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CERTIFICATE OF LIABILITY INSURANCE DATB(MDD/ <br />DTM 01/17/2011 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PROD CEA <br />K&K Insurance Group, Inc. <br />1712 Magnavox Way <br />Fort Wayne Indiana 46804 <br />NAME: Mass Merch UnderWritin <br />rc, No. I—): 888-580-8041 FAX: (A/C, Ne): 260-459-5995 <br />DRESS: Info fltnesslnsurance-kk.com <br />CUSTOMER ID,Y:INSURED <br />FL Vigil <br />DBA: Ria Vigil Group Fit N-'2010-055-001:308 COlumbla:Newport Beach, CA 92663 <br />Member of the Sports, Leisure & Entertainment RPG. <br />INSURERS AFFORDING COVERAGEMaria <br />W <br />--- <br />: Nationwide Mutual Insurance Com an 3787 <br />6BRPG0000004934600 <br />COVERAGES CERTIFICATE NUMBER: W00059578 <br />REVIAInN NIIMRER• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ <br />NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITfON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br />ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF <br />SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NS <br />TYPEOFINSURANCE <br />ADDL <br />.NSR <br />3UBR <br />WVD <br />pOUCYNUMBER <br />POLICY EFF <br />mh D/YY <br />POLICY EXP <br />MMIOD <br />L.—TS <br />A <br />GENIE LLIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />O <br />6BRPG0000004934600 <br />01/77/2011 <br />5:13 PM EDT <br />01/112012 <br />12:01 AM <br />EACH OCCURRENCE $1,000,00 <br />DAMAGE TO RENTED $500,00 <br />PREMISES Ea occurrence <br />MEO EXP (Any one person) $10 000 <br />PERSONAL&ADVINJURY $1,000,00 <br />GENERAL AGGREGATE $3,000 00 <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />POLICY FPROJECT QLOC <br />PRODUCTSCCMP/OPAGG S7 OOOGO <br />CC <br />PROFE4310NAL LIABILITY $1,000.00 <br />LEGAL LIAR TO PARTICIPANTS $1,000,00 <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNEDAUTOS <br />SCHEDULED AUTOS <br />EAUTOS <br />NON -OWNED AUTOS <br />No[ pmNdetl wtfiteIn Hewell <br />COMBINED SINGLE LIMn- <br />Ea Aodtlent <br />BODILY INJURY (Per person) <br />BODILY INJURY (Peraccldent) <br />PROPERTY DAMAGE <br />per acritlent <br />HHIRD <br />UMBRELLA LIAB OCCUR <br />EXCESS LIAB CLAIMSMADE <br />DEDUCTIBLE <br />RETENTION <br />EACH OCCURRENCE <br />AGGREGATE <br />JW0R�CCUPONS­rION <br />ANDEMPLOYERS•WBLITY Y/N <br />ANY PROPRIETORSHIP/PARTNEW <br />EXECUTIVE OFFICER/MEMBER <br />EXCLUDED? <br />(Mantl_y in NH) <br />.f yes, des tr tlntler <br />DESCRIPTION OF OPERATFONS below <br />N / A <br />WO STATU- <br />TORY LIMITS OTHER <br />E.L. EACH ACGDENT <br />E.L. DISEASE – EA EMPLOYEE <br />EL. DISEASE –POLICY LIMIT <br />MEDICAL PAYMENTS FOR PARTICIPANTS <br />PRIMARY MEDICAL <br />EXCESS MEDICAL <br />Ree on •mer s • u mora epee• s requ r <br />Certified Instructor of: Aerobics, Children's fitness programs, Dance, Exercise, Strength, ZUMBA(& <br />Abuse, Molestation, Harassment or Sexual Conduct Defense Cost Reimbursement - $100,000 limit <br />Evidence Of Coverage <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AU�THORRIZyED/REPRESENTATIVE <br />Coverage is only extended to U.S. events and activities. <br />NOTICE TO TEXAS INSUREDS: The Insurerfor the purchasing group may not be subject to all the insurance laws and regulations of the State of Texas <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD ® 1988-2009 ACORD CORPORATION- All rights reserved. <br />APPROV]E✓1, AS TO FORM <br />4 -aura Stitt S dy <br />A ant City ttorney <br />