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271069
<br />ACCML CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDIYYYY)
<br />`.--"'"
<br />12/22/2015
<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(les) 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 />certificate holder in lieu of such endorsemenk s .
<br />PRODUCER
<br />CONTACT
<br />NAME;Cal
<br />. _._horine Cory
<br />_ y ..�._._.....
<br />Commercial Lines - 818 464-9300
<br />( )
<br />_...__FA% �.._.—
<br />PHONE 818-464-9458
<br />' _ -- _ AIL Not, 866-068-5687
<br />Wells Fargo Insurance Services USA, Inc, - CA Licht. : gD08408
<br />_
<br />E MAIL_AOURES: cltherine.nory[rUwellsfaryo,com
<br />15303 Ventura Boulevard, 7th Floor
<br />Sherman Oaks, CA 91403-3197
<br />INBBRER(B) AFFORDING COV[RAGE
<br />--— NAIC N
<br />""--':----- C
<br />INSURER A: Philadelphia Indemnity Insurance Company 18058
<br />_._.._._—�..._._.._,.__ ...,_.._
<br />INSURED r L'-
<br />Discovery Science Canter of Orange County � �'=� �') � � 1
<br />or
<br />- INSURER B; `EmPfO y '-'-s Compensation Ins Co 11512—
<br />dba Discovery Cube Orange Courtly
<br />_INSURERC;
<br />INSURER D
<br />-i- '-"'
<br />2500 N. Main Street
<br />-----_--
<br />INSURERE; w _ �.--�
<br />Santa Ana, CA 92705
<br />INSURER F ;
<br />GQVE AYES CEttIIFICA ENUmmik Fl1 ye ICUy3 Ocvlcln\I r.0 uaoco. c
<br />THIS
<br />IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEuFOR THE POLICY PERIOD
<br />INDICATED.
<br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE
<br />MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS
<br />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />LTR
<br />IAD15CA06"Rj�'_"�"-'_"—' POLICY EFF '.: p61'cY E%P - - —" --'—"
<br />TYPE OF INSURANCE POLICY NUMBER MMIODIYYYY MWODIYYYY LIMITS
<br />rX COMMERCIAL
<br />A
<br />GENERAL LIABILITY X PHPK1432448 I j 12/15/2015 12/15/2016 EACH OCCURRENCE S 1,000000
<br />X `,
<br />OCCUR
<br />CLAIMS -MADE LPREMISES (Ee occurrence) I'_5 1,000,000
<br />ti
<br />MED EXP (Any, one parson) I $ 20,000
<br />PERSONAL B ADV INJURY IS 1,000000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE lS 2000,000
<br />X �
<br />POLICY( IjE� LOG PRODUCTS-COMPIOP AGO 1 S 2,000,000
<br />OTHER
<br />- : I `
<br />{ Sexual AbuselMolesrel $ _
<br />A
<br />or� Included
<br />Au7oMoeae LIABILITY I PHPK143244B 1211512015 (12/15/2016 caMBINED SINGE IMI I S
<br />I aao o9G i-1Ea a claerlll._..-.
<br />F % ANY AUTO I BODILY INJURY (Per person) S
<br />ALL OWNED SCHEDULED I'�----
<br />AUTOS <AUTO6 INJUR'I (Par acc,tlengl$
<br />1 X = HIRED AUTOS % I NON-cI PROPERTYDAMAGE �W --
<br />AUTOS PROPERTY
<br />t—� §
<br />- - Par acaL4a tt
<br />I _ --$
<br />TEACH
<br />A
<br />X UMBRELLA LIAR X OCCUR
<br />) Pf- UB524655 112/15/2015 ( 12/15/2016 OCCURRENCE - 5 10,000, 000
<br />E%CEBe LIAB CLAIMS -MADE: `
<br />_
<br />A REGATE W g 10, 000,000
<br />DED 1 RETENTIONS
<br />104/Ol/15
<br />B
<br />WORKERS COMPENSATION #
<br />AND EMPLOYERS' LIABILITY Y I N
<br />EIG1453813-03 104/01/16 % PER OTH ,
<br />I ...,STATUTE ER
<br />'..
<br />ANY PROPRIETORIPARTNERIEXEGUTIVE
<br />OPFICERIMEMBER EXCLUDED4 aINIAi
<br />E. L. EAGH ACCIDENT _E ;F1i0,[X10
<br />_ f- _
<br />!
<br />(Mandatory in NH)
<br />If Ves
<br />EL DISCASE-EA EMPLOYEE S 1 000,000
<br />ibESCRIPTION
<br />SORPTIdescribeON OFFrde,
<br />OF OPERATIONS hePow
<br />iE. L. DISEASE -POLICY LIMIT j S 1000,00D
<br />i
<br />i I i
<br />I
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES JACORD 101, Addi lonai Raii Schedule, may ba attached It more apace is regWcedi r
<br />rT��~�o
<br />The City of Santa Ana, Parks, Recreation and Community Services Agency is included as Additional Insured for Gblity as required written
<br />eRakA
<br />contract \k�\
<br />e,
<br />City of Santa Ana, its officers, agents, and employees SHOULD ANY 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 />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS,
<br />Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE
<br />The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATInN
<br />ACORD 25 (2014,D1) 1111111111111111111111111111111 IN 111111111111111 IN II I IIII I II I I II •,:vaplaz2�¢neeamvoamon,ro
<br />
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