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/- - za1)�2-/ <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />DAT;ii20/20 ' <br />TM. <br />06 <br />PRODUCER Prx,.: (800)395-8075 Fax: (858)519,0822 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF <br />FITNESS AND WELLNESS INSURANCE AGENCY <br />INFORMATION <br />380 STEVENS AVENUE, SUITE 206 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />SOLANA BEACH CA 92075 <br />INSURERS AFFORDING COVERAGE NAIC # <br />AgencyLiOli OD28716 <br />INSURED <br />INSURER A: Zurich North America <br />CHOC V. LE <br />INSURER e: <br />4 FABRIANO <br />IRVINE CA 92620.2576 <br />INSURER C: <br />NSURER D. <br />NSURER E: <br />COVERAGES <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 />NSR <br />TR <br />ADDL <br />NSRp <br />TYPE OF INSURANCE <br />POLICYNUMBER <br />POLICY EFFEmrvE <br />ppTE MMN <br />vpucr EzrwprlDM <br />DATE(MMNp <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILIT <br />CLAIMS MADJX OCCUR <br />ST63733.00 <br />12/17/06 <br />12117107 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />OA.AGE TO RENTED <br />PRE. SES(E......—) <br />$ tOO,000 <br />MED. EXP(My one person) <br />$ 2,500 <br />PERSONAL 8 ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PEE <br />X POLICY PRO- LOC <br />PRODUCTS-COMPIOP AGG. <br />S 3,000,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Per Person) <br />$ <br />BODILY <br />accide t) <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accitlent <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EAACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESS I UMBRELLA LABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION$ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />5 <br />$ <br />It <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROYRIETORIPARTNENExECUTNrE <br />OEFICER)MEMMEN CSCLUDED? <br />ay... x..N .. <br />EcuL PRPRwIWlaoxe slow <br />ToevTurrnnD <br />E.L. EACH ACCIDENT <br />5 <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />OTHER: <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />SEE SUPPLEMENTAL CERTIFICATE INFORMATION <br />CERTIFICATE HOLDER :CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 <br />CommunityRedevelopment A <br />PRent Agency Y <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />of the City of Santa Ana <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />20 Civic Center Plaza (M-25) <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Attention: <br />Jeffrey E. Frick, CEO <br />ACORD 25 (2001108) Certificate # 51125 © ACORD CORPORATION 1988 <br />RECE; ^ 6 2006 <br />