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271069 <br />A`C� �® CERTIFICATE OF LIABILITY INSURANCE <br />DATE IYYYY) <br />4/23/2023/2018 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Commercial Lines - 213-253-6700 <br />USI Insurance Services National, Inc. - CA Lic#: OD08408 <br />CONTACT Norah.Jacobo <br />NAME: <br />PHONE FAx <br />A/C No Ext : AIC No): <br />E-MAIL ADDRESS: Norah.Jacobo@usi.com <br />777 South Figueora St, Ste 2100 <br />INSURER(S)AFFORDING COVERAGE <br />NAIC# <br />Los Angeles, CA 90017 <br />INSURERA: Philadelphia Indemnity Insurance Company <br />18058 <br />INSURED <br />Discovery Science Center of Orange County <br />INSURERB: Travelers Property Casualty Co of America <br />25674 <br />INSURER C <br />2500 North Main Street <br />INSURERD: <br />Santa Ana, CA 92705 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 12968799 REVISION NUMBER: See below <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 />INSR <br />LTR <br />7ypE OF INSURANCE <br />ADDL <br />INSD <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />X <br />PHPK1590101 <br />12/15/2016 <br />7/1/2018 <br />EACH OCCURRENCE <br />S 1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />_ <br />S 1,000,000 <br />MED EXP (Any one person) <br />S 5,000 <br />PERSONAL & ADV INJURY <br />S 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />S 2,000,000 <br />X POLICY PRO JECT LOC <br />PRODUCTS - COMP/OP AGG <br />S 2.000,000 <br />Sexual Abuse/Molestation <br />S Included <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />X <br />PHPK1590101 <br />12/15/2016 <br />7/1/2018 <br />EeacoideDISINGLELIMIT <br />$ 1.000,000 <br />BODILY INJURY (Per person) <br />S <br />X <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />S <br />11 <br />HIRED X I NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />A <br />X <br />UMBRELLALIAB X <br />OCCUR <br />PHUB567098 <br />12/15/2016 <br />7/1/2018 <br />EACH OCCURRENCE <br />S 11,000,000 <br />AGGREGATE <br />$ 11,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTIONS <br />S <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETOR/PARTNERIEXECUTIVE C <br />OFFICER/MEMBER EXCLUDED? N <br />(Mandatory in NH) <br />N/A <br />X <br />UB-003K355354-18 <br />04/01/18 <br />04/01/19 <br />x STAPE <br />TUTE EORH <br />—"-'"'- <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />S 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The City of Santa Ana is an Additional Insured for General Liability as required by written contract. The coverage is primary and not contributory. <br />REVIEWED BY: EUNICE HEREDIA (PG JOF ) <br />UtK I IfIUA I t HULUtK <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza - #M - Ross Annex ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />9(-' <br />The ACORD name and logo are registered marks of ACORD @ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) <br />