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DISCOVERY SCIENCE CENTER OF ORANGE COUNTY (6)- 2016
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DISCOVERY SCIENCE CENTER OF ORANGE COUNTY (6)- 2016
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Last modified
5/30/2017 3:45:57 PM
Creation date
12/28/2016 10:37:25 AM
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Contracts
Company Name
DISCOVERY SCIENCE CENTER OF ORANGE COUNTY
Contract #
A-2016-179
Agency
PUBLIC WORKS
Council Approval Date
7/5/2016
Expiration Date
7/5/2017
Insurance Exp Date
7/1/2018
Destruction Year
0
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271069 <br />AC R& CERTIFICATE OF LIABILITY INSURANCE <br />DAT4/6/2016 YYYI <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 endorsement(s). <br />PRODUCER <br />Commercial Lines - (818) 464-9300 <br />Wells Fargo Insurance Services USA, Inc. - CA Lic#: OD08408 <br />15303 Ventura Boulevard, 7th Floor <br />Sherman Oaks, CA 91403-3197 <br />- <br />CONTACT Catherine Cory <br />______ <br />PHONE FAX <br />Alc p.EXt); 818-464-9458 _ AIC Net 866-9_6_8-5687 <br />E-MAIL <br />ADDRESS: catherine.cory@wellsfargo.com <br />_ <br />_ <br />INSURER(S AFFORDING COVERAGE <br />NAIC 6_ <br />_ _ <br />INSURERA: Philadelphia Indemnity Insurance Company <br />18058 <br />INSURED <br />Discovery Science Center of Orange County <br />2500 North Main Street <br />Santa Ana, CA 92705 <br />INSURERS: Employers Assurance Company <br />25402 <br />_ _ <br />INSURER C <br />---- --- ---- <br />INS_U_RER D <br />_ <br />— <br />--- <br />INSURER E, <br />$ 20,000 <br />INSURER F <br />_..... _.— _- <br />PERSONAL &ADV INJURY <br />COVERAGES CERTIFICATE NUMBER: 10353975 RRVIF,1f1N NIINIRFR• Rcc hcirnm <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 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 PAID CLAIMS, <br />SNSR <br />LTR <br />TYPE OF INSURANCE <br />pDbL <br />SUBR <br />POLICY NUMBER <br />MM OIOIYYYY <br />MMIDD YYYY) <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />X <br />PHPK1432448 <br />12115/2015 <br />12/15/2016 <br />A <br />$__ 1,Ooo,oa9 <br />DAMAGETOaEff-T <br />PREMISESIEocurrcel_—$ <br />1,000,000 <br />MEL) EXP (Any one person) <br />$ 20,000 <br />_..... _.— _- <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />GENT <br />X <br />AGGREGATE LIMIT APPLIES PER: <br />PRO - <br />POLICYF_ JECT LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMPIO_P AGO <br />$ 2,000,000 <br />Sexual AhuselMoleslation <br />$ Included <br />A <br />AUTOMOBILE <br />LIABILITY <br />AUTO _ <br />ALL OWNED SCHEDULEDBODILY <br />AUTOS AUTOS <br />X NONOWNED <br />AUTOS <br />PHPK1432448 <br />12/15/2015 <br />12/15/2016 <br />COMBNEDSI GLEUMIT <br />eccitlent <br />$ 1,000,000Ee <br />BODILY INJURY(Per person) <br />$ <br />IxANY <br />INJURY Per accident <br />( <br />)HIREDAUTOS <br />$ <br />__ <br />PROPERTYDAMAGE <br />Per accident <br />$ -- <br />A <br />x <br />I UMBRELLA LIAB <br />EXCESS LIAB - <br />X_ <br />OCCUR <br />CLAIMS -MADE <br />PHUB524655 <br />12/15/2015 <br />12/15/2016 <br />EACH OCCURRENCE <br />$ 10,000.000___ <br />AGGREGATE <br />_ <br />$ 10,000,000 <br />DED RETENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE � <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTIONOFOPERATIONSbeioW <br />N I A <br />EG1453813-04 <br />04/01/16 <br />04/01/17 <br />PER oTH- <br />X_.,STATUTE <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E . DISEASE - EA EMPLOYEE <br />_ _ <br />$ 1,000,000 <br />-- <br />E.L. DISEASE -POLICY LIMIT <br />— <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aaached If more apace is required) <br />The City of Santa Ana is included as Additional Insured for General Liability as required by written contract. <br />J <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Public Works Agency, M-21 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />P O Box 1988 AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 Q <br />dPn A <br />e <br />The ACORD name and logo are registered marks of ACORD ©1080-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) 111111111111111111111111111111111111111111II 1111111111 II 111111111111111111111 <br />
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