Laserfiche WebLink
'q��R� CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMDOYYYY) <br />Ds/D6/2D1e <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED <br />BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />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 <br />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 endomement(s). <br />PRODUCER <br />CONTACT Migliazzo <br />NAME <br />Caremaster Insurance Agency <br />AlC No Ext: (805) 491-9220 AIC No: (866)409-6450 <br />i&���ennis@wremasterins.com <br />ADDRESS: Bennis@Caremastedns.Com <br />12474 Ridge Drive <br />12 74 Ridge Drive <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />Santa Rosa Valley CA 93012 <br />INSURER A: Travelers Properly Casualty Company ofAmerice <br />25674 <br />INSURED <br />INSURER B : <br />Discovery Science Center of Orange County, DBA: Discovery Cube <br />2500 N. Main St. <br />INSURERC : <br />INSURER D <br />INSURER E : <br />Santa Ana CA 92705 <br />INSURER F: <br />RCYr01um IYYmtsc R: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 />Illiff <br />LTRVrRIIi <br />INSURANCE <br />OFCIAL <br />I SD <br />VIVID <br />POLICY NUMBER <br />MM/DDT <br />MM/DDNYYY <br />LIMITS <br />COMMERTYPE <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />PREMISES Es occumence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL S ADV INJURY <br />S <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ JEa LOC <br />OTHER: <br />GENERALAGGREGATE <br />$ <br />PRODUCTS - CCMP/OPAGG <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY I I AUTOS <br />HIRED I I NON BONED <br />AUTOS ONLY AUTOS ONLY <br />COMBINED SINGLE LIMIT <br />Ea axitlent <br />$ <br />BODILY INJURY(Psrperson) <br />$ <br />BODILY INJURY (PefaaidenQ <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />A <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CtAIMS-MADE <br />N/A <br />UB-2N146060-19-14-G <br />04/01/2019 <br />04/01/2020 <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED I RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mendatoryin NH) <br />Ir yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />_ <br />x STATUTE ERH <br />$ <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1,000-000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Addaienal Remarks Schedule, may be aaachetl K more space Is required) <br />*10 days for nonpayment of premium. <br />REVIEWED & APPROVED <br />By RIS MANAC{EMENT DIVISION <br />JAM*THA M. LAMB ROHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, M-28 <br />P.O.BoX 1988 AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 02702 iI <br />©1988-201S ACORD CORPORATION en einH�e a�e.,.ed <br />AOUKU 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />