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271060 <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />4/2012015 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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(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, subject to <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 />PRODUCER <br />Commercial Lines - (818) 464-9300 <br />Wells Fargo Insurance Services USA, Inc. - CA Lic#: OD0840B <br />15303 Ventura Boulevard, 7th Floor <br />Sherman Oaks, CA 91403-3197 <br />INSURED <br />Discovery Science Center of Orange County <br />the Discovery Cube Orange County <br />2500 N. Main Street <br />Santa Ana, CA 92706 <br />CCVFRAGFR CERTIFICATE NIIMRFR: 9029371 <br />NcAW I Catherine Cory <br />IN41 sank <br />818464.9458 __. FAX Nap <br />806-9666687.... <br />ADDRESS: <br />catherine.cory@wellstargo,com <br />IN$URER(Si AFFORDING COVERAGE <br />NAICN <br />INSURERA: <br />Philadelphia Indemnity Insurance Company <br />18058 <br />INSURER e : <br />Employers Compensation Ins Cc <br />11512 <br />INSURERC: <br />INSURER D: <br />INSURERS: <br />INSURER f: <br />RFVIRION NI IMRFR- <br />Sae hel. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT <br />OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL -THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY <br />PAID CLAIMS. <br />@R _-- ___- IAODLSU9a � —------� POLICYEFF <br />TYPE OF INSURANCE INen Wye POLICY NUMBER YYYY <br />POLICYEXP _- _-- <br />MMlO YY LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />A X PHPK1269512 12115/2014 <br />_ <br />12115l2015 EACH nccuRRENce $ 1 000,ow <br />X_. <br />DAMAGE TO RENTED <br />CLAIMS.MAOR OCCUR <br />_PREMISESLEa occurrence) $___ 1A00,000 <br />MED EXP (Any one person) $ 20,000 <br />PERSONAL A AOV INJURY $ 1,000,ow <br />GEN1. AGGREGATE LpIMr�IT, APPLIES PER <br />GENERAL AGGREGATE S 2.000,000 <br />X POLICY SMTT LOC <br />PRODUCTS - COMP/OPAGG S 2,000,000 <br />OTHER: <br />Sexual AbuselMolestetlon S Included <br />A AUTOMOBILE LIABILITY PHPK1269512 12/16/2014 <br />_. <br />12/1512015 COMBINED SINGLE LIMIT S <br />(Eaawiden0 1000,Doo <br />._ <br />X ANY AUTO <br />BODILY INJURY (Per parson) $ <br />AILITOSNED SCHEDULED <br />AUTOS <br />BODILY INJURY (Per accident)-8 <br />XNON OWNED <br />PROPERTY DAMAGE $ <br />HIREDAUTOS x_. AUTOS <br />_[Persceldent)_. <br />$ <br />A X UMBRELLA LIAR X OCCUR PHUB483491 12/15/2014 <br />12115/2015_ EACH OCCURRENCE S 10.000.000 <br />EXCESS LIAR CLAIMS -MADE <br />AGGREGATE S 10.000,000 <br />TIED RETENTIONS <br />$ <br />B WORKERS COMPENSATION <br />EIG1453813-03 04101/15 <br />04/01/16 X STATUTE OTH <br />AND EMPLOYERS' LIABILITY Y N <br />,. <br />ANY PROPRIETOR/PARTNEWEXECUTIVE <br />N �I N I A <br />E.L.EACHACCIDENT S 1 000000 <br />OFFICERIMEMEER EXCLUUED9 <br />(Mandatory in NH) <br />E.L.DISEASE - EA EMPLOYEE$ 1A00,ow <br />If yyaa (II code( <br />- --- - - <br />- 1,000.000 <br />DESdRIPTION OF OPERATIONS beow <br />E.L. DISEASE, POLICY LIMIT $ <br />OSSCRIPPON OP OPERATIONS I LOCATIONS VSNICLES (ACORD tdt, Adenine K&V4aWeQaoPy Attached Raxn space is n4utrind <br />The City of Santa Ana, Parks, Recreation and Community Services Agency to Included as Additional <br />Insured for General Liablity as required by written <br />contract. 22 1- <br />Silvia Cuevas <br />PRCSA(Admir), <br />City of Santa Ana, Its officers, agents, and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Parks, Recreation and Comrnuntly Services Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE <br />The ACORD name and loqo are registered marks of ACORD @ 1988.2014 ACORD CORPORATION. All rights reserve <br />ACORD 26 (2014/01) <br />