HERITAGE MUSEUM OF ORANGE COUNTY (8)

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Olgan4ys1mwu,F—dI Francine R. Villareal Mlarml Date. mmJ: a9IZ23m44urW ACORO® CERTIFICATE OF LIABILITY INSURANCE illi DATE(MMND/YYYY) 1 12/09/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Mary Polar ISU- Dunlap Agency PAH/C NEE I' (714)838-3158 ac No: (714)922-6157 700 West 1st St., Suite 8 E-M IL ma dunla ins.com ry� p ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC k Tustin CA 92780 INSURERA: GreatAmerican Insurance INSURED INSURER B : Oak River Insurance Co. Heritage Museum of Orange County INSURER C : 3101 W. Harvard Street INSURER D : INSURER E : Santa Ana CA 92704 INSURER F: COVERAGES CERTIFICATE NUMBER: CLZU6221.14674 RFVIRInM NUMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR MD POLICYNUMBER POLICYEFF Mmill YY POLICY EXP_ MMIDDIYYYY LIMITS X COMMERCIAL GENERALLIABILITY CLAIMS-M4DE � OCCUR EACH OCCURRENCE $ 1,GGG,000 PREMISES Ea occurrence $ 300,000 NED EXP(Anyone person) $ 20,000 PERSONALSADV INJURY g 1,000,000 A PAC 4296301-05 07/01/2020 07101/2021 GEN'LAGGREGATE LIMITAPPLIES PER: x POLICY D PRO- ❑ Lac JET GENERALAGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 ANV AlfTO BODILY INJURY (Par person) IS A OWNED SCHEDULED AUTOS ONLY AUTOS PAC 4296301-05 07/01/2020 07/01/2021 BODILY INJURY (Per accident J S X HIRED X NONAWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per acddent $ UMBRELLAUAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ IS 1 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR EXCLUDED? OFFICERI RIE'rO ARTNE EDP ❑ NIA HEWC116523 07/01/2020 07/01/2021 PER OTH- ! STATUTE Eft E.L. EACHACCOENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 lfym,(Mandatoryln NH) DESCRIPTIONve OF DESCRIPTION OF OPERATIONS below EA. DISEASE -POLICY LIMIT $ 1,000,000 A Building PAC 4296301-05 07/01/2020 07/0112021 Ded:$5,000 $8,365,305 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, ITS officers, employees, agents, and representatives are named ad Additional Insured in regards to General Liability per attached CG201511 88 Additional Insured farm. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza, 4th FI. AUTHORIZED REPRESENTATIVE 11 � Santa Ana CA 92702 011— RlekMumganentD[viaiwt %REviEVM&APPROVEDBY: ©1988.2015 ACOR ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ®+ Risk Management AnMy t