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<br />City of Santa Ana <br />Coverage/Carrier Description/Major Differences <br />☐ Accept ☐ Reject <br />☐ Accept ☐ Reject <br />Excess DIC - $10M Excess $25M <br />An additional $10M in limits for an additional <br />$170,247.00 in premiumPalomar Excess and Surplus Insurance <br />Company, Princeton Excess & Surplus Lines Ins <br />Co <br />Excess DIC - $15M Excess $25M <br />An additional $15M in limits for an additional <br />$252,791.00 in premiumPalomar Excess and Surplus Insurance <br />Company, Princeton Excess & Surplus Lines Ins <br />Co <br />☐ Accept ☐ Reject <br />☐ Option # 1 <br />Terrorism <br />Lloyd's Syndicate 3623 (Beazley Furlonge <br />Limited) <br />☐ Option # 2 Texas Insurance Company <br />☐ Accept ☐ Reject TRIA - Terrorism <br />*For this coverage, TRIA cannot be rejected <br />Additional Recommended Coverages <br />Gallagher recommends that you purchase the following additional coverages for which you have exposure. By checking the <br />box(es) below, you are requesting that Gallagher provide you with a Proposal for this coverage. By not requesting a Proposal for <br />this coverage, you assume the risk of any uncovered loss. <br />The above coverage(s) does not necessarily represent the entirety of available insurance products. If you are interested in <br />pursuing additional coverages other than those listed in the Additional Recommended Coverages, please list below: <br />Coverage Amendments and Notes: <br />Exposures and Values <br />You confirm the payroll, values, schedules, and any other information pertaining to your operations, and submitted to the <br />underwriters, were compiled from information provided by you. If no updates were provided to Gallagher, the values, exposures <br />and operations used were based on the expiring policies. You acknowledge it is your responsibility to notify Gallagher of any <br />material change in your operations or exposures. <br />Additional Terms and Disclosures <br />Gallagher is not an expert in all aspects of your business. Gallagher’s Proposals for insurance are based upon the information <br />concerning your business that was provided to Gallagher by you. Gallagher expects the information you provide is true, correct <br />46 <br />  <br />  <br />City Council 15 – 50 8/5/2025