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ACORD CERTIFICATE OF LIABILITY INSURANCE �T;;n '7 <br />5 Fay: I1158)519gi92s THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION <br />FITNESS AND WELLNESS ONLY AND CONFERS NO RIGHTS UPON THE CERMICATE <br />386 STEVENS AVENUE, SUITE 206 HOLDER. THIS CERTIFICATE DOES NOT AMEND I EXTEND OR <br />60LANA BEACH CA 92075 Al ran TUC rnueeie+s e., ..... �......., _. _._. <br />Licf: <br />INSURED <br />BODY BY BOOTCAMP <br />9912 COLONY GROW LANE <br />VILLA PARK CA 92861 <br />84UROM AFFORDIW COVERAGE <br />INSURER 0, <br />INSURER C- <br />INSURER D: <br />NAIC S <br />THE POl I LISTED MOW HAVE ED TO THE INSU FOR THE POLICY TED, NOrW <br />ANY IMMREMENT. TERM OR CQN MON OF ANY CONTRACT OR DER OOCuww WITH RESPECT ToWHim THtS CERTIFICATE MAY se swED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DE$CAIW0 HEREIN 16 SUBJECT TO ALL THE TERMS, EXCLUSIOW AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAI7 CLANS. <br />m <br />ws4 <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POUBY �TWE <br />pA ama. <br />PQL= MOAT= <br />j&2112921— <br />LWITB <br />OMERAL LIABILITY <br />PHPK215316 <br />09/01107 <br />09101108 <br />i 11000,000 <br />X COMMERCIAL GENERAL ummr <br />CLAIMS MADE OCCUR <br />o.uaae To aEnrEo PFWWSES 6. —1 <br />100,000 <br />MED. EW("aN pir w) <br />S 2M <br />A <br />PERSONAI 8 ADV KJVRY <br />S 11000,000 <br />GENERAL AGGREGATE <br />i 3,000,000 <br />GEN'LAGGREGATEUMrrAPPLIE6 <br />X POUCr 71 PRO. LOG <br />PRODUCTS.COMPA)PAGG. <br />S $,606,000 <br />AUTOMOBILE LIABILITY <br />ANYAUTO <br />NOOM %'MIGLE LIMIT <br />i <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(per P—) <br />$ <br />HIRED AUTOS <br />NON -OWNW AUTOS <br />BODILY INJURY <br />(Per eooidMM) <br />PROPERTY DAMAGE <br />i <br />GARAGE LIABILITY <br />$ <br />OTHER THAN _ FA ACC <br />5 <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />EXCESS I UMBRELLA LUIHKM <br />EACH OCCURRENCE <br />i <br />OCCUR r � CLAW MADE <br />AGGREGATE <br />3 <br />i <br />i <br />DEDUCTIBLE <br />RETENTIONS <br />WORKERS COMPENSATION ANDv <br />EMPLOYEfw UASILRY <br />ANY PROMWWR&AMEMIZOWNE <br />aR1G�~ emmuom" <br />] I -2 <br />rl <br />..Y_ <br />uurs <br />arrlEa <br />E.L. Y <br />. EACH ACCIDE <br />i <br />E.L. D19EASE•CA EMPLOYEE Is <br />Es tCUL�RReMleaaxee�kw <br />t/ <br />E.L,DISEASE.PouCYLIMIT Is <br />OTHM- <br />DESCRIPTION OF OPERATIONS ILOCATIONSMHICLEMCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROMIONS <br />It Is understood and adgmed that the fallowing entity is added as an additional insured but only as respects the operations of the <br />named h and except that HabiNty resu ng from the anddWonal insureds sole negligence, Additional Insured Endorsement Is <br />Etfettive:10108107 <br />'Except 10 days for Non-Pay wt of Premiwn. SEE ATTACHED ADDITKN AL INSURED ENDORSEMENT SCG 20101195 <br />Ln4:n. <br />City of Santa Ana Parks, Recreation S Community <br />Sorvk;es Agency <br />998 W. Santa Ana Wwd., Suite 200 <br />Santa Ana CA 821702 <br />Attention: Cade MadaThompktns <br />ACORD 25 (2001109) <br />SHOULD ANY pF TIE AaOVE DGr AIWO POLICES BE CANCFILEO BEFORE THE <br />OVRATION DATE THEREOF, THE MUM INSURER WILL MAIL *X DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />Of cor- 7A <br />fray E. Frick, CEO <br />0 ACORD CORPORATION 1895 <br />