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FROM FITNESS AND WELLNESS INSURANCE %N)JUN 20 2005 12: 01/ST.12:00/No.6820420804 P 1 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />DATE (Tf012008 ) <br />0812012008noo6 <br />TM. <br />IYPE OF INSURANCE <br />DDNERALLIAIRIm <br />X� COMMERGAL GENERAL LW&LItY <br />PRODUC ER Ph": ISM) M-5075 Pee IMel E1M )SM <br />FITNESS AND WELLNESS INSURANCE AGENCY <br />380 STEVFNS AVENUE, SUITE 200 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE GElTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />SOLANA BEACH CA 92076R <br />Tilt <br />owAATE Tonamo s 100,000 <br />PREMIEEE bRca..w — <br />INSURERS AFFORDING COVERAGE MAIC # <br />Ammi LION: 0D28718 _ <br />VISUREDINSURER <br />PAULH, FETTERS NI - P00d— 15 L <br />DEBAIHETRAINING SPOT �OZ <br />78Q2 OITA=DRIVE <br />HLJINT14GTON BEACH CA 9268 <br />A: Zurich Mxrban hlsuranee _ <br />INSURER B: <br />JeFrickk,, <br />INSURER C: <br />INSURER D: <br />A <br />INSURER E: <br />G CFRPAIEB <br />THE POIIQI$ OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVIITNSTANORG <br />ANY REG UNEMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TAB CERTIFICATE MAY DE ISSUED OR <br />MAY PERTAN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES_ AWREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />IWR' <br />LTR <br />MBR <br />IYPE OF INSURANCE <br />DDNERALLIAIRIm <br />X� COMMERGAL GENERAL LW&LItY <br />POLICY HUASER <br />EOL9012328-01 <br />M Yffm` a <br />CATRImplYm <br />06131106 <br />ralcY MI Ttn, <br />06!31/08 <br />LIMITS <br />EACH OCCURRENCE i 1,000,000 <br />owAATE Tonamo s 100,000 <br />PREMIEEE bRca..w — <br />MED. EXP (Any" WB l E _ 2,666 <br />SANTA ANA, CA 92701 <br />AUTHOMMO REPRESENTATIVE / <br />,CCEO <br />MAIMS MADE n OCCUR <br />JeFrickk,, <br />PERSONAL 4 ADV INJURY s 1,000,000 <br />A <br />GENERAL AGGREGATE 3 3,060,000 <br />GFrv'L AODREOATE LIMIT APPLIES PER: <br />PRODUCTS-OOM=AGG i 3,000,000 <br />X POLICY JPERm LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT E <br />IF.B iCOiNBnq <br />ANY AUTO <br />ALL OWNED AUTOS <br />BODILY INJURY <br />(PN Batson) i <br />SCHEDULED AUTOS <br />BODILY INJURY i <br />(Be Rwid.Rq .. <br />HREDAUTOG <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE E <br />(PN occident <br />GARAGE LIAyUTY <br />AUTO ONLY• EA ACCIDENT i <br />OTHER THAN FA ACC i <br />AUTO ONLY: AGO S <br />ANY AUTO <br />E)CESS( UMBRELLA LIABILITY <br />FACHOCCURRENCE E <br />AGGREGATE <br />.._� OCCUR F, CLAIMS MADE <br />DEDuDEDUCTIBLEORNI <br />APPROV <br />i. ) <br />I ,1k i'rJ F <br />i <br />s <br />RETENTION S <br />— <br />WnRHERarLIABILBATIDN AND <br />EMPLOYER%LI1IBILITY <br />RIYPIIYAIINRI.'ARTNEI..FGURW <br />PgICB.MMBBR lYBLWYRT <br />..IIA <br />AsbiSt$ <br />7 SL L SIi C�(jV <br />L (..TLB �?ItOT;�� <br />Y,CyUMIT GSR <br />@ <br />E.L. EACH ACCIDENT i <br />E,L.CISEASE-EAEMPLOYEE E <br />E1. WASE -POLICY LIMIT E <br />im AAMmRunr <br />TIaA4 MRWlglibnw <br />OTHER: <br />DESCRM'TI7N OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />THE CITY OF SANTA ANA. 20 CMC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701. ITS OFFICERS. EMPLOYEES, AGENTS, VOLUNTEERS <br />AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH REGARD TO LIABILITY AND DEFENSE OF SUITS ARISING FROM THE <br />OPERATIONS AND USSES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. <br />ERTIFICATE HOLDER CANCELLATION <br />C <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORETHE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br />CITY OF SANTA ANA <br />DO SO SMALL IMPOSE NO OBLKIATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS <br />20 CMC CENTER PLAZA <br />AGENTS OR REPRESENTAnVES. <br />SANTA ANA, CA 92701 <br />AUTHOMMO REPRESENTATIVE / <br />,CCEO <br />AltenOon: CHRIS WO.LIAMS <br />JeFrickk,, <br />ACORD 26(2001/09) Certificate# 22764 W ACORD CDRPURAINUR Teen <br />