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ACaRD CERTIFICA OF LIABILITY INSURAN46 OP ID <br />DATE(MM/DD/YYYY) <br />0072120 <br />07/22/03 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <br />Fitness & Wellness Insurance <br />'ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Agency <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />380 Stevens Ave . , First Floor <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Solana Beach CA 92075 <br />Phone: 800-395-8075 Fax: 858-519-0822 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />INSURER A: Steadfast Insurance <br />INSURER B: <br />0072120 Paul H. Fetters <br />dba: The Training Spot <br />7602 Ontario Drive <br />Huntington Beach CA 92648 <br />INSURER C: (ICZ S <br />INSURER D: <br />INSURER E: <br />PREMISES(Eaoccurence) $100,000 <br />C VERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM/DD/YY <br />POLICY EXPIRATION <br />DATE MM/DD/YY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />X <br />%COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE �OCCUR <br />EOL5281395-00 <br />05/31/03 <br />05/31/04 <br />PREMISES(Eaoccurence) $100,000 <br />MED EXP (Any one person) $2,500 <br />PERSONAL &ADV INJURY $1,000,000 <br />A <br />Sa.Professional <br />GENERAL AGGREGATE $3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ INCLUDED <br />PRO- <br />X I POLICYLI JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) $ <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR El CLAIMS MADE <br />PP j e (. LD <br />A,, I. l <br />� <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />$ <br />DEDUCTIBLE$ <br />RETENTION $ <br />$ <br />- <br />TORY LCSTIMITS I I ER <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />,U ; Ci SI1Cc`iI `,! <br />T-7 <br />I)ehtlty i.'tty A.I I <br />(lt'IIuV <br />E.L. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />E.L. DISEASE- EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT $ <br />SPECIAL PROVISIONS below <br />OTHER <br />A <br />Sexual Abuse <br />EOL5281395-00 <br />Occ. 100,000 <br />Agg. 300,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />*It's Officers, Employees, Agents, Volunteers and representatives are named <br />as additional insureds with regard to liability and defence of suits arising <br />from the operations and uses performed by or on behalf of the named insured <br />CEIR I IFICA I C MULUCK CANCELLATION <br />SANANAT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />DATE THEREOF, THE ISSUING INSURER`ILL40FAIJIMMMAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />The City of Santa Ana* R <br />20 Civic Center Plaza <br />Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE <br />Jeffrev E. Frick <br />