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ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM /DD/YYW) <br />TM. 02/t 0 /20tO <br />PRODUCER Phone: (eop) ass -30]5 Fe,[ (eae)<2x -ss]e <br />FITNESS AND WELLNESS <br />BO STEVENS AVENUE, SUITE 206 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHT3 UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXPEND OR <br />SOLANA BEACH CA 92075 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />POLICY EXPIRATION <br />DATE (MM/DD/YY) <br />LIMITS <br />A <br />NSURERS AFFORDING COVERAGE <br />NAIC # <br />Apen LIrS: paT]fi4 <br />09/O�/2009 <br />09/0'1/20'10 <br />INSURED <br />INSV RER A: Phlladalphla Indsmnlry Insurance Company <br />16056 <br />INSURER B: <br />MED. EXP (Any one parson) <br />Body by Bootcamp <br />INSURER C: <br />1,000,00 <br />9912 Colony Grove Lans <br />V111a Park, GA 92661 <br />INSURER D: <br />$ 3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY ECTOJ LOC <br />INSURER E: <br />3,000,00 <br />HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />NY 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. AGRREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />OD'L <br />NsR <br />TYPE OF INSURANCE <br />POLICY NDM6ER <br />POLICY EFFECTIVE <br />DATE (MM/DD/YY) <br />POLICY EXPIRATION <br />DATE (MM/DD/YY) <br />LIMITS <br />A <br />X <br />GENF_RAL LIABILITY <br />X OMMERCIAL GENERAL LIABILITY <br />LAMS MADE X�OCCUR <br />X PROFESSIONAL LIABILITY <br />PH PK445957 <br />09/O�/2009 <br />09/0'1/20'10 <br />EACH OCCURRENCE <br />$ 7.000,000 <br />(Ee ttGIE ^RENTED PREMISES <br />'100,000 <br />MED. EXP (Any one parson) <br />2,500 <br />PERSONAL 8 ADV INJURY <br />1,000,00 <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY ECTOJ LOC <br />PRODUCTS- COMP /OP AGG. <br />3,000,00 <br />UTOMOBILE <br />LIABILITY <br />NY AUTO <br />LL OWNED AUTOS <br />GHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />A <br />PRO <br />- <br />V1/ <br />r�T TTO <br />O FORM <br />ETCHER <br />NEY <br />OMBINED SINGLE LIMIT <br />(Ee accident) <br />$ <br />BODILY INJURY <br />(Par person) <br />$ <br />BODILY INJURY <br />accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />GARAGE LIABILITY - <br />NY AUTO <br />UTO ONLY - EA ACCIDENT <br />$ <br />THER THAN EA ACC <br />UTO ONLY: AGG <br />$ <br />EXCESS /UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />EACH OCCURRENCE - <br />$ <br />GGREGATE <br />$ <br />$ <br />ORKERS COMPENSATION AND EMPLOYERS' <br />LIABILITY <br />NY PROPRIETOR/PARTNER /E %ECUTIVF <br />FFICER/MEMBER E%GLUDED] <br />It yea, aeeerine enaer SPECIAL PROVISIONS helew <br />c <br />sTATU -TORY <br />LIMITS <br />THER <br />E.L. EACH ACCIDENT <br />E.L. DI EASE -EA EMPLOY <br />E.L. DISEASE -P LICY LIMI <br />THER: <br />DESCRIPTION OF OPERAT10N5/LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />I[ Is understood and agreed that the following entlry Is added es an addltlonal Insured but only as respects [he oparatlons of the named Insured axcepk That 11ab111ry resulting from the <br />additional Insureds sole na911gence. <br />CERTIFICATE HOLDER��, ,' CANCELLATION <br />range Vnif ad School Dislnct A[tn:G011een.Derham <br />'1401 North Handy Street <br />range, CA, 92867 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSV RER WILL ENDEAVOR TO MAIL 10 <br />DAYS WRITTEN NOTICE TO THE CERTI FIGATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABI LITV OF ANV KIND UPON <br />- <br />HE INSURER, ITS AGENTS OR REPRESENTATIVES <br />AUTHORIZED REAP <br />/RESENTATIVE <br />CiD /(r..�. Tlal �.> <br />ttenlion: <br />ACORD 25 (200'1/2) Certificate # 84562 ACORD CORPORATION '1988 <br />