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AC<?j?1:> ® DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE Page 1 of 3 12/22/2009 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE willis insurance services of Georgia, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 NAIC# Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE INSURED United States Professional Tennis Association, Inc.INSURERA:Philadelphia Insurance Companies 18058-900 3535 Briarpark Drive INSURERB:Fireman's Fund Insurance Co. 21873-091 Houston, TX 77042 INSURER C: INSURER D: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAYPERTAIN, THE S. AGGREGATE L ASHOWN MAY HAVE NCE AFFORDED BY E POLICIESHEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH REDUCED DESCRIBED POLINSR LTR :; NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE MM/DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LABILITY CLAIMS MADE OCCUR PHPK510031 �12/31/2009 12/31/2010 EACH OCCURRENCE $ l' O'_000 DAMAGE TO RENTED PREMISES Eaoccurence $ 100 000 MED EXP (Any one person) $ PERSONAL B ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 2 000 000 PRODUCTS-COMP/OPAGG $ 1 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PE� LOC AUTOMOBILE LIABILITY ANY AUTO APPROV S FO M ED SINGLE LIMIT ent) $ ALLOWNEDAUTOS NJURY on) ;BODLY $ SCHEDULED AUTOS W. FLETC ATTO,Y NJURY (Per accident) $ HIREDAUTOS I NON-OWNEDAUTOS L1 Q H CITY - -" PROPERTY DAMAGE (Per accident) $ — GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTOONLY: AGG $ _ $ A EXCESS I UMBRELLA LIABILITY X OCCUR LJ CLAIMS MADE PHUB293364 12/31/2009 12/31/2010 EACHOCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 $ $ -- DEDUCTIBLE RETENTION $ WORKERS COMPENSATION _ TORY LIMITS OER _E_.L. EACH ACCIDENT t- _ E.L. DISEASE - EA EMPLOYEE $_ $ B AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? L.- (Mandator, in NH) If yes, describe under SPECIAL PROVISIONS below OTHER Excess Liability SHX0072018765 12 31 2009 12 31 2010 E.L. DISEASE - POLICY LIMIT $ $5,000,000 Limit DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Vic Braden #5787 USPTA Members are Insureds for General Liability for playing, teaching or officiating in tennis or operating a tennis ball machine for practicing or teaching. City of Santa Ana, its officers, agents, employees and volunteers are Additional Insureds as laim ari sing out of the nealicfence of the reap cts General Liap3..Lity b t only respekt.. u o CERTIFICA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Santa Ana 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 1 Ae+non -ic i,5nnorn4t r-1 l • 2R 0(1947 mnl ! 102 6344 Cert:13NO442 ©1 88-2009 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD