HERITAGE MUSEUM OF ORANGE COUNTY (13)

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A i CERTIFICATE OF LIABILITY INSURANCE DATE13012lY5 YM �. A�: 30AI3�158 osra12a25 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 Ileu of such endorsements). PRODUCER CONTACT LOCKTON COMPANIES,LLC NAME. 3657 Briarpark Dr.,Suite 700 E-MAIL B88 g g36S J - .No.Fxti: _PN�Nal- DRESS: insperitycerts@locktonaffinity.com Houston,TX 77042 -- INSURERO)AFFORDING COVERAGE HAIC$ INSURER A: Indemnity Insurance Company of North America 43575 INSURED INSURER a: HERITAGE MUSEUM OF ORANGE COUNTY - - - 31 011 W HARVARD ST INSURER C: SANTAANA.CA 92704-3915 INSURERD INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 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 MAY BE 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— - A SUER -POLICY EFF POLICY E7tP IJIIIR'r5 LTR TYPE OF INSURANCE POLICY NUMBER 11 MIDfl MR1DO COMrAERCWI.GENERAL LIABILITY EACH OCCURRENCE ; CLAIMS-MADE OCCUR `.PREMISES!EaENocwrrencei II MED EXP(Any me Person] $ - I !_PERSONAL&ADV INJURY f$ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ -- POLICY❑p[ECT LOC PRODUCTS-COMPIOP AGG $ i - f OTHER: '[; AUTOMOBILE LIABILITY COMBINED SINGLE UMIT I$ L5a aeGl_dentl ---- - -I --- -- 'BODILY INJURY(Pair person) k$ _ ANY AUTO -J ALL OWNED SCHEDULED BODILY tNJURY(Par accident)',5 AUTOS AUTOS - - --- NON-O-0WNEO :PROPERTY DAMAGE HIRED AUTOS _- -AUTOS LPera0dent�_ UMBRELLA UAB OCCUR (EACH OCCURRENCE is i EXCESS LWB CLAIMS-MADE AGGREGATE '$ DED RETENTION$ 4 WORKER ANY RP OPRNE�RIPARTNFFRIEXECUTNE Y❑ to X C724397Tfi 1Ul01I2024 101011202$ E.L.EACH ACUDENT.�R -_-- _ PER AND EMPLOYER$'LIABILITY PENSATION �DExT s _ A OFFICERIMEMBER EXCLUDED' {Mandatory In NH) E.L.DISEASE-EA EMPLOYE[;$ 1•000- Ityes.describe under - DESCRIPTION OF OPERATIONS below I E-L_DISEASE-POLICY LIMIT $ 1.000,0130 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHMILES (AGGRO 101,Addllonal Remarks Schedrd%may be attactrsd if more apace is raqulred) WAIVER OF SUBROGATION IN FAVOR OF CERTIFICATE HOLDER WHERE REQUIRED BY WRITTEN CONTRACT. APPROVED 6y Tu Iran Nguyen at 82:01 pm,May 30,2025 CERTIFICATE HOLDER CANCELLATION City of Santa Ann,its City Councrl,omcm,offieWs empi agents and volunteers SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE ATTN:Executive Director,Community Development Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE Deuvi EO IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza M-25 Santa Ana CA 92701 -- AUTHORIZ€D REPRE89N7ATd11E 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD