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DISCOVERY SCIENCE CENTER OF ORANGE COUNTY (2)
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DISCOVERY SCIENCE CENTER OF ORANGE COUNTY (2)
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Last modified
8/19/2024 9:17:05 AM
Creation date
11/25/2020 4:45:04 PM
Metadata
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Template:
Contracts
Company Name
DISCOVERY SCIENCE CENTER OF ORANGE COUNTY
Contract #
A-2020-236
Agency
Public Works
Council Approval Date
11/17/2020
Expiration Date
12/31/2023
Insurance Exp Date
7/1/2022
Destruction Year
2028
Notes
For Insurance Exp. Date see Notice of Compliance
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Digitally signed by Francine R. <br />Francine R. Villareal Villareal <br />A� " CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY)6/28/2021 <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(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 />Gaspar Insurance Services, Inc. <br />23161 Ventura Blvd, Suite 100 <br />Hills CA 91364 <br />CONTACT <br />NAME: CSERVICE <br />PHONE FAX <br />A/C No Ext : 8183023060 A/C, No): <br />E-MWoodland <br />ADDRESS: cservice@gasparinsurance.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: PHILADELPHIA INDEMNITY INSURAN <br />18058 <br />License#:OG66626 <br />INSURED DISCCUB-01 <br />Discovery Science Center Of Orange County dba Discovery Cube <br />Orange County <br />INSURERB: Travelers Property Casualty Co <br />25674 <br />INSURERC: <br />INSURERD: <br />2500 N Main Street <br />Santa Ana CA 92705 <br />INSURERE: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 196976033 REVISION NUMBER: <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />PHPK2292290 <br />7/1/2021 <br />7/1/2022 <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE OCCUR <br />DAMAGES(RENTED <br />PREMISES Ea occurrence) <br />ccurrence)$ <br />100,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY ❑ PRO <br />JECT LOC <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />Sexual Abuse/Molesta <br />$ included <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />PHPK2292290 <br />7/1/2021 <br />7/1/2022 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />Y <br />Y <br />PHUB773900 <br />7/1/2021 <br />7/1/2022 <br />EACH OCCURRENCE <br />$5,000,000 <br />AGGREGATE <br />$ 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED X RETENTION $ 1 n nnn <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />UB-8P50799A <br />4/1/2021 <br />4/1/2022 <br />X PER OTH- <br />STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />OFFICER/MEMBER EXCLUDED? FN] <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />This policy includes a Blanket Additional Insured Endorsement — the certificate holder is an additional insured if required by written contract. Please refer to the <br />attached endorsement. <br />*10 days notice for non payment of premium. <br />The policy shall not be cancelled or reduced in coverage or changed in any other material aspect without (30) days prior written notice except 10 days for <br />non-payment of premium. <br />Certificate holder is named as additional insured as it relates to general liability in accordance with the terms and conditions of the policy. Umbrella follows form <br />as it relates to additional insureds. The policy shall not be cancelled or reduced in coverage or changed in any other material aspect without (30) days prior <br />See Attached... <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, M-28 <br />PO Box 1988 <br />Santa Ana CA 92701 <br />ACORD 25 (2016103) <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 />AUTHORIZED REPRESENTATIVE <br />�oRaN RAMwagementDMsian <br />REVIEWED & APPROVED BY.- <br />@ 1988-2015 ACORD Cl �e P, (J-:Zlj�"J <br />The ACORD name and logo are registered marks of ACORD Risk Management Analyst <br />
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