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ACO D CERTIFICATE OF LIABILITY INSURANCEI <br />DATE (MM DD YYYY) <br />I=012005 <br />PRODUCER Phww: (NO)395eG7S FiK (S58)St9.0022 <br />RTNESS AND WELLNESS INSURANCE AGENCY <br />390 STEVENS AVENUE, SUITE 206 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHT$ UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER LA=lmm� <br />SOLANA BEACH CA 92075 <br />Aaency Lic#:0028716 <br />INSURERS AFFORDING COVERAGE <br />NAIC 11 <br />INSURED <br />CHOC V. LE A -900 y— I A2-03 <br />INSURER A: Zurich North America <br />INSURER B: <br />INSURER C: <br />4 FABRIANO <br />IRVINE CA 92620-2676 <br />INSURER D: <br />INSURER E: <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 />TYPE OF !INSURANCE <br />POLICY NUMBER <br />POLICY�9PPECTNE <br />POLICY EXPIRATION <br />LIMITS <br />A <br />GENERAL.LIABILITY <br />X COMMERCIALGENERALLIABILITY <br />C W MS MnDE FX1 OCCUR <br />GENL AGGREGATE LIMIT APPLIES PER: <br />X POLICY 7 JJC-CT LOC <br />EOL9042327-01 <br />12117106 <br />12M7108 <br />EACH OCCURRENCE <br />S 1 �� <br />DAHAOETORPrAmFMOD <br />DAMAGE <br />Ea Ea o EO <br />S 100,000 <br />MED. EXP (Any a w pwaon) <br />S 2,800 <br />PERSONAL B ADV INJURY <br />i 1,()0,000 <br />GENERAL AGGREGATE <br />3 3,6GG,000 <br />PROOUCTS-COMPIOP AGG. <br />S 3,000,000 <br />AUTOMOBILE <br />LAOAITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON OWNEOAUTOS <br />COMBINED SINGLE LIMIT <br />(Ea acew") <br />S <br />BODILY INJURY <br />(Pw parwn) <br />S <br />BODILY INJURY <br />(Pera=iwnt) <br />_ <br />PROPERTY DAMAOE <br />Per accxjom <br />i <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACC40ENT <br />S <br />OTHER THAN EAACC <br />AUTO ONLY: AGO <br />S <br />S <br />EXCESS I UMBRELLA LIABBJTY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION S <br />A, <br />eZk_ <br />EACH OCCURRENCE <br />II <br />AGGREGATE <br />S <br />VWMAS COMPLNBATION AND <br />EMPLOYHtS' UABILII Y <br />AWPftOP lffT*WARTklRl 9CUWE <br />OPPICIUMAKINIIER EXCLAMM? <br />Mrir.Mu,lMt+nW, <br />� PROVMK M aq,,, <br />....~ <br />)..,2GY£`. r Lt .,i;1-:%y <br />- <br />. <br />SLIM 6 <br />oMER <br />E.L. EACH ACCIDENT <br />S <br />E.L.EL. DISEAEA EMPLOYEE <br />S <br />E.L. DISEASE -POLICY LIMIT <br />S <br />OTHER: <br />DESCRIPTION OF OPERATIONSA=ATIONSNEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />CERTIFICATE HOLDER ADDED AS ADDITIONAL INSURED ONLY AS THEIR INTERESTS MAY APPEAR <br />i.c.m I Irj%#^ i C n%mwr. ( <br />City of Santa Ana Recreation <br />am* W a..w A— O,.-d_ <br />An SantO a CA 92702 <br />Attention: PEGGY CALVERT <br />ACORD 25 12001108) <br />Certificate # 33091 <br />GMIGtLLA 1 IQIN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED DEFORETNE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1O DAYS <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br />00 8O SHALL IMPOSE NO OBLIGATION OR LIASIUTY OF ANY KIND UPON THE INSURER, ITS <br />AGENTS OR REPRESENTATIVES. <br />4i Id 0 Hit e <br />O ACORD CORPORATION 1208 <br />I. d 0Z80ZV0Z89-QN/8£:£I'1S/8£:£t 9067, UZ 03QC3ffl) 30NVdnSNI SS3NI13M QNV SS3N1iA W08J <br />