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SPECIALTY NATIONAL INSURANCE A KEMPER COMPANY CEkTIFICATE OF LIABILITY INSURANCE 3XZ126451 -01 - IDEA Fitness and Wellness Purchasing Group Policy Number: 0393366 Certificate Number: NAMED Daniel Ramirez #393366 AGENT Murria & Frick Insurance Agency, Inc. - WSURED Effective 11110101 NAME AND 380 Stevens Avenue, #115 AND MAILING MAILING Femwood Solana Beach, CA 92075 AILING ADDRESS j ADDRESS Garden Grove, CA 92843 800- 395 -8075 - CA LiC 0672756 POLICY PERIOD: From 11/10/2001 To 11110/2002 TOTAL PREMIUM: THIS CERTIFICATE OF LIABILITY INSURANCE FORMS A PART OF THE POLICY REFERENCED ABOVE. INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. THE INSURANCE COVERAGE PROVIDED UNDER THIS CERTIFICATE IS SUBJECT TO ALL THE TERMS, CONDITIONS, AND EXCLUSIONS OF THE POLICY IDENTIFIED ABOVE. rroioonr_oc I LIMITS OF INSURANCE IF YCU HAVE ANY QUESTIONS CONCERNING THIS CERTIFICATE CON f AG I : uv�. 800- 395 -8075 October 23. 2001 Authorized Representative LB 25772 (.6 /00) Date Each Occurrence Limit $ 100,000 Damage to Premises Rented to You Limit - any one Premises $ 2,500 Medical Expense Limit - any one person Personal and Advertising Injury Limit - any one person or organiz. '.. $ I, UUU,UUC Each Professional Incident General Liability General Aggregate Limit (other than Products / Completed Ooerations) Aggregate Limit - Professional Liability Products /Completed Operations Aggregate Limit None Hired Auto Liability Sexual and /or Physical I Abuse Liability Each Claim $ 300,000 Annual Aggregate Limit - Sexual and /or Physical Abuse Liacility None Each Employee Limit Employee Benefits Liability None Aggregate Limit - Employee Benefits Liability Retroactive Date Employer's Liability (Only available in the following States: ND, OH, VA, WA and WY) State(s) where this Insurance applies $ 100,000 Bodily Injury by Accident - Each Accident $ 100,000 Bodily Injury by Disease - Each Employee $ 500,000 Ag regate Limit - Employer's Liability Liquor Liability one Each Common Cause Limit None Aggregate Limit - Liquor Liability Classification and Premium' Rate I Advance Premium Loc. No. Classification Code No. I Premium Basis I Prem /Ops Prod /Comp Prem /Ops I Prod /Comp Health or 44311 Per Schedule Per Schedule on File Per Schedue on File Exercise Clubs on File Form of Business: _ Individual _ Partnership _ Joint Venture _ Limited Liability Co. _ Organization, (not including a Partnership, Joint Venture or Limited Liabifity Co.) Location of all premises you own, rent or occupy: 1) Various 3) l 2) 4) IF YCU HAVE ANY QUESTIONS CONCERNING THIS CERTIFICATE CON f AG I : uv�. 800- 395 -8075 October 23. 2001 Authorized Representative LB 25772 (.6 /00) Date