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ACORH <br />`� CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMMONYYY) <br />1 9/13/2018 <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(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terns 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 <br />NAME: Mercedes Delaire <br />MPX Insurance Services, Inc <br />JVC No E# ; (949) 334-5330 A1C, No): <br />ADDRESS: Mercedes@mpxinsurance.wm <br />6B Liberty #200 <br />INSURER(3) AFFORDING COVERAGE NAIC0 <br />NSURER A: Scousidale Ins mmee <br />Aliso Viejo CA 92653 <br />INSURED <br />Match Point Tennis Academy LLC �j <br />INSURER e: AmTrust Nand America <br />INSURER C : <br />800 CABRILLO PARK DR <br />INSURER D <br />INSURER E <br />NSURER F: <br />SANTA ANA CA 92701 <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />LTR <br />TYPE OF INSURANCE <br />INSO <br />VNO <br />POLICYNUMBER <br />MMIDD <br />MNVDD <br />LMrB <br />x COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />CLAIMSWADE FXIOCCUR <br />PREMISES Eaoawnence $ 100,000 <br />MED EXP (My one person) $ 5,000 <br />PERSONAL S ADV INJURY $ 1.000,000 <br />A <br />Y <br />CPS3110613 <br />09/12/2018 <br />09/12/2019 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 2,000,000 <br />x POLICY F—]JECOT LOC <br />PRODUCTS - COMPIOPAGG $ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />=UBTRMINGLE LIMIT$ <br />Ea accident <br />BODILY INJURY(PN person) $ <br />ANY AUTO <br />OWNEDSCH <br />AUTOS ONLY --IA, <br />BODILY INJURY (Peraccl m) $ <br />H <br />AUTOS ONLY AUTOS ONLY <br />(Per.x M) $ <br />$ <br />H <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS DAB <br />CLAMS -MADE <br />AGGREGATE $ <br />DED RETENTION$ <br />$ <br />B <br />NORMRS COMPENSATION <br />0 EMPLOYERS' LIABILITYYIN <br />V PROPRIETORIPARTNER/EXECUTIVE <br />F7y FICER/MEMBER EXCLUDED? <br />Mandatory In NH) <br />NIA <br />QWC1060302 <br />06/23/2018 <br />06/23/2019 <br />X I STATUTE ER <br />E.L. EACH ACCIDENT S 1,000,000 <br />E.L. DISEASE -EA EMPLOYEE $ 1,000,0110 <br />yyeaaa tlescnbe under <br />fr.OF OPERATIONS babes <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />Participant Coverage S25k/S50k <br />A <br />Commercial General Liability <br />CPS3110613 <br />09/12/2018 <br />09/11/2019 <br />SexuaVPbys. Abuse S25k/S50k <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks ScheduY, my M attached N mors apaea Is rpulmd) <br />The City of Santa Ana, its officers, employees, agents and volunteers are listed as additional insureds in regards to the General Liability <br />policy. <br />Qday. <br />\201 <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THBXB <br />THE EXPIRATION DATE T <br />ACCORDANCE WITH THE <br />Merudw Da4m <br />1988.2015 <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />:IES BE CANCELLED BEFORE <br />BE DELIVERED IN <br />