DISCOVERY SCIENCE CENTER (2) - 2016

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271009 A� H CERTIFICATE OF LIABILITY INSURANCE onre(4/2015 ) 2/24/2015 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 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 Commercial Lines - (818) 464-9300 Wells Fargo Insurance Services USA, Inc. - CA Lic#: OD08406 15303 Ventura Boulevard, 7th Floor Sherman Oaks, CA 91403-3197 NAM A T Catherine Cory PMON o xq g18-464-9458 _ ac me,: 866-968-5667 E-MAIL i catherne.co wellsfar ADDRESS: ry@ o.com 9 _ INSURERS AFFORDING COVERAGE NAIL # INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURED Discovery Science Center of Orange County 2500 North Main Street Santa Ana, CA 92705 INSURER B: Employers Compensation Ins CO 11512 INSURER C: INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 0775899 REVISION NIIMRFR- sae helnw 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 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. ?LTR TYPEOFINSURANCE im SBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR X PHPK1269512 12/15/2014 12/15/2015 EAOHOCCURRENCE IS 11000,000 PREMISES Es occ rren e $ 11000,000 MED EXP (Any one person) $ 20,000 PERSONAL & AOV INJURY $ 11000,000 GI AGGREGATE LIMIT APPLIES PER: X POLICY 0 PRI- JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 2,0001000 Sexual Abuse/Molestation $ Included A AUTOMOBILE IxAUTOS LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOB X NON -OWNED PHPK1269512 12/15/2014 12/15/2015 COE.MBINED SINGLE LIMIT addlmb g 1,000,000 BODILY INJURY(Perperson) $ BODILY INJURY ( 1Peraccident $ PROPERTY DAMAGEPerea' $ A X UMBRELLA LIABOCCUR EXCESS LIAe X CLAIMS -MADE PHUB483491 12/15/2014 12/15/2015 EACH OCCURRENCE $ 10.000,000 AGGREGATE $ 10,000,000 DEO I RETENTION$ $ B WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA EIG1453813-02 04/01/14 04/01/15 X STATUE 1H E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE1 $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The City of Santa Ana is included as Additional Insured for General Liability as required by written contract. DISCOVERY SCIENCE CENTER AGR# TBD REVIEWED BY: /O� • EUNICE HEREDIA (PG. 1 of 2) CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Public Works Agency, M-21 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza P O Box 1988 AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 I he ACORD name and logo are registered marks of ACORD ACORD 25 (2014/01) (This ce,Ilacsle repleme m,IlOceleN 9775807 lssued o1,212412015) ©1988-2014 ACORD CORPORATION. All rights reserved.