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THEJAYP-01 PREVOMA
<br /> CERTIFICATE OF LIABILITY INSURANCE 7.ATE(MMfDWYYYYI
<br /> 3120/2026
<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 /> 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 endorsement(s).
<br /> PRODUCER CONTACT Jessica Per
<br /> NAME: _
<br /> Hylant-Toledo PHONE FAX
<br /> 811 Madison Ave (A/C,No,Ext) (734)794-0044 (Arc,No):
<br /> Toledo,OH 43604-5684 ADDAIL
<br /> RESS:Jessica,Perry@Hylant.com
<br /> INSURERS)AFFOR(NG COVSRAGE NAIC#
<br /> INSURER A:Philadelphia Indemnitylns Co 18058
<br /> INSURED INSURER B:Hartford Casualty Insurance Co _ 29424
<br /> The Jay Particle, LLC dba Mad Science of West Orange INSURER
<br /> County
<br /> 3501 W.Moore Ave.,Suite J INSURER D
<br /> Santa Ana,CA 92704 INSI URER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 RESPECTTO 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.LIMIT_S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR ADDLSUTYPE OF INSURANCE INSD W D POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR I D!wVD MMIDDIYYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE X OCCUR tAAGESJA _q, 300,000
<br /> X X PHPK2645846-003 1127/2026 1127/2027AGSE.'TO Rcc EXP An ane erson $ 15,000
<br /> _PERSONAL_&ADVINJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000
<br /> POLICY PRa- LOO 4,040,004
<br /> JECT PRODUCTS--COMPfOP AGG $ _
<br /> X OTHER.ABUSEIMOLESTATION $1M1$2M s
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,404
<br /> IEa accident) S
<br /> ANY AUTO PHPK2645846-003 1127/2026 1/27/2027 BODILY INJURY(Per person S
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident S _
<br /> X HIRED NON 0V NED PROPERTY pAMAGE
<br /> AUTOS ONLY AUTOS ONLY (Per accident) $ _
<br /> I I $
<br /> A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE_ S 1,000,000
<br /> EXCESS LIAR CLAIMS-MADE PHUB897330-003 112712026 1127/2027 AGGREGATE S 1,000,000
<br /> DED ' X I RETENTION S 10,000
<br /> S
<br /> B WORKERS COMPENSATION IPER
<br /> AND EMPLOYERS'LIABILITY X�TAT(_ITE_ ER ---
<br /> ANY YIN 45WECAV7H87 1/2712026 112712027 i 1,000,000
<br /> ANY FE1111E TORIPXCLIDE ER,EXECUTIVE EL,EACH ACCIDENT $
<br /> x
<br /> OFFIGERIMEMBER EXCLUDED? � N f A'
<br /> (Mandatory in NH) 1E,L_DISEASE-EA EMPLOYEE 3 1,000,000
<br /> If yes:describe under 11000,000
<br /> DESCRIPTION OF OPERATIONS below I I EL DISEASE-POLICY LIMIT 3
<br /> A Commercial Property PHPK2645846-003 112712026 j 1/27/2027 j13PPIRCIDED$1,000 20,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required(
<br /> Philadelphia Indemnity Insurance Company,accident and health,PHPA167869-000,1 12 712 0 26-1 1271 2 0 2 7,accident medical expense benefits$10,000.
<br /> Coalition Insurance Solutions Inc.,cyber liability,C-4MA1-282469-CYBER-2026,112712026-112712027,aggregate$500,000,retention$5,000.
<br /> Philadelphia Indemnity Insurance Company,employment practices liability,PHSD1887153-000,112 712 0 2 6-1127120 2 7,aggregate$500,000,retention$25,000.
<br /> City of Santa Ana its City Council,officers,officials,employees,agents and volunteers are included as an Additional Insured for General Liability,on a
<br /> Primary and Non-Contributory basis,when required by written agreement,subject to policy provisions.A Waiver of Subrogation applies on the General
<br /> Liability and Workers Compensation policy in favor of the Additional Insured.
<br /> **There are no vehicles in the company name,therefore the only auto coverage available is hiredlnon-owned ��AIP!PROVEDCERTIFICATE HOLDER CANCELLATION Tran Nguyen at 3:41 pm,Mar 23,2026
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ty ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn: Parks, Recreation,and Community Services Agency
<br /> 20 Civic Center M-23
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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