Laserfiche WebLink
FROM FITNESS AND WEL'_NESS INSURANCE (TUE)MAR 14 2006 16:24/ST.16:22/No.6820420062 P 2 <br />ACORDTM. CERTIFICATE OF LIABILITY <br />INSURANCE DATE(/13120 YYYY) <br />PRODUCER Phew; (800)395.8075 FAK. (85B)519{ m <br />FITNESS AND WELLNESS INSURANCE AGENCY <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATWN� <br />AVENUE, SUITE zoo <br />30 STEANA ENSBEACH <br />SOLANA BEACH CA 92075 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />NO MR. TINS CERTI ark DES N01 AMEND, EXTEND DN <br />CMlA-- --FORDED BY <br />NAIC a <br />INSURERS 7AIFFORROING71nsurance <br />OD28718 <br />INSURED - <br />INSURER A: Company <br />KARATE DO NW <br />CIOMARTIN TORRES /V—,�2(;'(%�--C�%✓ <br />--_._.......__._..._ <br />12692 RANCHERO WAY <br />INSURER C: <br />GARDEN GROVE CA 92943 <br />INSURER D' <br />INSURER E: <br />CDVERAACa <br />THE POLICIES OF INSURANCE LIVED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG <br />ANY REOUIRtWN7, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORUED BY THE POLICIES DESCRIBED HEREIN 16 "JECT TO ALLTHE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH <br />POLICIES AGGREGATELNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAe9. <br />LTR <br />^ <br />TYPE OF INSURANCE <br />POLICr NuweER <br />N`BLICV Iasecrrve <br />RAZE <br />roueruuluTloN <br />"W <br />UNrcd <br />A <br />GENERAL <br />LIAMLITY <br />COMfERCIALGENERALIM&LITY <br />C1ANI6 MADE OCCUR <br />EOL9012327-01 <br />01/24M8 <br />01/24/07 <br />EACH OCCURRENCE <br />f 1,000,000 <br />X <br />IV ETUREMTA <br />nReMINS (Ea .." ROM <br />i 100,000 <br />MED. EXP (ADy mr p1KNfnJ <br />PERSONAL&ADVINJURY <br />f 2,500 <br />S 110001000 <br />GENERAL AGGREGATE <br />$ 34 <br />OEKLAGGREGATE UMITAPPLIES PER. <br />X POUCY JECT LOC <br />PROWCTS-COMPIOP AOG. <br />1 1000 <br />i 3.000,000 <br />AUTOMOBILE <br />LABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Fj RCLNiNII) <br />i <br />ALL OWNED AUTOS <br />BODILY INJUfiY <br />SCHEDULED AUTOS <br />(PAI PBI8d1) <br />i <br />HIRED AUTO$ <br />NON-OWNEO AUTOS <br />BODILY INJURY <br />(Per eeclEelN) <br />f <br />PROPERTY DANAGE <br />Pa er68Hf <br />i <br />GARAGE UIIBYTY <br />AUTO ONLY• EA ACCIDENT <br />i <br />ANY AUTO <br />OTHER THAN EA ACC <br />f <br />AUTOONLY: AGO <br />f <br />=RCISSN UMeN!LLA LIABILITY <br />OCCUR CLANS MADE <br />EACH OCCURRENCE <br />3 <br />AGGREGATE <br />S <br />DEOUCTNU° <br />f <br />RETENTION f <br />Yy0R1(ERSCOePENSATHx1AND <br />EMPLOYER& LIABILLTY <br />RawTaecunvE <br />E■AIIUNnr uINN <br />vACu1t pNo�' <br />FRGVMIo1M <br />_..1 <br />�- <br />wciTLL OTHER <br />TORY LI1AIa <br />E.L. EACH ACCIDENT <br />E.L. DISEASEF.A EMPLOYEE <br />f <br />S <br />E.L. DISEASE -POLICY UNIT'.. <br />y <br />OTHER: <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED SY ENDORSEMENTI SPECIAL PROVISIONS <br />It is understood and agreed that the following entity Is added as an additional insured but only es respeCIIS the Operations of the named Insured <br />except that liability resulting from the additional insureds sole negligence. <br />FCCTIGIn A7ry u�, men <br />The City of Santa Ana, he officers, <br />employee&, agants and repTe mimtafivee. <br />P.O. Box 1988 M-23 <br />Sarda Ana CA 92702 <br />Attention: <br />ANY <br />IG INSURER WILLENDEAVORTO WIL30 DAYS <br />HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br />LIABILITY OF ANY KIND UPON THE INSURFR_ ITS <br />Je� Frick, <br />ACORD 25 (2001108) <br />Cenificate4 37174 <br />0 ACORD CORPORATION 1298 <br />