FETTERS, PAUL 1A - Laserfiche WebLink

Home Browse Search

* 06/03/2004 15:59 8585190822 FITNESS AND WELLNESS PAGE 02/03 ACORDI (MMIDD1YYYY) k CERTIFICATE OF LIABILITY INSURANCE I JUN 304 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FITNESS AND 1 IELLNESS INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 360 STEVENS / VENUE, SUITE 206 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR SOLANA BEAC i CA 92075 I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # _ Agency Lie*:OD28716 INSURED INSURER A: ZURICH AMERICAN INSURANCE CO. _ PAUL H. F 'ITERS INSURER B: DBA THE' RAINING SPOT _ DBA -._.. _. INSURER C: 7602 ONTO RIO DRIVE HUNTINGI ON BEACH CA 92848 INSURER D: INSURER E: rn�ee A r_aa THE POLICIES OF ISURANCE LISTED BELOW HAVE BEEN k9$UEO TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED DR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREG TE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR A1313'L---- ... — POUCYRFFEGTFVE POLrCYExPIRAnON ...--- TYPE (=INSURANCE I POLICY NUMBER DATE MrDUNY DATE MMIDD LIMITS DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT GENERAL LIABILITY FOL9012320-00 I MAY 31 04 MAY 31 05 EACH_OCCURR�NCE � 1,000,000 $ 100,004 Attention: Jeffrey E. Frick, CEO X C01 MERCIAL GENERAL LIABILITY --•_ - CLAIMS MADE17X I OCCUR DAMAGI! TO RENTED AR"$98 (Ex .oa MED. EXP (Any one perean) $ 2,500 $ 1,000,000 A PERSONAL &ADV INJURY 8 3,000,000 GENERAL AGGREGATE GE IL AG SREGATE LIMIT APPLIES PER:i PRODUCTS-COMPIOP AGG. $ 3,000,000 x I POL 'Y PRwEcr LOC AUTOMO ILE LIABILITY i AN) AUTO COMBINED SINGLE LIMIT (Ea Rccldenl) $ ALL )WNED AUTOS BODILY INJURY SO °DULED AUTOS (Per perecn) S HIR D AUTOS NOI-OWNEDAUTOS BODILY INJURY (PereCCldeni) $ — .—.. ........—.— PROPERTY DAMAGE Per Bccld6nt GARAGE .IABiLJTY AUTO ONI.Y • F.A ACCIDENT OTHER THAN EA ACC AN` AUTO $ AUTO ONLY: $ EXCESS, UMBRELLA LIABILITY EACH OCCURRENCE $ OCA UR CLAIMS MADE AGGREGATE AGGREGATE $ ... --- i A DE( JCTISLE $ RE" nNT10N $ $ WORKERS COM SENSATION AND EMPLOYERS' LI %BILITY--- ANY PROPRI67011 WRTNEWEXECUTIYEjl- / L� WC STATU• UTHsR 3 E.L. EACH ACCIDENT El, DISEASE -EA EMPLOYEE OMWeRtMEMBEF EXCLUDED? $ - Rym, Csfarltm um v BPEGAL PROVIS14 43W0. E.L. DISEASE•POUCY LIMIT $ OTHER: DESCRIPTION )F OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS THE CITY OF 3 NTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701. ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESE JTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH REGARD TO LIABILITY AND DEFENSE OF SUITS ARISING FROM THE OPERATIC NS AND USSES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, n CDTIElf'ATE' 1^1 Man f•ArdPCI f ATUIrJ ACORD 25 (2( )1/08) Certificate # 3037 L)UZ7571 b W AL:UKlLI L:UKYUKA I IUIN l VtIb dd SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE- THEREOF, THE ISSUNG COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT CITY OF S 1NTA ANA FAILURETO DO 90 $HALL IMPOSE NO OBLIGATION OR LIABILITYOF ANY KIND UPON THE 20 CIVIC C ENTER PLAZA INSURER, ITS AGENTS OR REPRESENTATIVES, SANTA AF 4, CA 92701 AUTHORIZED REPRESENTATIVE! Attention: Jeffrey E. Frick, CEO ACORD 25 (2( )1/08) Certificate # 3037 L)UZ7571 b W AL:UKlLI L:UKYUKA I IUIN l VtIb dd