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% <br />�ACORD CERTIFICATE OF LIABILITY INSURANCE <br />TM. <br />DAT0815120016 1 <br />PRODUCER Phone: (800)395 -BD75 F=: (858)51ao822 <br />FITNESS AND WELLNESS INSURANCE AGENCY <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF <br />INFORMATION <br />380 STEVENS AVENUE, SUITE 206 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />SOLANA BEACH CA 92075 <br />LIMITS <br />A <br />AUTHORIZED REPRESENTATIVE �// erwo <br />GENERAL. UABLITY <br />X COMMERCIAL GENERAL LIABIL <br />CLAIMS MAD OCCUR <br />INSURERS AFFORDING COVERAGE <br />NAIL # <br />Lick: OD28716 <br />EACH OCCURRENCE <br />S 1, 00'000 <br />INSURED <br />INSURER A: Zurich American Insurance Comparty <br />MEO. EXP Vm one pe ) <br />INSURER B: <br />PERSONAL a ADV INJURY <br />RAYMUNDO SUAREZ <br />610 S TOWNSEND ST <br />SANTA ANA CA 92703 <br />INSURER C: <br />GENERAL AGGREGATE <br />INSURER D: <br />GENT AGGREGATE LIMIT APPUESPE <br />X POLICY PRO- LOC �IT <br />PRODUCTS- COMP,OP AGG. <br />INSURER E: <br />BD <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 PAN) CLAIMS. <br />Nsa <br />ACOI <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />I BiEC1NE <br />rMlpYe]IPwAT1oM <br />LIMITS <br />A <br />AUTHORIZED REPRESENTATIVE �// erwo <br />GENERAL. UABLITY <br />X COMMERCIAL GENERAL LIABIL <br />CLAIMS MAD OCCUR <br />EOLWI2327-02 <br />0611 5/06 <br />0611 SW <br />EACH OCCURRENCE <br />S 1, 00'000 <br />(FA ) <br />$ 100,000 <br />MEO. EXP Vm one pe ) <br />$ 2,500 <br />PERSONAL a ADV INJURY <br />S 1,000,000 <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />GENT AGGREGATE LIMIT APPUESPE <br />X POLICY PRO- LOC �IT <br />PRODUCTS- COMP,OP AGG. <br />$ 3,66D,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY ALTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-CWNEDAUTOS <br />SINGLE L <br />)LIMIT ( IT <br />S <br />BODILY INJURY <br />(PW Pen <br />S <br />BODILY INJURY <br />(Per actldsM) <br />S <br />PROFERTYDAMAGE <br />acci0enl <br />S <br />GARAGE LIABILITY <br />ANY AUTO <br />AuroomY- EAACCIDENT <br />S <br />OTHERTHAN EA ACC <br />AUTO ONLY: AGG <br />S <br />3 <br />EXCESS I UMBRELLA LIABILITY <br />OCCUR D CLAIMS MADE <br />DEDUCTIBLE <br />RETENTIONS <br />%I <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />_ <br />$ <br />S <br />S <br />S <br />WORKERS COMPENSATION AND <br />EMPLOYERS'Lk4MUTY <br />�,pAO�TOxWAanlenlrxisutNe <br />aofcEnA1EMER Elt]ttLUPEPt <br />sl�aAtrnovrswNS O.Iex <br />OTM R <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE-EA EMPLOYEE <br />S <br />E.L. DISEASE-POLICY LIMIT <br />$ <br />OTHER; <br />DESCRIPTION OF OPERATIONSILOCATIONS /VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701. ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS <br />AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH REGARD TO LIABILITY AND DEFENSE OF SUITS ARISING FROM T <br />OPERATIONS AND USSES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. <br />CFRTIFICATF HOLDER CANCELLATION <br />ACORD 25 (2001108) Certificate # 44517 © ACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 <br />CITY OF SANTA ANA <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 />20 CIVIC CENTER PLAZA <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />SANTA ANA, CA 92701 <br />AUTHORIZED REPRESENTATIVE �// erwo <br />Attention: CARLA TOMPKINS <br />Jew ffrey E Frick, CEO <br />ACORD 25 (2001108) Certificate # 44517 © ACORD CORPORATION 1988 <br />