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Digitally signet <br />CERTIFICATE OF LIABILITY <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR AL RR �TiI QVEpq <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRAC ry j! <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMYURI AN I: h the certificate homer is an ADDITIONAL INSURED, th, <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of <br />this certificate does not confer rights to the certificate holder in lieu of <br />PRODUCER <br />Gaspar Insurance Services, Inc. <br />23161 Ventura Blvd, Suite 100 <br />Woodland Hills CA 91364 <br />INSURED DISC( <br />Discovery Science Center Of Orange County dba Discovery Cube <br />Orange County <br />2500 N Main Street <br />Santa Ana CA 92705 <br />must have ADDITIONAL INSURED <br />certain policies may require an am <br />by rVcgtemmonrrY) <br />7 3/1/2022 <br />k�p7 IA ER. THIS <br />SBi i7 D <br />i/_.r/.AA ^ 11/ 1 <br />5v1tI6h; er'b2 eNlirs'dd: <br />Bement. A statement on <br />COVERAGES CERTIFICATE NUMBER- 1g4146RR54 REVISION NUMBER <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 <br />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 />INTR <br />TYPE OF INSURANCE <br />ADDL <br />BURR <br />POLICYNUMBER <br />POUCYEFF <br />MMIDIVYYYY <br />POLICY EXP <br />MM/DDIYYYYI <br />LIMITS <br />A <br />X <br />COMMERCIALGENERALLIABILDY <br />CLAIMS -MADE I OCCUR <br />V <br />Y <br />PHPK2292290 <br />7/1/2021 <br />7/112072 <br />EACH OCCURRENCE <br />$1110091000 <br />DAMA RENT <br />PREMISES Es occa ence <br />$100,000 <br />MED EXP(Any one person) <br />$5,000 <br />PERSONAL S ADV INJURY <br />$1.000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PEA lxl LOG <br />GENERALAGGREGATE <br />$Z0119,6110 <br />elMolesta <br />A <br />AIITOMOBILELV1aILnY <br />ANY AUTO <br />Y <br />Y <br />pHPK2292290 <br />7/1/2021 <br />7/1}2e22 <br />iSINGLE LIMIT <br />JURY(Per person)OWNED <br />SCHEDULED <br />AUTOS ONLY AUTOS <br />#PRODUCTS-COMPMPAGG-COMPMPAGGM$2.000,OOOOTHER: <br />JURY(Per accident)HIRED <br />X NON-0WNED <br />AUTOS ONLY AUTOS ONLY <br />DAMAGE <br />nl <br />A <br />X <br />UMBRELLALIAB <br />[I <br />OCCUR <br />Y <br />Y <br />PHUB773900 <br />7/1/2021 <br />7/1/2022 <br />EACH OCCURRENCE <br />$5,000;000 <br />AGGREGATE <br />$ 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DIED I X I RETENTION$ 1 n nnn <br />$ <br />I <br />I <br />B <br />'WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />ANYPROPRIETORIPARTNEWEXECUTIVE [fl <br />OFFICER/MEMBEREXCLUDEDI <br />NIA <br />UB$P50799A <br />4/1/2021 <br />411/2022 <br />X STATUTE EERH <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L DISEASE -EA EMPLOYEE <br />$1.000,000 <br />(Mandatory in NH) <br />If yas, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$1.000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks schedule, may be attached if more space is required) <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 />*10 days notice for non payment of premium. <br />The policy shall not be cancelled or reduced in coverage or changed in any other material aspect without (30) days prior written notice except 10 days for <br />non-payment of premium. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />State Coastal Conservancy ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Linda Tong <br />1515 Clay St. 10th Floor AUTHORREDREPRESENTATNE <br />Oakland CA 94612 <br />��,d,s:,�e Putt, rlkgawltDMe. <br />,,_:'i ��� REVIEvrED6APPROV®eY: <br />©1988-2015 ACORD $ ? A+ jd Aa v44 <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD —�� Risk Management Specialist <br />