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DISCOSCI <br />AC RD CERTIFICATE OF LIABILITY INSURANCE <br />lia�THIS <br />DATE(NOU0 9yyy) <br />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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . <br />PRODUCER <br />CONTACT Norah.Jacobo <br />Commercial Lines - 213-253-6700 <br />NAME: <br />PHONE FAX <br />USI Insurance Services LLC - CA Lid#: OD08408 <br />ac Na: <br />E-MAlio s:1: <br />AODREsNoreh.Jacobo@usl.com <br />777 South Figueora St, Ste 2100 <br />Los Angeles, CA 90017 <br />INSURER(S) AFFORCONG COVERAGE <br />NAICA <br />INsuR RA: Philadelphia Indemnity Insurance Company <br />18058 <br />INSURED <br />INSURER B: <br />Discovery Science Center of Orange County <br />dba Discovery Cube Orange County <br />INSURER C: <br />2500 N. Main Street <br />INSURER D: <br />Santa Ana, CA 92705 <br />NSUR E: <br />INSURERER F <br />COVERAGES CERTIFICATE NUMBER: 14428758 REVISION NUMBER' See below <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ApDVSUER <br />I POLICY NUMBER <br />MM�IDIDY <br />CAIODIYEYY <br />— -- <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CIAIMS-MAOE a OCCUR <br />X '. PHPK2006438 <br />7/1/2019 <br />7/1/2020 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />TOR <br />PREMISES Ea occurrence <br />$ 1,000,000 <br />MEO EXP (Any we person) <br />$ 20,000 <br />PERSONAL S ADV INJURY <br />S 1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JECT E LOC <br />GENERAL AGGREGATE <br />S 2,000,000 <br />GEN'L <br />X <br />PRODUCTS-COMPIOP AGG <br />$ 2,000,000 <br />I Sedial Abuse/Molestation <br />$ InclUded <br />OTHER: <br />A <br />AUTOMOBILELIABILITY <br />PHPK2006438 <br />7/1/2019 <br />7/1/2020 <br />2"BIINEED SINGLE LIMIT <br />§ 1,000,DD0 <br />X <br />BODILY INJURY (Per person) <br />§ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS <br />INJURY (Per axltlenU <br />$ <br />HIm050NLV <br />HIRED X NON�WNEDAUTOS <br />AUTOS ONLY AUTO$ ONLY <br />X <br />PBODILYROPS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />A <br />X <br />UMBRELLALIAB <br />X OCCUR <br />PHUS684343 <br />7/1/2019 <br />7/1/2D2O <br />EACHOCCURRENCE <br />s 5,D00,000 <br />EXCESS UAB <br />CLAIMS -MADE <br />AGGREGATE <br />g 5,000,0W <br />DED I I RETENTION$ <br />S <br />WORKER$ COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYICERVM MBER XCLUD IEXECUTNE <br />OFFICERMIEMBERE%CLUDEO? ❑ <br />NIA <br />PER TH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYEE <br />5 <br />(Mandatory in NH) <br />N yes, tle oribe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISFASE-POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured as it relates to general liability in <br />accordance with the terms and conditions of the policy. Umbrella follows form as it relates to additional insureds. The above coverage is primary and <br />noncontributory where required by written contract. Separation of insureds applies per policy form. Certificate holder is provided 30 days notice of <br />cancellation in accordance with the terms and Conditions of the general & auto liability policies. <br />REVIEWED &APPROVED <br />City of Santa Ana 12 2019 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Attn: Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, M-28 SAMA HA M. LAMBERT <br />Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE <br />I ne Au umu, name and logo are registered marks of ACORD ©1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) <br />