
<br />PRODUCER
<br />Arthur J. Gallagher & Co.
<br />Insurance Brokers of CA, Inc. LIC #0726293
<br />505 N Brand Blvd, Suite 600
<br />Glendale CA91203
<br />NTA NAT MoMo McDonald
<br />PHONE FA
<br />IAIc N Ems• 81a 539 8625 we Ne:818-639.8725
<br />&MAIL
<br />, Maureen mcdonaidCcle)u.Com
<br />_INSURER(s)AFFORDING COVERAGE
<br />NAIC9
<br />INSURERA; Berkley National Insurance Company
<br />38911
<br />INSURED INTEHOU43
<br />Interval HOUSE
<br />P.O.
<br />P.0, Box 3356
<br />INSURER B; UO d's S ndlca. a 2987
<br />INSURERC: Great American Spirit Insurance Company
<br />_
<br />33723
<br />INSURER D: New York Marine And General Insurance Company
<br />1660�..,r
<br />Seal Beach, CA 90740
<br />INSURER E: _
<br />IN9URER F
<br />COVERAGES CERTIFICATE NUMBER: 19nRRRn94A RkVIRInM Mnaeaco•
<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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ER
<br />TN
<br />TYPD OF INSURANCE
<br />ADOL
<br />uBR
<br />POLICYNUMBER
<br />POLICY EFF
<br />MMIDD
<br />P E P
<br />MI
<br />LIMITS
<br />A
<br />X
<br />COMMERCIALGENERALLIABILITY
<br />CLAIMS -MADE OCCUR
<br />Y
<br />HHS8525626-12
<br />10/112018
<br />10/1/2019
<br />EACHOCCURRENCE
<br />$1.000,000
<br />A socwmance
<br />PREN12E9
<br />5500000
<br />MED FXP (Any oneperson)
<br />$10,000
<br />PERSONAL&ADV INJURY
<br />$1,000,000
<br />GEN'L AGGREGATE LIMIT APPLI ES PER:
<br />%( POLICY 0JECT ❑LOG
<br />GENERAL AGGREGATE
<br />$3.000,000
<br />PRODUCTS• COMROP AGG
<br />$3,000,000
<br />$
<br />OTHER:
<br />AUTOMORILELIAMILITY
<br />COMBINEOSINGLE LIMIT
<br />lEa accident.
<br />$
<br />ANY AUTO
<br />BODILY INJURY IPer Person)
<br />$
<br />OWNED AUTOSULED
<br />AUTOS ONLY AUTOS
<br />HIRED AUTOS ONLY
<br />AUTOS ONLY AUTOS ONLY
<br />BODILY INJURY (Per accident )
<br />$
<br />PROPERTY bAMAGE
<br />Paraccitlont
<br />$
<br />§,m.
<br />B
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />NPX820180025
<br />10/V2018
<br />10MIZOI9
<br />EACH OCCURRENCE
<br />$2,000000
<br />X
<br />EXCESa LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$2,000009
<br />DEC I X I RETENTION$
<br />$ ...._
<br />D
<br />WORKERS COMPENSAN
<br />AND EMPLovERS'LIBTUTY YIN
<br />ANYPROPRIETORIPARTNER/EXECUTIVE
<br />OFFICERNEMBEREXCLUDED9
<br />NIA
<br />W0201900005078
<br />2/1/2019
<br />2/1/202D
<br />X ST T ERH
<br />E.L. EACH ACCIDENT
<br />$1000.000
<br />E.L. DISEASE- EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory In NH)
<br />If ye¢, tlesUibe u0dar
<br />EL, DISEASE • POLICY LIMIT
<br />$1.000,000
<br />DESCRIPTI Ne OF GPERATIONS below
<br />c
<br />cyyber Uab11fy
<br />NET 1280-6-74-03
<br />10/1/2018
<br />10/1/2019
<br />Umll
<br />$1,000,000
<br />Clalrea-Made form
<br />Nor. Dole: 7/112010
<br />Agggregyate
<br />NolenUan
<br />$1,000.000
<br />$5,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES IACORD Inj Additional Ramarke Schedule, maybe attached if mom space Is required)
<br />Policy: Crime Coveragge
<br />Policy Term: 12/01/2018 To 10/01/2019
<br />Policy Number: UC11717955.18.038
<br />Carrier: Underwriters at Lloyd's, London
<br />ERFP$'A: e.000. $3,000,000 /Deductible: $25,000 `
<br />ERISA: $3,p00.000
<br />Theft of money and securities: $3,000.000 / Deductible : $25,000
<br />Money and Securftie% $3,000,0001 Deductible : $25,000
<br />See Attached...
<br />The City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana CA 92701
<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 PROVISIONS.
<br />ACORD
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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