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ALA L CERTIFICATE OF LIABILITY INSURANCE DATE <br />(NsVD2D " <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, ANOTHE CERTIFICATE HOLDER. - - - <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcylies) 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 Ilou of such endorsement(a). <br />PRODUCER 1CONTACT <br />E <br />Gaspar Insurance Services. Inc PMONE . Bt8-302.3060 F <br />23161 Ventura Blvd. Suite 100 AIIC ell. — <br />Woodland Hills CA 91364 ADDRESS <br />I <br />INSURED DISCC <br />Discovery Science Center Of Orange County dba Discovery Cube <br />Orange County <br />2500 N Main Street <br />Santa Ana CA 92705 <br />CnVFw Ar Gq CFormIr ATC MIINAGC0.1v»b1en90a <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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />ILTF TYPE OFINSURANCE <br />A DLSUBR— <br />POLICY EFF <br />POLICYNUMBER SMDD <br />POLICY E%P (--------------'---- <br />DMRS <br />h % COMMERCIAL GENERAL ABILITY <br />Y v PHPN2157885 7/1/2020 7I712021 EACH OCCURRENCE $1,ODg000 <br />I CLAIMS X <br />DA GE T---"'"- <br />''. <br />-MADE OCCUR <br />PREMISES IEa CGNRanf-0I $ 100,000 <br />MED EXP IAnyana Person, S5.000 <br />i PERSONAL A AOV INJURY $1000.000 <br />GENL AGGREGATE LIMIT APPLIES PER <br />:GENERAL AGGREGATE 52.000.000 <br />_ POLICY 11 jE�� X ; LOC <br />PRODUCTS-COMPIOP AGG : S 2.000.000 <br />�OTHEH <br />I Serval Abusa/MdeMe Sinduded <br />A AUTOMORBELLLBILRY <br />1 PHPN2153GG5 7/1/2020 7/112021 E�aHwN%utbL ELIMIT S1000, 000 <br />X ANY AUTO <br />BODILY INJURY leer pmwm <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />---- <br />'', BODILY INJURY (PBf Bre4enq. 5 <br />_ <br />X HIRED X NON -OWNED <br />AUTOS ONLY ,� AUTOS ONLY <br />I PROPERTY DAMAGE <br />I en11 <br />I Per amd S <br />l <br />S <br />A X 1 UMSRELLAUAB X ! OCCUR Y Y PHUB729849 711/2020 <br />—~_E%CESS <br />71712021 !_ EACH OCCURRENCE_ $5,000.000 <br />LIAB <br />_ _ <br />CLgIMGAIADEI <br />AGGREGATE i S5.000.D00 <br />DELI X I RETENTIONS in nnn <br />5 <br />a WORNERSCOMPENSAGON <br />j UB-BP5D]99A 4r112020 <br />411/2021 jX �R K 1 <br />AND EMPLOYERS' LIABILITY YIN. <br />STATUTE 1EROT1 <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />- <br />i E.L EACH ACCIDENT IS7.000.000 <br />OFHCER/MEMBEREXCWDED+ ❑ <br />NIA <br />UlrandatPry In NHl <br />EL DISEASE EA EMPLOYEE $7,000,000 <br />IrdBaV ba unn8' <br />DIE Sl CRIPDON OF OPERARCN5 Celm <br />E L DISEASE -POLICY LIMB $1,000.000 <br />j <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 141. Additional Remark. Scmduk, may be aeaeusd If mere apace la required) <br />This policy Includes a Blanket Additional Insured Endorsement - the cenifcale holder Is an additional insured if required by written contract. Please refer to the <br />attached endorsement. <br />Certificate holder is named as additional insured as It relates to general liability DI accordance with the terms and conditions of the policy Umbrella follows form <br />as it relates 10 addltlonal insureds. Certificate holder IS provided 10 days notice Of cancellation for non-payment of premium In accordance With the terms and <br />conditions of the general liability policy. <br />City of Santa Ana, officers. agents, employees, and volunteers are named as additionally Insured on this policy pursuant to written contract. agreement, or <br />memorandum of understanding. Such insurance as Is afforded by this policy shall be primary, and any insurance tamed by City shall be excess and <br />noncwnmbutory per attached forms. <br />REVIEWED &r1PPR0 APPROVE <br />OULD ANY OF THE A13OVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />ME <br />of Santa Ana CILMI9Vt DIVI <br />By Risk MANACORDANCE <br />I(AOE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />WITH THE POLICY PROVISIONS, <br />Risk Management Division <br />20 Civic Center Plaza. M-28 <br />UTHORIZEOREPRESENTATNE <br />PO Box 1988 JUL 2 9 2020 <br />Santa Ana CA 92701 <br />\>7 <br />i <br />r11Nlvcmvr 1%. Yu.LJ1ICCNL (01988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />