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?-? .? <br />2?t069 <br />?"-?"r? CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YVYY) <br /> 12/1 l/20'12 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C <br />ERTIFICATE 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 <br />(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED <br />subject to <br />, <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br /> <br />Commercial Lines - (81 B) 464 <br />9300 NAME: <br />- PHONE Fql( <br />W <br />ll <br />F <br />I A/C No <br />e <br />s <br />argo <br />nsurance Services USA, Inc. - CA Lic#: OD08408 E-MAIL <br /> <br />? ADORES <br />5303 Ventura Boulevard, 7th Floor <br /> <br />Sh <br />' INSURER 5 AFFORDING COVERAGE NAIC # <br />erman Oaks, CA 9 <br />1403-3197 Phil <br />d <br />l <br />h <br /> a <br />e <br />p <br />ia Indemnity Insurance Company <br />INSURER A: 18058 <br />INSURED <br />? / <br />/? <br />Discove Science C <br />nt <br />Q <br />INSURER B: Philadelphia Insurance Company <br />23850 <br />e <br />er / <br />? _ ? <br />1? <br />:J ( <br />/ <br />/? ??/ ? ? Em <br />lo <br />r <br />C <br />ti <br />I <br />? <br />.. <br />2500 N <br />? " <br />rth M <br />i <br />St p <br />ye <br />s <br />ompensa <br />on <br />ns Co <br />INSURER c : 11512 <br />o <br />a <br />n <br />reet <br /> <br />Santa A <br />CA 927 INSURER D <br />na, <br />05 <br /> INSURER E <br /> INSURER F <br />- v..?l.+t. Ir a.an ocrc: See Delow <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED <br />ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESP <br />ECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT T <br />O 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 ADDL 5 <br />POLICY NUMBER POLICY EFF <br /> <br />MM DDNYYY POLICY E%P <br /> <br />MMIDD/YWY <br /> <br />LIMITS <br />A GENERAL LIABILrrY <br /> <br />X X PHPK953782 12/15/2012 12/15/2U13 EACH OCCURRENCE $ 1,000,000 <br /> COMMERCIAL GENERAL LIABILITY D <br /> PREM SE Ee oc ur <br />n S 300,000 <br /> CLAIMS-MADE O OCCUR MED EXP (An one person) $ 5.000 <br /> PERSONAL 8 ADV I <br /> NJURY $ 1.000,000 <br /> GENERAL A <br /> GGREGATE $ 2,000.000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br /> <br />PRO PRODUCTS -COMP/OP AGG $ 2,000,000 <br /> X POLICY <br />LOC g <br />A AUT OMOBILE LIABILITY PHPK953782 12/15/2012 12/15/2013 <br />COMBINED SINGLE LIMIT <br /> E ccitlanl 1,000,000 <br /> X ANY AUTO <br />ALL OWNED SCHEDULED BODILY INJURY (Per parson) $ <br /> AUTOS AUTOS <br />NON-OWNED BODILY INJURY (Per accident) $ <br /> X HIRED AUTOS X <br />AUTOS PROPERTY DAMAGE <br />$ <br /> Pe cci and <br /> $ _ <br />B UMBRELLA LIAR X OCCUR <br />PHU6404496 <br />12/15/2012 <br />12/15/2013 <br />EACH OCCURRENCE <br />$ 10.000,000 <br /> X EXCESS LIA6 CLAIMS-MADE <br />AGGREGATE <br /> $ <br /> DED RETENTION $ $ <br /> <br />C WORKERS COMPENSATION X WC STATU- OTH- <br /> <br />? ANO EMPLOYERS'LIABl LITY ?,/N EIG1453813-00 04/01/12 04/01/13 <br /> ANY PROPRIETOR/PARTN ER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED'! ? <br />N / A E.L. EACH ACCIDENT g 1,000,000 <br /> (Mantletory in NH) <br />If es, tlescribe untler E.L. DISEASE - EA EMPLOYE $ 1,000,000 <br /> <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT 1,000,000 <br />$ <br /> <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Atldltlonal Remarka Schetlula, If more apace la requlratl) ??++tt??''?? <br />of Santa Ana <br />Parks <br />Recreation and Comm <br />nit <br />S <br />i <br />A <br />i <br />d <br />, <br />, <br />u <br />y <br />erv <br />ces <br />gency <br />s included as Additional Insured for General Liable reQMr <br />by written <br />contract <br />AS <br />E9 <br />? <br />?4?p <br />???c ? <br />y <br />?? <br />?? <br />tt <br />F' <br />P E? . <br />`ty <br />S <br />V <br />Clty Of Santa Ana SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Parks, Recreation and Community Services Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Silvia Cuevas <br />26 Civic Center Plaza AUTHORIZED REPRESENTATIVE '//°"t' <br />Santa Ana CA 92701 (]? <br />The ACORD name and logo are registered marks of ACORD ©1988-201 O ACORD CORPORATION- All rights rwc,w wart <br />ACORD 25 (2010/05)