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ACORV CERTIFICATE OF LIABILITY INSURANCE <br />°"`�'NI"°°"" <br />1111� <br />1 7127/2020 <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 />REPRES ENTATIVE OR PRODUCER, WND THE CERTIFICATET =R--- <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 WANED, 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 />D NVeACT <br />NAM <br />Gasper Insurance Services. Inc. <br />PHONE �_ 818-302-3060 uc. Not. <br />23161 Ventura Blvd, Suite 100 <br />EMAIL <br />Woodland Hills CA 91364 <br />INSURERSAFFORDINGCOVERAGE <br />NAIC4 <br />_ <br />INSURER A. Philadelphia Indemnity Insuran <br />18058 <br />Ucensel 0GS6162fi <br />INSURED DISCCUM1 <br />INSURER B : Travelers Property Casualty CD <br />25674 <br />Discovery Science Center Of Orange County dba Discovery Cube <br />Orange County <br />INSURER c <br />INSURER D: <br />2500 N Main Street <br />Santa Ana CA 92705 <br />_ <br />INSURER E. <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 1129310683 REVISION NUMBER: <br />THIS 15 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 />INTRP. rypE OP INSORANCE <br />ADDL <br />SUER, <br />POLICY NUMBER MW CYEFF <br />POLICYUPI <br />LIMITS <br />A ' X I COMMEROIALGENERALUABILOY <br />Y Y PHPK2153665 71112020 <br />7J112021 <br />EACH OCCURRENCE <br />51,000,000 <br />PREMISES IEa acaPenmf <br />S 100,000 <br />CIAIMS-MAOE I X OCCUR <br />MED UP lary ana Person) <br />$5.000 <br />PERSONAL 8 ADV INJURY <br />9 1.000.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY Il TER LOCPRODUCTS-COMPIOP <br />GENERAL AGGREGATE <br />52A00.000 <br />AGG <br />52,000,000 <br />OTHER. <br />�. <br />Semal AIA a M to <br />Sincluded <br />A AUTOMOBILE LWBIUTV <br />v f PHPK2153665 b112020 <br />7M,2021 <br />e Ea nd M I D1 SINGLE LIMI <br />51,000,000 <br />BODILY INJURY IPPr wrm nl <br />`BODILY <br />_ <br />5 <br />X ANY AUTO <br />—DOWNED �. SCHEDULED <br />.J AUTOS ONLY AUTOS <br />. X I HIRED NON-0WNEO <br />AUTOS ONLY F_...; AUTOS ONLY <br />INJURY(Per acatlen0 <br />S <br />PROPERTY pAMAGE <br />Pare <br />S <br />5 <br />X UMBRELLAUAB X OCCUR <br />1 Y Y PHUS729849 711,2020 TV2021 <br />I EACH OCCURRENCE <br />S5.000.000 <br />EXCESS LIAB CUIMSd10.DE <br />_—� <br />iAGGREGATE <br />s5,000.000 <br />2=J X RETENTiONS In <br />UB-BP50799A 4:V2020 4012021 <br />.NIA <br />IX PER <br />TUTE ER <br />5 ._ <br />e WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNER,EXECUTIVE <br />OFFICERRAEMBEREXCLUDED� <br />iMantletory In NH) <br />E.L. EACH ACCIDENT <br />151.000.00p <br />E L DISEASE. E4 EMPLOYEEI <br />51.000,00D <br />'Oyyes, IXTIOeur,tler <br />i OESCRIPTIOry OP OPERATIONS below <br />EL DISEASE - POLICY LIMIT <br />151.000.000 <br />DESCRIPTIONOFOPERATIONSILOCATIONS I VEHICLES IACORD151.A4diHonel Rdmarka SLhadu4,mr beaeachaditmanepaa4r"ulmdl <br />This policy Includes a Blanket Additional Insured Endorsement — the certificate holder is an additional insured If required by written contract. Please refer to the <br />attached endorsement. <br />Certificate holder is named as additional insured as it relates to general liability in accordance with the terms and conditions of the policy. Umbrella follows form <br />as it relates to additional Insureds. Certificate holder is provided 10 days notice of cancellation for non-payment of premium in accordance WADI the terms and <br />conditions of the general liability policy. <br />City of Santa Ana, officers. agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement. or <br />memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance tamed by City shall be excess and <br />noncontributory per attached forms. <br />CERTIFICATE HOLDER CANCFI I ATInN <br />REVIEWED &APPRO <br />OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />E <br />City of Santa Ana <br />By Risk MANACiLill DIVI <br />E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />I(A6CORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza. M-28 <br />UTHORaED REPRESENTATIVE <br />PO Box1988 �UL 2 9 2d20 <br />Santa Ana CA 92701 <br />c�a <br />7 <br />F RANY W N. VILLAIttAL ®1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />