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MATCH POINT TENNIS ACADEMY LLC.
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MATCH POINT TENNIS ACADEMY LLC.
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Last modified
4/23/2021 3:51:29 PM
Creation date
12/24/2019 10:43:44 AM
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Contracts
Company Name
MATCH POINT TENNIS ACADEMY LLC.
Contract #
A-2019-241
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
12/17/2019
Expiration Date
12/31/2034
Insurance Exp Date
6/23/2020
Destruction Year
2039
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CERTIFICATE OF LIABILITY INSURANCE I DAnI40110,10 <br />ner.l eTonae <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 eertificate does not confer riahts to the certificate holder in lieu of such endomement(s). <br />PRODUCER MPX Insurance Services, Inc. <br />6B Liberty Suite 200 <br />Aliso Viejo, CA 92666 <br />License M OH49306 <br />INSURED <br />Match Point Tennis Academy LLC <br />800 Cabrillo Park Drive <br />Santa Ana, CA 92701 <br />COVERAGES CERTIFICATE NUMBER: ODOOOOOG-10465 REVISION NUMBER: 25 <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. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />L <br />TYPE OF WSURANCE <br />POLICY NUMBER <br />MM ICYEFF <br />MMICONYYP <br />UMITS <br />A <br />X <br />I COMMMRMLGENHULUASILITY <br />Y Y <br />CPS3297775 <br />0911212019 09/1212020 <br />EACHOCCURRENCE <br />B 1000000 <br />CUIMSMAOE ❑X OCCUR <br />PREMISES Ea <br />S 100,000 <br />MEDEXP(Anymraperann) <br />S 6,000. <br />$ 1,000,000 <br />PERSONALaADVINJURY <br />GENIAGGREGATE UMIT APPLIES PER: <br />GENERALAGGREGATE <br />s 2000000 <br />X POLICY F1 EEC El LOC <br />.. <br />PRODUCTS-COMPIOPAGG <br />S 2,G00,000 <br />Deductible <br />OTHER: <br />$ 500 <br />AUTOMOBILE LIABiLnY <br />CEOBM8INED 1 U IT <br />$ <br />SODILYINJURY(Per Penan) <br />S <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOSONLY AUTOS <br />HIRED NON-OMED <br />AUT0.SONLY AUTOSONLY <br />BODILYIRJURY(Parapdd.0 <br />3 <br />PROPERTY DAMAGE <br />Pm ami <br />S <br />S <br />UMBRELLA IIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />S <br />EXCESS LIAB <br />CUIMS-MADE <br />DED RETENTIONS <br />S <br />B <br />ANY' o aDDrEA°R�v NUA�el"" <br />OMY <br />FFICERIME OPRIETMPAAGNIER ECUTIVE <br />(Mandatory."Nlll <br />NIA <br />XWS (20) 59986843 <br />06123/2019 06/2311020 <br />X AT GERR <br />EL EACH ACCIDENT <br />$ 1.000.000 <br />E.L. DISEASE -EA EMPLOY <br />$ I1000,000 <br />EL DISEASE - POLICY LIMIT <br />S 1,000,000 <br />If yyBBs6 des !K,Limka <br />DESCRIPTION OF OPERATIONS below <br />A <br />General Liability <br />CPS3297775 <br />0910912019 09/0912020 <br />Sexuall Physical Ab <br />$25K1$50K <br />A <br />General Liability <br />CPS3297775 <br />0910912019 09109/2020 <br />Participant Injury <br />$25K/$50K <br />DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES (ACORD 101, Addwoaal Remarks SChedula, may be anal asi N more space Is ms,ui e ) <br />The City of Santa Ana, Risk Management, its officers, employees, agents, representatives, and volunteers are listed as additional <br />insureds in regards to the General Liability policy per the attached endorsement Primary and non-contributroy wording applies <br />to the General Liability per the attached endorsement Waiver of subrogation applies to the General Liabilty policy per the <br />attached endorsement <br />Cancellation provisions apply to the General Liabilty policy per the attached endorsement <br />continued on ACORD 101 Additional Remarks Schedule <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Risk Management <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, 4th FIQq <br />ED & APPR <br />Santa Ana, CA 92702 WV(ftkNMANAqI--MENT <br />By RI D <br />O REPRESENTATIVE <br />VISI 1 <br />l; KCC <br />'jI�Q ` ©1988.20Y5 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The Id1t�ti are registered marks of ACORD <br />Printed by KCC on September 19, 2019 at 10:15AM <br />SAM HA M. LAMBERT <br />
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