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<br />Jan 29 02 03:10p <br /> <br />santa ana press <br /> <br />7145714235 <br /> <br />p.2 <br /> <br /> , <br />.. <br />ACORD. CERTifiCATE OF LIABILITY INSURANCttIM~l I DATE (MMlDDIYYI <br />01/U/03 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Fitness & Nellness Insurance OIlL Y AIID CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Agency , HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />380 Stevens Ave" First Floor ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Solana Beach CA 92075 <br />Phone, 800-395-8075 Fax.858-519-0823 INSURERS AFFORDING COVERAGE <br />INSURED INSIJRERA: S"ecia1tv National :tnsurance <br /> Krrate Do Kiai #2 #0385951 II'tSURERS: <br /> G 1 Aldaz <br /> IDEA effective 02/09/01 INSURER C: <br /> P.O. :Box 831 ItrtSURER D; <br /> Santa Ana CA 92703 <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICES OF INSURANCE LISTED BELOW HAVE BCEN ISSUED TO THe INSURED NAMED A8OI/E FOR TtlE POLICY PERIOD INDICATED. NOTWIimiTANDlNG <br />ANY REQUIREMENT, TERM OR CONDITION OF AN( CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHlCH THJS CERTFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All TliE TERMS, EXClUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LlMrTS 8HOYJN MAY HAVE BEEN REDUCED BY PAlO CLAJMS. r~ilf~~ <br />'rf:i TYPE OF INSURANCE POUCY NUNBER LIMITS <br /> ~NI!RAL UABILlTY , 02/09/01 02/09/02 EACH OCCURRENCE S 1,000,000 <br />A ~ OMMERCIAL GENERAL LIABILITY 3XZ-126451-00 FIRE OAMAGE (Any one "reI 1100,000 <br /> - CLAIMS MADE [!] OCCUR MED EXP (Any (lIle [lElr3Cl1) .2,500 <br />A~ Mise Professional PERSONAL &ADY INJURY '1,000,000 <br /> ,_ GENERAL AGGREGAlE .3,000,000 <br /> ~'lAOO~En ~~ APf~!~tIPER' PRODUCTS - COMPJOP AGG .1,000,000 <br /> POtlCY JECT LOC <br /> ~OMO.'LEUABILI1Y COMBINED SINGLE UMIT <br /> ~YAIJTO (EDacc:icent} :s 1,000,000 <br /> l-- ALL OWNED AUTOS BODILY INJURY . <br /> SCHEDULED AUTOS (Perpel'IWIJ <br /> L- <br /> >-- HIRED AtrrOS BODilY INJURY <br /> . <br />A ~ NON-OWNED AUTOS (per aCCIdent) <br /> I-- PROPERTY DAMAGE . <br /> (PeraccfdentJ <br /> RRAGE LIASIlI1Y AUTO ONLY - EA ACCIDENT . <br /> ANYAU:U OTHER THAN EA"'-C . <br /> AUTO ONLY: AGO . <br /> EXCESS UABlUlY ~ OCCURRENCE . <br /> S'OCCUR 0 ClAlMSMADE. I AGGREGATE . <br /> $ <br /> R IlEDUCTI.L. APPROVED P S TO FOil M $ <br /> RETENTION . $ <br /> WORKERS COMPENSATION AND d;.lA- p( ..n I TORY UMrTs I IOr.- <br /> EMPLOYERS' UA81UTY ~ EL EACH ACCIDENT $ <br /> / 7 <br /> q:::auTa Sheedy . -; E.L DISEASE. EA. EMPLOYEE $ <br /> ",... AUn' no" E.t. OfSEASE - POLICY LIMIT . <br /> OTHER I <br />A SllltUAI. A:Bl1SlI 100,000 <br /> 300,000 <br />DESCRIPTION Of OPERAnoNSlLCCA,TlONSNEHICLESJEXCLUSlONl ADDED BY ENDORSEMENT/SPECIAL PROVlSIQt.lS <br />It is understood and a~reed that the following entity is added as an <br />additional insured, but only .5 respeot. the operations of ~he named insured <br />except that liability resulting from the additional insureds sole ne~ligenee <br />CERTIFICATE HOLDER I y j ADOITICNAL INSURED; INSURER LETTER; CANCELLAnON <br /> COSAllTA SHOULD ANV OF THE AIOVE DI!SCR1BED POUCtES BE CANCELLED BEFORE THE EXPlRATlOI <br /> DATE THWOF, THE ISSUING INSUReR WILL I!NDI!AYOR m MAlL 30 DAYS WRITTEN <br /> City of Santa Ana NOnCE TO THE CER11F\CATE KOLOER HAMID TO THI. LUT, 8tfI" r~I..l.JJ\I 'F8 B8 Ie 811AL1. <br /> Recreation and Community IM"12lUiau<lo"'IiIII1!"T'In~ ....RIMi!IL" I ~, ..Wi."IUNIil Wf'liiInTIIElltSd~ 1l00RUcNl:rvR <br /> Service Agency Attn. C. Shaw <br /> 888 "'est Santa Ana Blvd. R!fIAURR'."FI'rES.. <br /> Santa Ana CA 93702 <br /> , Jeffrev ll. Frick <br /> <br />ACORD 25-5 (7197) <br /> <br />CACORD CORPORATION 19811 <br />