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Insurance - Discovery Science Center 2015-07-01271069 ,4� �® CERTIFICATE OF LIABILITY INSURANCE oAT711/2015 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Catherine Cory Commercial Lines - (818) 464-9300 PHONE FAX rAIC.No,. 818-464-9458 INC. No: 866-968-5687 Wells Fargo Insurance Services USA, Inc. - CA Lic#: OD08408 AE-MAS'SS: catherine.cory@wellsfargo.com 15303 Ventura Boulevard, 7th Floor 12/15/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO PREMISESS(Ea occurrence) $ 1,000,000 INSURER(S) AFFORDING COVERAGE NAIC # Sherman Oaks, CA 91403-3197 INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURED INSURER a: Employers Compensation Ins Co 11512 Discovery Science Center of Orange County PERSONAL B ADV INJURY $ 1,000,000 INSURER C dba Discovery Cube Orange County GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 INSURER D 2500 N. Main Street INSURER E: Santa Ana, CA 92705 INSURER F: X POLICY ❑ IRI JEC LOC COVERAGES CERTIFICATE NUMBER: 9321173 REVISION NUMBER- See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/OD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR X PHPK1269512 12/15/2014 12/15/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO PREMISESS(Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 20,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ IRI JEC LOC PRODUCTS-COMP/OPAGG $ 2,000,000 Sexual Abuse/Molestation $ Included OTHER. AUTOMOBILE LIABILITY PHPK1269512 12/15/2014 12/15/2015 COMBINED SINGLE LIMIT $ 1p00,000 Ea accident BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident $ ( ) 11 X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per accident 8 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS'UABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? � NIA EIG1453813-03 04/01/15 04/01/16 X I STATUTE ETH E.L. EACH ACCIDENT $ 1.000.000 E.L. DISEASE - EA EMPLOYEE $ 1.000.000 (Mandatory in NH) If yes• describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as an Additional Insured for General Liability, but only as respects to claims arising out of the negligence of the Named Insured. Costa Mesa Sanitary District �yJ ^ /� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 628 West 19th Street JI'/ft� I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ':osta Mesa, California 92627 AUTHORIZED REPRESENTATIVE 9r The ACORD name and logo are registered marks of ACORD © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) POLICY NUMBER: PHPK1269512 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ ization(s): Costa Mesa Sanitary District 628 West 19th Street Costa Mesa, California 92627 this A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or 'personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1