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( <br /> <br />A °`~~ CERTIFICATE 4F LIABILITY INSURANCE _ ___ <br />page 1 of 3 Oii30i2pog <br />PRODUCER 877_945_7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willis xax HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 century sled. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. 0, Hox 305191 <br />Nashville, TN 3 72 3 0 5191 ' <br />(INSURERS AFFORDING COVERAGE <br />NAIC# <br /> <br />INSURED United States Pro€esaiorial Tennis Asaociaticn, In .iNSURERA: Phila_d_el hie Insurance Companies 18058-900 <br />3535 Sriarpark Drive <br /> <br />Houston, TX 77042 INSURER B: Fireman's Fund Insurance Co. <br />.~ ~--~_-_:,_~ 21873-091 <br /> ~ <br /> INSURER C: _ _ <br />~-~~_- <br />~ ---~ .._-_._. <br />INSURER D: r. <br /> INSURER E: i - <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, TFIE 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 CLAI <br />M <br />S. <br />~~~- <br />~ <br />- <br /> <br />INS~R <br />AD <br />~ <br />~ <br />TypEOFINSURANCE <br />~ POLK;YNUMBER p <br />L{ <br />y app <br />DATECM1iM100 Yrn1^E! P ~X ~p7~p <br />DA ECMM10Pa~lYYYYN <br />i LIMITS <br />A X ,GENERAL LIABILITY PHPK370771 12/31/2008 12/31/2009 ~ EACHOCCURRENCE ~ $ 1~ 000 000 <br /> I ]((COMMERCIAL GENERAL LIABILITY ~ DAMAGE TO RENTED <br />PREMISES Ea ocr.~rence <br />~ $ 10 0 0 0 0 <br /> <br />i CLAIMS MADE ~ OCCUR i MED EXP (Any one person) $ <br /> <br />I i <br />PERSONALBADV INJURY <br />§ ] <br />p~Q Q~Q <br /> ~ , <br /> _- ~ GENERALAGGREGATE $ 2 <br />X00 OOO <br /> _~ _ _ , <br /> GEN'LAGGREGATE LIMIT APrP_LIES PER: <br />~ <br />0 PRODUCTS • COMPlOPAGG ; § _ ~~o 0 0~0 0 0 <br /> ]( <br />POLICY ~ J~ <br />7 ! Loc <br /> AU TOMOBILE LIABILITY COMBlNEDSINGLELIMIT <br /> <br />ANYAUTO - <br />(Ea accdent) <br />i ALL OWNED AUTOS <br /> BODILY INJURY <br /> <br />_ ' <br />'' <br />SCHEDULED AUTOS <br />(Per person) $ <br /> <br />I <br />HIRED AUTOS <br />I -'- <br /> <br />''11 . <br />I BODILYINJURY I <br />$ <br /> NON-OWNED AUTOS fPer accident) <br /> I ~ <br /> PROPERTY DAMAGE <br /> (Peraccident} <br /> OARAGELIABILITY <br /> <br />~1 AUTOONLY-EAACCIDF.N7 <br />_......__.._~-_._~..__....~ 5 <br />. <br /> <br />`ANY AUTO <br />~ <br /> <br />' <br />EA ACC ' <br />OTHER THAN __ . <br />..-_ .. <br />$ <br />L_.__.-__~_ <br /> <br />i <br /> <br />I <br /> <br />AUTO ONLY: AGG .._.. <br /> <br />$ <br />A ~ EXCESS/UMBRELLA LIABILITY pHUB258269 ! 12/31/2008 12/31/2009! FACH000URRENCE $ 3 00~ 000 <br />t <br /> OCCUR r-J CLAIMS MADE i i AGGREGATE § 3 <br />Q~~ ~~0 <br /> <br />I § <br /> DEDUCTIBLE <br />$ <br /> RETENTION $ $ <br />~ WORKERS COMPENSATION WC STATU• OTH- ; <br /> <br />AND EMPLOYERS'LIABWTV YIN ~ <br />l TORY LIMITS ,, <br />_- ER ' <br />` <br /> ANY PROPRIETORIPARTNER/EXECUTIVE ~-I ~ <br />I <br />OFFICERlM.EMBER EXCLUDED? ~ <br /> <br />I <br />I <br />E.L. EACN ACCIDENT <br />-- <br />-j <br />.. - T <br />S <br /> <br />-.---.-__~-_____.__.._ <br />I (Mandatory in NH) <br />I( <br />es <br />describe under C <br />E.L, DISEASE - EA EMPLOYEE ~ $ <br />I y <br />, <br />SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT § <br />B OTHER SH%00081693970 12 31 2008 12 31 2009 <br /> Excess Liahility ~ ~ $5,000,000 Limit <br />DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENTlSPECIAL PROVISIONS <br />TIiIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 1/12/2009 WITH TD: 12063999 <br />Elson De Cantuaria 53128 <br />USPTA Members are insureds for General Liability for playing, teaching or officiating in tennis or <br />operating a tennis ball machine for practicing or teaching. <br />- - -- --------- ........~~~...r.,,r. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />~~,/L\{ /.,~ DATE THEREOF, THE ISSUING INSURER WELL ENDEAVOR TO MAIL 30 DAYS WRITTEN ' <br />i..:.. ~. r%r `.. ~ L <br />~~~''~~--- _NOLCE.TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO 50 SHALL <br />SCltt ShecCl ~/ IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />City o€ Santd Ana ~1, Slay. _~'Iy AttOri-I`- ~ REPRESENTATIVES. <br />868 Weet Santa Ana Blvd #200 AU RIZ E T <br />Santa Ana, CA 92701 ~~,_„ <br />ACORD25(2008I01) Co11:2603478 TD1:883329 Certx12116 4 n19RA-9nnonrnRnrtnQpnoerlnu nu.:..h:... ............. <br />The ACORD name and logo are registered marks of ACORD <br />