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FROM : 5819 MOTORS FRX NO. : 714-245-2365 Jan. 14 2002 12:56PM P2 <br />rn Cer4 F CSacon At M,:rrm IF, �h lneu•. , a Age,p, ir:_ 7c Kurz to Co Pia •57612. ru'+• (655)2.9 6069 :a(: 1/11102 09.31 AM F,;ge 2 012 <br />SPECIALTY NATIONAL INS'JRANC£ <br />A NEMPER COMPANY <br />CERTIFICATE OF LIABILITY INSURANCE <br />Policy Number: 3%Z126461-01 <br />Fitness and Wellness Purchasing Group _ CeRificate Number: 0376126 - IDEA <br />.,AAwE0 Karate Do KIM 0376126 AGENT Murria & Frick Insurance Agency, Inc. <br />NSUREO EH: 1110/02 NAME 380 Stevens Avenue, $115 <br />ANDING 12892 Ranchero Way HALING ANSolana Beach, CA 92075 <br />ADDRESS Garden Orm, CA 82843 ADDRESS 800-395-8075 <br />POLICY PERIOD: From 01/10/2002 To 01110/2003 TOTAL PREMIUM: <br />THIS CERTIFICATE OF LIABILITY INSURANCE FORMS A PART OF THE POLICY REFERENCED ABOVE. INSURANCE AS <br />IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVP-EGES AFFORDED <br />UNDER THE POLICY. THE INSURANCE COVERAGE PROVIDED UNDER THIS CERTIFICATE IS SUBJECT TD ALL THE <br />ue,nuc ne Tuc nm Iry in&WTiOen annVE <br />COVERAGES <br />LIMITS OF INSURANCE <br />$1,000,000 <br />Each Occurrence Limit <br />$ 100.000 <br />Damage to Premises Renteo to You Lim,t - any one premises <br />$ 2,500 <br />Medical ansa Limit - any One Person <br />31.000.000 <br />Personal and AdvertisinginjuryLimit - an one person or or aniz. <br />L <br />$1,000 000 <br />Each Profassional Incident <br />General Liability <br />—S3.000.000 <br />General Aggregate Limit /ether than PrcouctelCorn feted Operations) <br />S3.000.000 <br />Products: Com eted Operations Agarocate Limit <br />$3.000.000 <br />Aagregate Limit - Professional Llability <br />None Hired Auto Liability <br />Sexual and/or Physica! <br />Abuse Liabilityj <br />$100,000 <br />$300,000 <br />Each Cialm <br />Annual Aggregate Limit - Sewal and/or Physical Abuse Liability <br />None <br />Each Employsa Limit <br />Employee Benefits Liabilit • <br />None <br />Agaregate Limit - Em to ee Ben Ifts Liability <br />Employer's Liability <br />(Only available in the <br />'ollowing States: ND. OR <br />VA, WA and VVYI <br />$ 100,000 <br />S 100,000 <br />3 500,000 <br />States} where this Insurance applies <br />Bodily Injury by Accident - Each Accident <br />Bodily Injury by Disease - Each Employee <br />Aggregate Limit - Employer's Liabili <br />Liqucr Liability <br />None <br />None <br />Each Common Cause Limit <br />Aggregate, Winit - Li uor Llabil" <br />Classiflption and Premium' <br />�c t o C�ssTcaton <br />Health or <br />Rate Advance Premium <br />Cede No. Premium Basis Pre rt0 s I Frad Comc ! Prem:ODs Prod/Cam <br />44311 Der Schedule Per SchecIvIe on :.e Per Schedule on File <br />Exercise Cube <br />on File (_— <br />Location of all premises you own, rent or occupy: <br />1)Various <br />3) <br />2) <br /><) <br />IF YOU HAVE ANY QUESTIONS CONCERNING TH15 caw I P'UA It WN -Au I Ir�nn,r. n -r.o.� ,•.+..• •-�• ••-� • •---• -- • -- <br />Bo0-395.8075 <br />je/{sry E Fv cit JANUARY 14, 2002 <br />Authorized Representative Data <br />825772 (5100) <br />APPROVED AS TO FORM <br />,r <br />Mura Shecdy <br />Deputy City Attorney <br />