Laserfiche WebLink
-,a 87 02 09:05a PRCSP 5714211 p.2 <br />Stc- 18 -K002 10 :50 ACCOUNT SERVICES 714 258 4353 P.01i01 <br />••_� ••'- ••••••a I iIIICJ, 6 WtLL37C.1, B�EfS 190822 <br />p_1 <br />- ACOR4 CERTIFICATE OF LIABILITY INSURANCE �,�.o� <br />Fitness 4 wellnesa Insurance iwx CExnFIQ%W IEBUED As MA ROFaIFO/WA71pM - <br />Agency ONLYANO CONFERS NO KAWM UPON TIE CERTOiO;ATE <br />HOLUM THIS CGIC I ICATE DOE$ NOT AMEND: EXTENO OR <br />Sol Steveac Ave., 075 FlOOr ALTER THE COVERAW AFFDRDEO BY THE POUCIE9 BELOW, <br />Solana Beach CA 92025 �\I <br />Phoae:800- 395 -6015 FUX9856- 519 -0822 INSURERSAFFOROM6COVERACE <br />INSUace N/UC f <br />far 60sTUatia Village ;10 /fi 02 <br />TY3t1a CA 92780 <br />MAv ISggWoO OR <br />1 CCNarrad OF VICK <br />T5 NO <br />nPf <br />aOUCYNU En <br />lJYfl'! <br />LITr <br />" "sENr- <br />2, 000, 000 <br />aALLUwNSry <br />3XZ126451 -aZ <br />10/ } }/02 10 � s100,006 <br />swofl GOCC1aa <br />APPROVE AS "IU �,ORM <br />.profeeaional <br />O,rmm Thu ufcc f <br />AlfO ONLr Am 1 <br />,00 <br />IEQATEl1ANfAWLIFE PFdi: <br />ClNfO MADE <br />RAGMT10M <br />L ra Shced <br />PM <br />, , 00 <br />Deputy City ttntneV <br />Lot <br />LNNA7T' <br />i <br />s <br />�OJMWIamle LMR s <br />D.Mlas <br />EMrLOYFNt L1ANAJe'f <br />xYO AVIOE <br />61 FACHACCmHff f <br />�APr ) S <br />CTR03AN fNOeuANrornfESeovefawam rotlGiS eE r+NmLEf NEEOA[TNE ENAaIATm <br />DATETRNNOr,'eME es=Neeouaes WN.L MYL �� aMWPJTM <br />MOTM E Ta TNn edarm"r a HOLM NMHO M TIN ttRT,� <br />The City of Santa Ana <br />20 Civic Coate: Plana <br />Santa A=s, CA 92701 O®weaEN +ATIVi <br />TOTAL P.01 <br />v+usr w Iw <br />�T �OAMAOE 5 <br />GA9AGE nMllrtr <br />APPROVE AS "IU �,ORM <br />O,rmm Thu ufcc f <br />AlfO ONLr Am 1 <br />oomm � <br />AGQMGATE <br />ClNfO MADE <br />RAGMT10M <br />L ra Shced <br />0104TnaiE <br />Deputy City ttntneV <br />i <br />s <br />WDIKERICOWENEATON ANO <br />EMrLOYFNt L1ANAJe'f <br />4MI LIM <br />61 FACHACCmHff f <br />OfPICENMfi1mFRF7SLImEe'! u`� <br />EL DWAK.EAEMAL" f <br />Ifyy�assaamiM may <br />aaEClAl Ng0Y=1ONS lalw <br />EL DISFA9E -EOUCr YMIT i <br />OTIlA <br />A 9eraal Abuse 3706176451 -07 100,000 <br />300,000 <br />M Oa OEEMTIONS /L 1 I UW,IiANONO N amNNd31R i DV13fON6 <br />It is understood sad agreed that the following entity is added as an <br />additional insured but only ae reaQeeta the oyeratiOns 09 the named insured <br />except that liability, resulting from the additional insYreda Dole nagiigance <br />The city of seats, Ana it's officers, employ&%&, agents, volunteers and <br />representatives are named as Additional Sna=red,. <br />IYOTl�I. mfr uw� Act <br />CTR03AN fNOeuANrornfESeovefawam rotlGiS eE r+NmLEf NEEOA[TNE ENAaIATm <br />DATETRNNOr,'eME es=Neeouaes WN.L MYL �� aMWPJTM <br />MOTM E Ta TNn edarm"r a HOLM NMHO M TIN ttRT,� <br />The City of Santa Ana <br />20 Civic Coate: Plana <br />Santa A=s, CA 92701 O®weaEN +ATIVi <br />TOTAL P.01 <br />