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62/0/ ?005 14:34 7145714209 PARKS AND RECREATION PAGE 01 <br />fu.wnsi TN. CERTIFICATE OF LIABILITY INSURANCE <br />�� oiroenoos <br />PRODUCER <br />FITNESS AND WELLNESS INSURANCE AGENCY <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO NIGHTS UPON THE CERTIPICATI! <br />390 STEVENS AVENUE, SURE 266 <br />HOLDER. THIS OERTIFIg1Y9 D0f3 NOT AMEND, WIND OR <br />SOLANA BEACH CA 92673 <br />Pau"IFMTM <br />pA <br />POLItT MPMATIPH <br />LIMITS <br />Aamnei I": OD28716 <br />INSURERS WORMING COVERAGE <br />NAIL # <br />013U KARATE DO RDU N -a o d 3 O Q S <br />010 MARTIN TORRES <br />12 N rj _ D L <br />603 RANCHERO WAY Aop3 <br />INSURER A: Zurich AnwicaS NS1ufLY Cam n <br />01/QSl06 <br />INSURER B: <br />f 1,000, <br />INSURER C: <br />1 100000 <br />INSURER D: <br />GARDEN GROVE CA 3243 <br />INSURER E: <br />COVERAGES <br />THE POUGIES OF INSURANCE USIED BELOW HAVE BEEN ISBUEO TO THE INSURED NAMED ABOVE fOR THE POLICY PERIOD INWAT6D. NOTAffWAN0143 <br />ANY REWARAW,, TEAM OR CONDITION OF ANY CONTRACT OR OTNER DOCUMENT WITH RESPECT TO WHION TNIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE PiSURANCE AFFORD HY,THE POLICES DESCRIBED HEREJN IS BUBJeOT'OD ALLTHE TERMA, 00LU IONS AND OONDMONA OF SUCH <br />POLICIES. AGGREGATE LIMITS` AHONIN MAY NAVE BEEN REDUCED BY PAID CLAIMS. <br />AADOL <br />Lm <br />INP <br />IYPE Or INSURAHCB <br />POLICY WMOER <br />Pau"IFMTM <br />pA <br />POLItT MPMATIPH <br />LIMITS <br />GENERAL LIAWJYT <br />EOL3012327 40 <br />07100M6 <br />01/QSl06 <br />EACH WQv ReHue <br />f 1,000, <br />oMIMETORRNIEo <br />FACAAER Ea aLwanw <br />1 100000 <br />X COMMEWCIALOENERALLIABILTTY <br />CLAIMS MAGEJ X I OCCUR <br />MRD.WMCA,V- MF--an <br />f 2,300 <br />A <br />PERSONAL& ADV INJURY <br />f 115001000 <br />GENERAL AGGREGATE <br />f 31000.000 <br />OEML AOGRECATE LIMIT APPLIES PER; <br />T POLICY JEGT LOC <br />PRODIICT9GDMPIDP AGG. <br />s 3.000,000 <br />AUTSM15811.E <br />LIABIUTV <br />COMBINED SINGES LIMIT <br />ANY AIAO' <br />IBA PLiIdMQ <br />f <br />ALL OWNED AUTOS <br />BODILY INJURY <br />WHEDULED AIITgs <br />�° F"'° ") <br />s <br />HIRED AUTOS <br />NONQNNEDAUiOS <br />BODILY INJURY <br />tPwao " <br />1 <br />PROPGRTY DAMAGE <br />wa ed <br />It <br />GARAGE UABILTTY <br />AUTO Y-EA ACGOENT <br />f <br />OTHER THAN GA ACC <br />S <br />ANY AUTO <br />AUTO ONLY; AGG <br />f <br />EAGE /VMBRfLLA LM0ILITY <br />96 <br />p <br />+ <br />EACNOCCURRENCE <br />1 <br />OCCUR 1:1 CLAIMS MADE <br />AGGREGATE <br />f <br />f <br />DEDUCTIBLE <br />LSTITA S t <br />hoody <br />+ <br />RETENTION 3 <br />Attornev <br />kw STAB PTNRA <br />f <br />V KERB EOMPENSATON AND <br />SMPLOYERT UABIUTI <br />E.L EACH ACCIDENT <br />$ <br />ANYPAEMIBTEIVMIITNW02RIRIY& <br />wFlCYMRBROI RCWPiG! <br />Cl. OLIGA EMPLOVM <br />1 <br />PTM ANtrb uAert <br />ILL DISEAS'EPOLICY LIMB <br />f <br />MFOAL PRMBONibNe. <br />OTHER: <br />DESCRIPTION OF OPERATIONS ILOCATIONSNENICLESIEXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />CERTIFICATE HOLDER ADDED AS ADDITIONAL INSURED ONLY AS THEIR INTERESTS MAY APPEAR. <br />ACORO 20 12001IQ3) CB10ReBls iJ 14227 0 ACORD CORPORATION 1000 <br />SHOULD ANY <br />G ABOVE Dr- '9CRIBGO POUCIGB RR eANea.L= R RETHE <br />THE CITY OF SANTA ANA <br />EXPIRATION 0 <br />WRITTEN NOTI <br />EREOF, THE ISSUING REIN WILL MALM DAYS <br />THE TIFlCAIE HOL AMGD TO iNE <br />Zp CIVIC CENTER PLAZA <br />SANTA ANA CA 52701 <br />AUTHORIZED RS <br />INCIATIVE <br />A1tonion: <br />ACORO 20 12001IQ3) CB10ReBls iJ 14227 0 ACORD CORPORATION 1000 <br />