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PROOF OF INSURANCE (2015) CLOSEDAC"REO CERTIFICATE OF LIABILITY INS NCE DATE (MMIDDIYYYY 3!191201.5 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 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 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. Hylant Group Inc - Toledo PHONE "" X 7SS7 ...... .s� -1 n9n /c Noy n1 a ��� �5�� F �a11 A� 811 Madison Ave ww� 4 � .._ E.MAia. _ m . Toledo OH 43604 &D -09SS� ....... ....................._ . EACH OCCURRENCE INSURER(S), AFFORDING COVERAGE ww„ w„ N,A,I,C..N ............... ..... INSURER A:PhlariPlnhialnrlP C mQl Ana n -5R Rn �. INSURED M &JKI-1 INSURER B Hartfrri QrsriPnt anri InrfPrnnit (nm 2 719; 7 .itv r.� M &J Kids Scientific Inc dba INSURER C Mad Science of Los Angeles PREMISE dlITaocr�avercal 15815 Monte St, Ste 101 INSURER D: ° ° °° .'. .......... '' '° .......... Sylmar CA 91342 INSURER E X Abuse /Molest. INSURER F COVERAGES CERTIFICATE NUMBER: 451861632 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 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, . ----------- e ... INSRTYPE OF IN.....__'__' _�'______W............_..'DiTL, '___� ,....... .,...,rw... POLICY E'FF POLICY EX'P_., .._..,..,Ae.,.. . ............._................. .. L, m INSURANCE Iota �nnm POLICY NUMBER 1MMIDDIYYYYI fMlyllg4M{YYA LIMITS A GENERAL LIABILITY Y PHPK1187893 /112014 71112015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY - -_ � � CLAIMS -MADE X OCCUR PREMISE dlITaocr�avercal $300,000 MED EXP (Any one person) __$_15,000 X Abuse /Molest. PERSONAL &ADVINJURY $1,000,000 GENERALAGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: P RODUCTS - COMP /OP AGG $2,000,000 POLICY PRO- LOC A &M $1,000,000 A AUTOMOBILE LIABILITY PH PK 1187893 7/1/2014 7/1/2015 COMBINE EaeGgedflrNR ANY AUTO BODILY INJURY (Per person) $ "" ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X m ........� _ . NON -OWNED HIRED AUTOS x...._ AUTOS PROPERTY DAMAGE -- !Par arri 1PnR _._.e... _.....m.,,m,.�,. -.. . -....... -� - - -� $ ................. .� ... . ...... ......._ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION Y 45WECBW5158 /111/2014 11/1/2015 X WCSTATU OTH � OFFCERO/M MNH) EXCLIUDED ?ECUTIVE (Myandato N/A E,L DSEASCCII EMPLOYEE ''.: $1,000,000 .... ...........® If DESCRIPTION OF OPF_RATIONS hPlcw E L DISEASE -POLICY LIMIT $1.000.000 . .... DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City, its officers, officials, employees, agents and volunteers are included as an Additional Insured per form CG2010. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of El Segundo Parks eC ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Ms. Vina Ramos 350 Main St AUTHORIZED REPRESENTATIVE El Segundo CA 90 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PHPK118 7893 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL (INSURED - OWNERS, LESSEES O CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Orqanization(s) Location(s) Of Covered Operations City of E1 Segundo Parks & Rec Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of yo r ongoing operations r the additional insured( at the loc, n(s) designated above.w 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 2 C. 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. Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA/ Policy Number: 45 WF.0 BW5158 Endorsement Number: Effective Date: 11/01/14 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: M&J KIDS SCIF— NTIFIC, INC. 15816 MONTE ST STE 101 SYLMAR, CA 91362 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description ANY PERSON OR ORGANT7.ATTON FROM WHOM YOU ARE REQUIRED BY WRTTT'EN CONTRACT OR AGR1r %V.MENT/ TO ORTATN THIS WATVER OF RIGHTS FROM US Countersigned by Form WC 04 03 06 (1) Printed in U.S-A. Process Date: 10/27/14 ANY Authorized Representative Policy Expiration Date: 11 / 0 1 / 15