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ACORD CERTIFICATE OF <br />TM <br />LIABILITY INSURANCE DATOB/2M312005 Y1 <br />PRODUCER Phone (800)395.8075 FAX (858)5100812 <br />FITNESS AND WELLNESS INSURANCE AGENCY <br />THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />380 STEVENS AVENUE, SUITE 206 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1 <br />SOLANA BEACH CA 92075 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURED <br />RAYMUNDO SUAREZ <br />610 S TOWNSEND ST <br />SANTA ANA CA 92703 <br />COVERAGES <br />INSURERS AFFORDING COVERAGE I NAIC # <br />TO <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />rtdR <br />AOPL <br />TYPEOFINSURANCE <br />POLICY NUMBER <br />POLICY6FF6CTIV6 <br />POLICY EXPIRATION <br />LIMITS <br />1R <br />INSR <br />Jeffrey E. Frick, CEO <br />DATE MRe DM' <br />DAYS MMIODMI <br />GENERAL <br />LIABILITY <br />EOLD012327 -01 06/15105 <br />06/15/06 <br />EACH OCCURRENCE $ 1,000,000 <br />X <br />OAMAGE TO RENTED $ 100,000 <br />COMMERCIAL GENERAL LIABLItY <br />CLAIMS MADE OCCUR <br />PREMISES L---) <br />NED. EXP(Anyone person) �i$ 2,500 <br />PERSONAL S ADV INJURY '$ 1,000,000 <br />A <br />GENERALAGGREGATE $ 3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER'. <br />PRODUCTS- COMP /OP AGG. <br />5 3,000,000 <br />P <br />I X POLICY JEDRO T TOO <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />F. —S—L <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY <br />(Pe, person) <br />SCHFDUI FD AUTOS <br />— <br />�$ <br />HIRED AUTOS <br />- -$ <br />NWILY INJURY <br />DUN OWNED AUTOS <br />(Pe, accitleni) <br />-- - - -- <br />'PROPERTY DAMAGE <br />(Pareccidenp <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHERTHANA ACC <br />$ <br />ANY AUTO <br />AUTOONLY AGO <br />$ <br />EXCESS I UMBRELLA LIABILITY <br />FACT I OCCURRENCE <br />$ <br />OCCUR EJ CLAIMS MADE <br />AGGREGATE <br />8 <br />$ <br />I <br />DEDUCIBLE <br />$ <br />cc;; <br />RETENTION $ APPROVED D <br />- n <br />S TO FOR <br />$ <br />'WORKERS <br />COMPENSATION AND <br />siAV ._ER <br />EMPLOYERS LIABILITY <br />-TORY LIMITS. <br />�---' <br />ANY aRTNER,EXE6umE i T <br />/_ � <br />E L EACH AGO <br />8 <br />OFF IC ERRaEMBER EXCLUDED' V �IIDTa 5t <br />Yf Sh OGdy <br />FI DISEASE FN EMPLOYEE <br />$ <br />EL DISEASE POLICY LIMIT <br />$ <br />Sn4AL PRO Some <br />SPECIAL PROYiSION6 Eabw '', r \iJIR L'n 1,. L,i( <br />A[tOCp C' }. <br />OTHER'. <br />DESCRIPTION OF OPERATIONS /LOCATIONS(VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 82701. ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS <br />AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH REGARD TO LIABILITY AND DEFENSE OF SUITS ARISING FROM THE <br />OPERATIONS AND USSES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2001/08) Certificate # 23013 © ACORD CORPORATION 1998 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br />CITY OF SANTA ANA <br />DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IPS <br />20 CIVIC CENTER PLAZA <br />AGENTS OR REPRESENTATIVES. <br />SANTA ANA, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Attention: <br />Jeffrey E. Frick, CEO <br />ACORD 25 (2001/08) Certificate # 23013 © ACORD CORPORATION 1998 <br />