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2710eg caFhr CERTIFICATE OF LIABILITY INSURANCE oA 12J19/2018n 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 INSUREII AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polioy(les) must 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 ondorsement(s). PRODUCER Commercial Lines - (818) 464-9300 CONTACT NAME: PHONE FAx EXH.AC No: EW ADDRESS, Wells Fargo Insurance Services USA, Inc. - CA Llc#: 0008408 INSURER 8 AFFORDING COVERAGE NAICW 15303 Venture Boulevard, 7th Floor INSURERA: Federal Insurance Company 20281 Sherman Oaks, CA 91403-3197 INSURED INSURERB: Employers Compensation Ina Co 11512 Discovery Science Center of Orange County, Inc. INSURERC: 2500 North Main Street INSURERD: INSURERS: Santa Ana, CA 92705 a0�rqqyy O ;t' 5f INSURERF: COVERAGES CERTIFICATE NUMBER: 7025579 REVISION NUMBER: See below 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 THI8 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. UIBTYPE UTR OFINSURANOE ADDL INSR UBR MD POLICY NUMBER POLICY EFF IDD POLCY E%P MMIDID LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR X 3600-1440 12/15/2013 12/15/2014 EACH OCCURRENCE $ 1,000,000 DAMA ETORENTED PREMISES Ea ocwnence $ 300'000 MED EXP (Any one rcon) S 10,000 PERSONAL d ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS•OCMP/OPAGG $ 2,000,000 $ X1 POLICY PRO- El LOC A AulamoBILE LIABaITr7358-2541 12/15/2013 12/15/2014 COMB Ea aoatleNEO BI GLE LIMIT 1,000.000 nl BODILY INJURY(Per Person) $ALLOWNED ANYAUTO SCHEDULED AUTOSAUTOSHIRED Ix BODILY INJURY (Peraccltlanl) $ PROPERTY DAMAGE $ Par acddenl AUTOS % NON-0WNED AUTOS S AUMBRELLA LIA@ X OCCUR 7989-0454 12/15/2013 12/15/2014 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ X excess LIAR CLAIMS -MADE OED I I RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑N (Mandatory In NH) NIA EIG1453813-01 04/01/13 04/01/14 X WC S�ATU- OEH- E,L EACH ACCIDENT $ 1,009,000 E.L. DISEASE - EA EMPLOYE $ 1,BOO,D00 If yes, deecuibe under DESCRIPTION OF OPERATIONS than. E.L. DISEASE -POLICY LIMIT S 7 000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CG 20 26 07 04 The City ofSanta Ana, its officers, agents, employees, representatives and volunteers are Included as Additional Insureds for General Liability as required by written contract. APPROVLD AS TO i Oi'lldS " t- 13 CERTIFICATE HOLDER Assistant City Atl )rWOULD BEFORE City of Santa Ana ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED EI Salvador Community Center THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 1825 W Civic Center Dr Santa Ana CA 92703 AUTHORIZEDREPRESENTATNE 14, Af The ACORD name and logo are registered madcs of ACORD O 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010105)