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01/17/03 12:09 <br /> <br />Name Insured: <br />KeyMoves l:Yinciples of Movement <br />1308 El Nido Drive <br />Fallbrook, CA 92028 <br /> <br />FAX 780 728 5859 John B Clodlg <br /> <br />Certificate of lnsurance <br /> <br />Sparta Program <br /> <br />Named Additional Insured: <br />SANTA ANA (SPARTA) <br />20 Civic Center Plaza PO BoY. 1988 <br />Santa Aaa CA 92701 <br /> <br />002 <br /> <br />Certificate # <br />Coverage <br /> <br />Limits <br /> <br />Deductible.~ <br /> <br />Terms <br />Conditiotts <br /> <br />Exclusions <br /> <br />SSA03-0012 <br /> <br />SPARTA INSURANCE PROGRAM: Commercial General Liability - Hazard 1 <br />Conu'act Valuc: $10,000.00 <br />Coverage Period: 419/2003 to 4/9/2004 <br />Insurance Carrier: Essex Insurance Company <br />Master Policy: 3CJ8801 <br />Master Policy Effective Date: 1 I/15/2002 to expiration <br /> <br />$2.000,000 General AggregaTe / $1,000,000 Each occurrence / $1,000,000 Products/COmpleted operations / <br />$1,000,000 Personal & Advertising Injury/S50,000 Fire Damage / Medical Payments Excluded I Si,000,000 <br />Designated Professional Liability / / $1,000,000 Designated Professional Liability / / $1,000,000 Nonowncd <br />Automobile Liability coverage for the city, county or public entity only. No coverage is provided for the Certificate <br />Holder. Coverage is limltcd to the insured operation covered by this certificate and for vehicles not owned or hired <br />by the city, county or public cmiry. <br /> <br />$500 B! & PD Per Claimant Including Loss Adjustment Expense <br /> <br />$1,450.00 Premium (Fully Earned) <br />$47.13 Taxes (Fully Earned) <br />$ 100.00 Certificate Fee (Fully Earned) <br />$1,597.13 Total Amt <br /> <br /> I. ~o Cancellations Allowed <br />2. Operations and R~dng Based:Consultant - Safety trai~ing program for The CiD' of Saat~/ma Employees. <br />3. Contractual on a Limited Fo.'Tn. <br />4. Additional Insured(s): N/A <br />5. Depar~nent: Santa Ann Risk Managcmen~ Department <br />6. Additional Terms and Conditions: 6. NP PUBLIC EXPOSURE WORKING WITH THE CITY OF SANTA RNA <br />AND THEIR DEPARTMENTS ONLY. <br /> <br /> Per the Master policy, a copy is available by wriaen request to: Municipality Insurance Services, Inc. 1920 East <br /> 17th St Suite 136, Santa Ann, CA 92705 <br /> <br />The Insurance afforded under the specified policy above is subject to all the terms, conditions, and exclusions of' <br />such policy. (A copy of thc policy is available upon writxen requesL) This coverage applies only to the contracxor or <br />event no~¢d above and does not extend to any other activities or work performed by the holder. <br /> <br />ROVED AS TO FORM <br /> <br /> City Attorney <br /> <br />Carol Frost / President <br />Municipality Insurance Services, Inc. <br />1920 East 17th St Suite 136 <br />Santa Ans. CA 92705 <br /> <br />1920 East 17th St Suite 136 .qanta Aaa. CA 92705 (800) 420-0555 (714) 550-5040 fax (714) 550-5044 License# 0C04849 <br /> <br /> <br />