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<br />.AcoR& CERTIFICATE OF LIABILITY INSURANCE
<br />16�7/3l2018
<br />DAT
<br />7/3/2OOIYYYY)
<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 />PROD Caft
<br />Commercial Lines-213-253-6700
<br />TAC
<br />NA E: Norah.Jacobo
<br />PHONE I FAX
<br />USI Insurance Services National, Inc. - CA Lic#: OD08408
<br />ExtYI 1AIC Nob
<br />E-MAIL
<br />An REss: Norah,Jacobo@usi.com
<br />777 South Figueora St, Ste 2100
<br />Los Angeles, CA 90017
<br />INSURER(S) AFFORDING COVERAGE_ NAIC;X
<br />_''
<br />INSURERA: Philadelphia Indemnity Insurance Company ! 18058
<br />INSURED
<br />INSURER D: TfaVBerB PrOpen CaaDalt Co of America 25674
<br />--`—
<br />Discovery Science Center of Orange County
<br />dba Discovery Cube Orange County------"
<br />INSURERC:
<br />— ---
<br />2500 N. Main Street
<br />INSURER D: i
<br />INSURER E:
<br />Santa Ana, CA 92705 1
<br />INSURER F,
<br />Cuvti Al CERTIFICATE NUMBER: '132/4314 REVISION NUMBER: See below
<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. N07WITFISTANDING 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 />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ggEXCLUSIONS
<br />ILTR
<br />TYPE OF INSURANCE
<br />ADOL
<br />SDSR
<br />POLICYNUMSER
<br />POLICY EFF
<br />POLICY EX
<br />LIMITS
<br />A
<br />X '', COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE W OCCUR
<br />X
<br />PHPK1843692
<br />7l1I2018
<br />7/1/2019
<br />s t,000,aa0
<br />.bbAACHMOEC_C�URRENE
<br />E ISEB E-a mra creme
<br />_
<br />$ 100,000
<br />MED EXP(AnY one Gerson)_
<br />$ 5,0m
<br />PERSONAL &ADV INJURY
<br />$ 1,OD0,000
<br />GEN'LAGGREGATE LIMIT APjjPP�LIE��jS PER:
<br />X POLICY JEL¢T I_J LOC
<br />GENERAL AGGREGATE
<br />$ 2,W0,000
<br />PRODUCTS-COMP/OP AGO
<br />S 2.W0,000
<br />Sexual AbuselMolestalion
<br />S Included
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />X ANY AUTO
<br />PHPKI843692
<br />7/1/2018
<br />711/2019
<br />COMBINESINGLE LIMIT
<br />wdeD V
<br />$ 1,00D,000
<br />BODILY INJURY (Per person)
<br />S
<br />j OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />X HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />BODILY INJURY (Per accident)$
<br />PRO E TYDAMAGE
<br />(Per accident)
<br />$
<br />$
<br />A
<br />X UMBRELLA LIAR
<br />X
<br />OCCUR
<br />PHU6567098
<br />7/1/2018
<br />7/1/2019
<br />EACHOCCURRENCE
<br />S 5,000,000
<br />AGGREGATE
<br />It 5,000,000
<br />EXCESS LIAe
<br />CLAIMSMAOE
<br />I DED
<br />RETENTION$
<br />It
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITY YIN
<br />ANYVROPRMTORIPARTNERlEXECUTIVE
<br />OFFICERIMEMBEREXCLUDED9 C
<br />(Mandelory In NH)
<br />(Man descdbe under
<br />DESCRIPTION OFOP.RATI NS bet
<br />NIA
<br />UB003K35535418 tt��
<br />(pp`%(((,��
<br />-.v � J`�
<br />ti. 1�.
<br />4
<br />04/01/18
<br />04/01/19
<br />X ATUTE
<br />E.L. EACH ACCIDENT
<br />$ 1A00,000
<br />E.L. DISEASE FA EMPLOYEE
<br />$ 1.00a000
<br />E.L. DISEASE POLICY LIMIT
<br />S 1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101, Additional Remarks Schedule, may be attached it mom one is required) Y
<br />The City Of Santa Ana, its officers, agents, and employees and the City of Santa Ana Parks, Recreation and Com ty Services ncy is named as
<br />additional insured as It relates to general liability in accordance with the terms and conditions of the policy. The a L:gv�eYYaga rimary and
<br />noncontributory where required by written contract.Umbrella follows form as it relates to additional Insureds.PX `\ 5
<br />ej
<br />City of Santa Ana
<br />Parks, Recreation and Community Services Agency
<br />20 Civic Center Plaza
<br />Santa Ana CA 92701
<br />name and logo are
<br />ACORD 25 (2015/03)
<br />1mu cemncm. replete. «,anaur unazes levee a, nxo,e
<br />SHOULD ANY OF THWXBOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />AUTHORIZEDREPRESENTATIVE
<br />ge-4, --
<br />OIACORD 9)1988.2018
<br />
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