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ACORae CERTIFICATE OF LIABILITY INSURANCE <br />i <br />DATE`NNIeOY" <br />1 0911912019 <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 INSURERIS), 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 />PROWCER <br />MPX Insurance Services, Inc. <br />6B Liberty Suite 200 <br />Aliso Viejo, CA 92656 <br />cDNTACT Khallah Campbell <br />NAME: <br />PHaNEN <br />IN IN r. (949)334-5330 iac xeX (949}291-2877 <br />IL <br />ADDRESS: khaliah@mpxinsumnca.com <br />INSURERS AFFORDING COVERAGE <br />"IC0 <br />License M OH49306 <br />INSURERA: Scottsdale Insurance Company <br />41297 <br />INSURED <br />INSURERS: Ohio Security Insurance Comapny <br />24082 <br />INSURER C: <br />Match Point Tennis Academy LLC <br />INSURFut O: <br />800 Cabrillo Park Drive <br />Santa Ana, CA 92701 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 00000000-10465 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.— <br />INBR <br />L <br />TYPE OF INSURANCE ADDL SURR <br />POUCY NUMBER <br />PODGY EFF PWICY E%P <br />MMx1 MMIDDII'YYY <br />_ <br />1 <br />LIMITS <br />A <br />}t <br />COMMERCMLGENERALLIABIUTY <br />Y Y <br />ICPS3297776 <br />09/12/2019 09/12/2020 <br />EACHOCCURRENCE <br />$ 1000000 <br />OOCCUR <br />PREENIISE5 Ea�Omrremx <br />S 10O 000 <br />MEO E%P (Al,yare perecn) <br />$ _ _5,000 <br />T77—Ims— <br />PERSONAL$AGV INJURY <br />$ 1000000 <br />U E MITAPPUES PER. <br />GENERAL AGGREGATE <br />$ 2.000.000 <br />GEMLAGGREG�ATI <br />X. <br />PIXICY ' 5®R T LOc <br />PRODUCTS -COMPIOP AGO <br />$ 2,000,000 <br />OTHER. <br />Deductible <br />s 506 <br />AUTOMOBRE <br />LMeILOY <br />WSINERSINGLE LIMIT <br />S <br />EODILYINJURY(Per Pmsan) <br />S <br />ANY AUTO <br />OWNED SCHEWLED <br />AUTOSONLY AUTOS <br />BCDILYINJURY(Pe:r em) <br />$ <br />HIRED NONOVRIEO <br />PROPERTY DAMAGE <br />Pu emdm, <br />S <br />AUTOSONLY AUTOS ONLY <br />S --_ <br />UMBREILA DABS <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />S <br />EXCESS Like <br />CWMSMADE <br />DEO I RETENTIONS <br />_ <br />_ <br />$ <br />B <br />EMPLOYERT <br />XWS j20j 59985643 <br />0612312019 05/2312020 <br />X STATUTE.._ ERH <br />AND D UABIION LT' YIN <br />_. _ <br />$ 1,000,000 <br />ARTMEEREXCLUDEECUTIVE <br />E.L EACHACCIDENT <br />OMY <br />FFICE MEIETOR <br />(m.mlawry in NH) � <br />NIA <br />j <br />EL. DISEASE EA EMPLOY <br />$ 1,000,000 <br />If Yes dafcdOe,oMer <br />OEBCRIPTION OF OPERATIONS belom <br />- __ _ _ <br />E.L DIBFASEPOUCT LIMITI <br />$ 1,000,0000 <br />A <br />General Liability <br />CPS3297776 <br />09/09/2019 09/0912020 <br />SexuaV Physical Ab <br />$25K1$50K <br />A <br />General Liability <br />1 CPS3297775 <br />D9/0912019 09109/2020 <br />Participant Injury <br />$25K/$50K <br />DESCRWTONOFOPERATW$ILOCATONSIVEHICLES(ACORD 101. AddlUmul Rmme sschedule, may Waroclmd N mom spme is nquhed) <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 Liabilty per the attached endorsement Waiver of subrogation applies to the General Liability 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 />City of Santa Ana <br />Risk Management <br />20 Civic Center Plaza, <br />Santa Ana, CA 92702 <br />60 <br />ACORD 25 (2016/03) <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 />registered marks of ACORD <br />Printed by KCC on September 19, 2019 at 10.15AM <br />M. LAMBERT <br />