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ACORD CERTIFICATE OF LIABILITY INSURANCE TM. DAT06f22312005 YY) PRODUCER Phone (800) 395-8075 Far, (858) 519 -0822 FITNESS AND WELLNESS INSURANCE AGENCY 380 STEVENS AVENUE, SUITE 206 SOLANA BEACH CA 92075 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES RFLQVJ INSURERS AFFORDING COVERAGE NAIC# A enc Lic #:OD287T6 INSURED INSURER A: ZUTICh ARIeTICBD IRSUTB GENERAL RAYMUNDO SUAREZ 610 S TOWNSEND ST SANTA ANA CA 92703 INSURER B: 0 p 06/15/05 INSURER C. E EACH OCCURRENCE INSURER D: X DII.110ETOREMED PRETMSES (Ea omrenee) INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R LTR 'SOY INSR TYPE OF INSURANCE POLICY NUMBER mumf lacT WTE mmil MLKY EXMRATION DATE MLO LIMITS AGENTS OR REPRESENTATIVES SANTA ANA, CA 92701 GENERAL LIABILITY EOLS012327-01 06/15/05 06/15/06 EACH OCCURRENCE $ 1,000,000 X DII.110ETOREMED PRETMSES (Ea omrenee) $ 100,00 COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED. EXP (Anyone person) $ 2,600 PERSONAL 8 ADV INJURY $ 1,000,000 A GENERAL AGGREGATE $ 3,000,000 GEN -L AGGREGATE LIMIT APPLIES PER X POLICY ECT PRO- OC PRODUCTS-COMP/OP AGG. $ 3,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS NONAWNED AUTOS BODILY INJURY (Per accident) § PROPERTY DAMAGE (Per accident) § GARAGE LIABILITY AUTOONLY. EA AOCIOENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE EACH OCCURRENCE § AGGREGATE $ E DEDUCTIBLE RETENTION$ A APPROVED rT� F{! T� S }O OR $ _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY f /� wL STA1LL OTHER TORY LMM E L EACH ACCIDENT $ ANY PROPNIETORMARTN )(ECUTME ( OFFICERRIFMBER E%CLWEpi MYe0. Mxrb v,tlR, 1..811Ia St SheedV J E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ ereoha RROYISDhkl w Assistant 't Attorney OTHER: DESCRIPTION OF OPERATIONS /LOCATNJNSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701. ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH REGARD TO LIABILITY AND DEFENSE OF SUITS ARISING FROM THE OPERATIONS AND USSES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. n.11 ..I c CANCELLATION pulu /vu) Certificate # 23013 © ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS CITY OF SANTA ANA WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS 20 CIVIC CENTER PLAZA AGENTS OR REPRESENTATIVES SANTA ANA, CA 92701 AUTHORIZED REPRESENTATVE /J� Attention: ,/�� // Je" ffre E Frick, CEO pulu /vu) Certificate # 23013 © ACORD CORPORATION 1988