HERITAGE MUSEUM OF ORANGE COUNTY (9)

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olgltMy signed by FrancineR Francine R. Villareal Vfltr aI Dale: 2020.12.e9 vRJ04 goes' ACOf2LO® CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYY) 12/09/2020 THIS CERTIFICATE IS ISSUED AS 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 BELOW. 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 have ADDITIONAL INSURED provisions or 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 Mary Pofar NAME: ISU- Dunlap Agency plcNNO Ext: (714)838-3158 A16 No: (714)922-6157 700 West 1st St., Suite 8 �mary@dunlapins.com INSURERS) AFFORDING COVERAGE NAIC N Tustin CA 92780 INSURERA: GrealAmedcan Insurance INSURED INSURERS: Oak River Insurance Co. Heritage Museum of Orange County INSURER C : 3101 W. Harvard Street INSURER D : INSURER E : Santa Ana CA 92704 INSURERF: COVERAGES CERTIFICATE NUMBER: CL2062204674 REVISION NUMBER: 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 CONTRACTOR 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. INSRR TYPE OF INSURANCE INSD MD POLICY NUMBER POLIO MMIDDS"(11f) POLICY EXP (MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ 1,000,000 tU PREMISIIUKNES EaEocccueence $ 300,000 MED EXP(An one person) $ 20,000 PERSONAL&ADV INJURY $ 1,000,000 A PAC 4296301-05 07/01/2020 07/01/2021 GEN'L AGGREGATE LIMITAPPLIES PER: X POLICY ❑ JECPROT- ❑ LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP(OP AGO $ 2,000,000 $ OTHER: LIABILITY COMBINED SING LE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO AOWNED SCHEDULED AUTOS ONLY AUTOS PAC 4296301-05 07/01/2020 07/01/2021 POMOBILE aODILYINJURV Per accldenU $ HIRED NON -OWNED AUTOS ONLY HAUTOS ONLY PROPERTY DAMAGE Perawldenl $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION ANDEMPLOYER9'LIABILITY ANYPROPRIMBERIPARTNDED? unvE Y❑ In NH) EXCLUDED? (Mandatory In NH) (Mandatory If yes, describe under DESCRIPTION OF OPERATIONS below NIA HEWC116523 07/01/2020 07/01/2021 PER OTH- !� STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 A Building PAC 4296301-05 07/01/2020 07/01/2021 Ded: $5,000 $6,365,305 DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES (ACORD 101, Additional Remarks schedule, may bealtached If more space Is required) The City of Santa Ana, It's officers, employees, agents, and representatives are named ad Additional Insured In regards to General Liability per attached CG201511 88 Additional Insured form. City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th FI. Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE DeI 51988.2015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD .a PJAMmugemmEDbisian ��° REVIEWED&ppAPPROVED BY�: SI ,1' � �4h6M.vNE M1v. V4.TAb/daA1. Risk Management Analyst 00,