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ACORO CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />�"� <br />04/12/2019 <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 certificate 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 endorsement(s). <br />PRODUCER <br />Caremaster Insurance Agency <br />CA Lic#0707131 <br />12474 Ridge Drive <br />Santa Rosa Valley CA 93012 <br />NAMEACT Dennis Mlgliazzo <br />PHONE (g05)491-9220 FAx (886)409-6450 <br />A/C No <br />goDR .—EE.xtBennis@caremastenn$.Com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC A <br />INSURERA; Travelers Property Casualty Company ofAmerica <br />25674 <br />INSURED <br />INSURER B : <br />Discovery Science Center of Orange County, OBA: Discovery Cube <br />INSURER C: <br />2500 N. Main St' <br />INSURER D: <br />INSURER E : <br />Santa Ana CA 92705 <br />INSURER F <br />COVERAGES GGK iFHLAi E NUMBER' CL i9412U 12te4 EEammC)u an,x.Ero. <br />THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMEDABOVE FORTH E POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />-N—SR <br />LTR <br />TYPE OF INSURANCE <br />AM <br />INSD <br />SUBS <br />MD <br />POLICYNUMBER <br />POLCYEFF <br />MM/DD/YYYY <br />POLICYEXP <br />MM/DD/YYW <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />S <br />AGET <br />PREMISES -R occurrum enc.)$ <br />' <br />CLAIMS -MADE OCCUR <br />MED EXP(Anyone person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GEN'LAGGREGATE <br />LIMITAPPLIES PER <br />GENERALAGGREGATE <br />$ <br />PRO ❑ <br />POLICY ❑ <br />JECT LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Paraocidenl <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS UAB <br />CLAIMS -MADE <br />DED <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />%� STATUTE ER <br />E.L. EACHACCIDENT <br />$ 1,000,000 <br />A <br />ANY PROPRIETOR/PARTNER/EXECUTIVE N <br />OFFICER/MEMBER EXCLUDED4 <br />NIA <br />UB- 2N146060-19-14-G <br />04/01/2019 <br />04/01/2020 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1,000, 000 <br />(Mandatory, In NH) <br />If Yes, describe under <br />E. L. DISEASE -POLICY IT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requiretl) <br />*10 days for non payment of premium. <br />30 <br />+ <br />V <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana Parks, Recreation and Community Services Agency ACCORDANCE WITH THE POLICY PROVISIONS. <br />26 Civic Center Plaza _. <br />Santa Ana <br />CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />©1988.2015ACORDCORPORATION All rinHFe .omnmd <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />