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<br />^� CERTIFICATE OF LIABILITY INSURANCE
<br />°ATE(MM/DD/YYYY)
<br />2/5/2020
<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($), 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 />Arthur J. Gallagher & Co.
<br />Insurance Brokers of CA., Inc.
<br />505 N Brand Blvd, Suite 600
<br />Glendale CA 91203
<br />CONTACT
<br />NAME: Maureen MoMo McDonald
<br />PHONE
<br />No 818.539.8625 uc Not. 818.539.8725
<br />nopaess: maureen mcdonald@aig.com
<br />INSURERM AFFORDING COVERAGE
<br />NAICM
<br />INSURERA: Berkley National Insurance Company
<br />38911
<br />'tense ' 0726293
<br />INSURED INTEHOU-03
<br />Interval House
<br />INSURERS: New York Marine And General Insurance Company
<br />16608
<br />INSURER C:
<br />P.O. Box 3356
<br />Seal Beach, CA 90740
<br />INSURERD:
<br />INSURER E :
<br />INSURER F
<br />---'--• --
<br />THISIto vrOlvry rvUm CCK:
<br />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 />A15 LSUBR
<br />POUCYNUMBER
<br />POLICYEFF
<br />(Mll
<br />POLICVEXP
<br />MM/DDn'YYV
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCUR
<br />Y
<br />HHS8525626-13
<br />10/1/2019
<br />10/1/2020
<br />EACH OCCURFENCE
<br />$1.000,000
<br />DAMAGE
<br />A AGET Roccurrence
<br />$500,000
<br />MED EXP (Any one person)
<br />$10,000
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />GEN'L
<br />X
<br />AGGREGATE LIMIT APPLIES PER:
<br />PRO-
<br />POLICY ❑ JECT LOG
<br />❑
<br />GENERALAGGREGATE
<br />$3,000,000
<br />PRODUCTS-COMP/OP AGG
<br />$3,000.000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />A
<br />B
<br />UMBRELLA LIAR
<br />EXCESS LIAR
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />NIA
<br />Y
<br />HHN8585444-10
<br />WC202000005078
<br />10/1/2019
<br />2/1/2020
<br />10/1/2020
<br />2/1/2021
<br />EACH OCCURRENCE
<br />$2,000,000
<br />X
<br />AGGREGATE
<br />$2,000,000
<br />DEO X RETENTION
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETOR/PARTNERIEXECLMVE
<br />OFFICERIMEMBEREXCWDED?
<br />XPER exual Misenntluct
<br />STATUTE ERH
<br />$IDCIUded
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />(Mandatary In NH)
<br />I[ yedescribe
<br />s,
<br />L.L. DISEASE - EA EMPLOYE
<br />$1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000, 000
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />Commercial Property
<br />HHS8525626-13
<br />10/1/2019
<br />10/1/2020
<br />BLKT Building Limit
<br />BLKT BPP Limit
<br />Deductible
<br />$5,231,005
<br />$872,540
<br />$1,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached R more space Is r l\CYIE Policy: Crime Coverage 1`CY
<br />Policy Term: 10/01/2019 to 10/01/2020 BY RISk MANAGEMENT DIVISION
<br />Policy* UC11717955.19-038
<br />Carrier: Underwriters at Lloyd's, London
<br />Employee theft: Limit:$3,000,000 / Deductible: $25,000 F g Q�2�il
<br />ERISA: Limit:$3,000,000
<br />Theft of money and securities: Limit:$3,000,000 I Deductible: $25,000
<br />Money and Securities: Limit:$3,000,000 / Deductible : $25,000
<br />See Attached...
<br />/ =Mm IPm`ATr• tin, -
<br />City of Santa Ana
<br />Attn: Risk Management Division
<br />20 Civic Center Plaza, 4th Floor
<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 />AUTHORRED REI
<br />RE64 .
<br />Fi Vmu'D kZU IOIUS)
<br />©1
<br />I ne ACORD name and logo are registered marks of ACORD
<br />rights reserved_
<br />
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