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ALDAZ, GIL 1-2000
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ALDAZ, GIL 1-2000
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Last modified
1/3/2012 3:22:29 PM
Creation date
2/23/2006 9:00:52 AM
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Contracts
Company Name
Aldaz, Gil
Contract #
N-2001-095
Agency
Parks, Recreation, & Community Services
Insurance Exp Date
2/9/2003
Destruction Year
2011
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<br />Feb 11 02 06:25p <br /> <br />Fitness & Wellness <br /> <br />858-519-0822 <br /> <br />p.2 <br /> <br />. , CERTIFrCATE OF LIABILITY INSURANC~'M~1 I DATE (MMIODIYY) <br />ACORD. . 02/12/02 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />FitDesB~ Wellness :Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Agency HOlDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />380 Stevens Ave., First Floor AL TEft THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Solana Beach CA 92Q75 INSURERS AFFORDING COVERAGE <br />Phone. 800-395-8075 Fax.85B-519-0B22 <br /> -~----- <br />UlSLJREO INSURER A: Specialty National Inaurance <br /> INSURER s: <br /> Karate Do Xiai #2 '0385951 ...-- <br /> Gi1 A1daz Eff:Oi{09 02 INSURERC: <br /> 421 E. Lyon St 0 INSURER 0: --- <br /> Santa Ana CA 92701 <br /> : INSURERE: <br /> <br />COVERAGES <br /> <br />THE POlICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE fNSUAEO NAMED ABOVE FOR THE POUCV PERfOD INDICATED. NOTWiTHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION Of ANY CONTAACT OR OlllER OOCUMENT WITH RESPECT TO WHICH THSCERTIFICATE MAY BE ISsueD OR <br />WAY I1EATAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXClUSIONS AND CONDITIONS OF SUCH <br />POliCIES, AGGREGATE UMlTS SHOWH MAY HAile BEEN REDUCED BY PAID CLAIMS. <br />l~~ TYPE OF INSURANCE . POLICY NUMBER ~\f~b E I ~",MMlDDlYYON lIMllS <br /> GENERAL UABIL1TY 02/09/02 i EACH OCCIJ1'RENCE . 1, 000, OOO_~_ <br /> - <br />A X COMMERCIAL GENERAlI.lABIlITY 3XZ126451-01 02/09/03 FIRE DAMAGE (MV O~ ire) .100,000 <br /> !.~ CLAIMS MADE xl OCCUR MEO EXP lAny 0I'\e pe"llOll) 12.,500 <br /> '_____0------' _ <br /> , PERSONAL & MN W,JURV 11..,000.000 <br /> 1.- [GENERAL AGGREGATE <br />A 1'_ Hisc Professioz:1_~~ S 3.000,000 <br /> ~L t'I~Ep~~ APPnSIPER: ; PRODl./CTS.COMPIOPAGG f S 1. 000. 000 <br /> : POLICY JEeT laC <br /> AUTOMOBILE LIABWTY COMBDED SINGLE LIMIT <br /> . <br /> ANY AUTO lEa aa:k:Il1lt1l) <br /> ~. <br /> L.____ ALL OWNED AuTOS F 800lt Y INJURY <br /> . <br /> SCHEDUlED AUTOS , ,(Pe<fperSCll't) <br /> -- <br /> , HlREO AUTOS BODu.. Y INJURY i <br /> a :::WNEO:VTOS (Perao;:i(knl) " <br /> ------ PROI"ERTY DAMAGE , <br /> i I (Peracc:ider.\) <br />~E UABIUlY AUTO ONLY. EA ACCIDENT , <br /> ! All'( AUTO ontER THAN EA ACe . ~- <br /> --. <br /> i AUTO ONLY: AGG . <br /> ~ESS UABIUTY '--. APPROVED AS Tv EACtI OCCURRENCE . <br /> ~ OCCUR ~ CtAlUSMADE Lr, .?/"" 0 AGGREGATE . <br /> .,nal~A . <br /> f=i DEDUCTIBlE - . <br /> RETENTION , , Laura Sheedy . <br /> WORKERS COMPENSATION AND Deputy City AttorneY I TORY LIMITSl l' ER' <br /> EMPLOYERS' LlABIUTY <br /> E.L. EACH ACCIDENT . <br /> I E.L DISEASE. EA EMPLOveE S <br /> i ! E.L. OI$E.\SE. POUCY LIMlT I s <br /> : OTHER <br />A sexual Abuse ! 100,000 <br /> 300,000 <br />DescA1P'I1ON OF OIERATlQNStLOCATIONSNEHlCLESlEXCLUSIDNS ADDED BY ENDOASEMENTISPECIAL PAOVlSlON5 <br />It is understood ,,,,d agreed that the following entity is added as an <br />additional insured, but only eo respects the operations of the named insured <br />except that liability resulting frmn. the additional insureds 801e negligence <br />CERTIFICATE HOLDER I YI ADOInoNAL INSUfl!.D; fNSIJIItER I.E.nER: CANCELLATION <br /> COSANTA SHOULD ANY DFTHE ABOVE DESCRIBED POUCIUo BE CANCELLED BEfORf. THI! UPlRATIOI <br /> DATE THeREOF, THE ISSUING INSURER W1U ENDEAVOR TO MAlt. 1L DAYS WRlTlEN <br /> city of Santa Ana NOTICE TO 1"tre CeR1lFICATE HOLDER NAMED TO THE LEFT, BUT l~t_..l!:. 18 18 && &.11.1,.1.. <br /> aecreation and Community 1Mre'U~"'n.--' B. ,~UftUADI"".ur'......,..............-........~IIUl~..-..,,! ..tFIl[ 9A <br /> service Agency <br /> B8B West San t.a Ana B1vd. m:...l!!nFl"'.lll(ES. <br /> Santa Ana CA 92702 A.4.. c'?fu-l <br /> , <br /> " ' CACORD CORPORATION 1988 <br /> <br />ACORD 25-5 (7/97) <br />
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