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ACORD M DATE (WNDDrYYYYI <br />CERTIFICATE OF LIABILITY INSURANCE 04129/2019 <br />PRODUCER Pft E 114.533-7099 F. TI L!33AST3 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />EG INSURANCE AGENCY, INC. <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />616 S. EUCLID ST. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ANAHEIM CA 92802 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC M <br />INSURED <br />INSURERA: NAUTILUS <br />HOLISTIC YOGA & HEALTH LLC /> <br />INSURER 8: <br />10015 GARDEN GROVE BLVD. Q — ao `c1`0 I <br />INSURER C: <br />GARDEN GROVE CA 928" <br />NSURER D' <br />INSURER E'. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCYPERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATELIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />1,5R <br />°fA <br />TYPE OFINSURANCE <br />POLICY NUMBER <br />P000YEFP=TrvE <br />MUCYEXPIRATICN <br />LIMITS <br />LTR <br />INSR <br />01TE MMI <br />OATS MM2 <br />GENERAL <br />LIABILITY <br />NC418555 <br />05103119 <br />05/03/20 <br />EACH OCCURRENCE <br />$ <br />X <br />DAMAGE TO RENTED <br />PRE413E3'Ea aarence <br />E 30,000 <br />COMMERCIAL GENERAL LIABILITY <br />VIED. EXP(AnYdni,em ) <br />$ 5,000 <br />CLAIMS MADE&OCCUR <br />A <br />X <br />Primary and Non C.Md1xXory <br />PERSONAL& AOV INJURY <br />$ 1,000,000 <br />X <br />Waiver of SMwopaion <br />GENERALAGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />PRODUCTS-COMPIOP AGG. <br />$ Included <br />X POLICY PRO- LOC <br />5 <br />AUTOMOBILE <br />LMBIUTY <br />COMBINED SINGLE LIMIT <br />ANYAUTO <br />(Ea actldmp <br />S <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Pef �r ) <br />S <br />BODILY INJURY <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />(Peracdden0 <br />$ <br />day <br />e(Peraccident) <br />PROPERTY DAMAGE <br />$ <br />GARAGE LIABILITY <br />,.- 1<,` <br />d•ti, <br />AUTO ONLY -EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANYAUTO <br />$ <br />AUTO ONLY AGO <br />EXCESS I UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />$ <br />OCCUR CLAIMS MADE <br />❑ <br />AA\' <br />Wou <br />O 5 <br />p <br />S <br />PG <br />ton <br />DEDUCTIBLE <br />en <br />� <br />l�r�C\e <br />C. <br />S <br />S <br />RETENTIONS <br />WORKERS COMPENSATION AND <br />WCSTAIDIOTHER, <br />TORY LIMITS <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOWPARTNEmEXECMTNE <br />E L. DISEASE -EA EMPLOYEE <br />$ <br />OFFICENMEMSER EXCLUDED? <br />X roe. deeedbe diner <br />E L DISEASE -POLICY LIMIT Is <br />SPECIAL PROVISIONS below <br />OTHER: <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />City of Santa Ana, its officers, agents, and employees are named as Additional Insured in regards to General Liability per CG 20 26 04131 All <br />terms and conditions are based upon the actual policy <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />City of Santa Ana <br />THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />Attn : PRCSA <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />�JayLee <br />Attention: <br />ACORD 25 (2001108) Certificate tf 12045 © ACORD CORPORATION 1988 <br />