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'4 °® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 05/28/2' 13 <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 <br />BELOW. 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(les)must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require in endorsement. A statement on this certificate does not confer rights. to the <br />certificate holder in Ileu of such endorsement(s). <br />PRODUCER - - - CONTACT - - - - NA <br />Willis Insurance Services of Georgia, Inc. <br />Centur <br />Blvd <br />c/o 26 FAX <br />I <br />PHONE 77-945-7378 888-467-2378 <br />y <br />. <br />. <br />P.O. Box .3.05191- _ E-MAIL . certificates@willis.com <br />Nashville, TN 37230-5191 <br />- <br />INSURER(S)AFFORDING COVERAGE - <br />NAIC/1- <br /> INSURERA:.Philadelphia Insurance Companies 18058-900 <br />INSURED. - INSURERB:ACE American Insurance Company - 22667-008 <br />United States Professional Tennis Association, In <br />3535 Briarpark Drive - INSURERC: - - <br />Suite One... <br />TX 77042 <br />H <br />ton <br />I INSURER D: - <br />, <br />ous <br /> INSURERE: <br /> INSURERF: <br />rnvPDA/-'I=S CFRTIFICATF NIIMRFR•'I a"Ai;nr; - RFVISInN NIIMRFR*Rnw Rnmarkw <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUER TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT. AR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR - - TYPE OF INSURANCE DD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br />A GENERALLIASILITY Y PHPK948137 12/31/2012 12/31/201 EACHCCCURRENCE $ 1 000 000 <br /> - - DAMAGE 'TE <br /> X. COMMERCIAL GENERAL LIABILITY <br /> CLAIMS-MADEF-x]OCCUR- - - MEDEXP(Any one person) $ <br /> X Athletic Participant PERSONAL& ADV INJURY $ 1,000 000 <br /> <br /> - GENERALAGGREGATE $ 2,600,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: . .PRODUCTS -COMP/OP AGG $ - 1,000,000 <br /> X POLICY PRO LOC <br />.lFr-.T F-1 $ <br /> AUTOMOBILE LIABILITY. _ COMB'NEDSINGLELIMIT $ <br /> ANYAUTO -BODILY INJURY(Perperson) $ <br /> ALLOWNED - SCHEDULED - - - BODILY INJURY(Perecckient) $ <br />- <br /> AUTOS AUTOS . <br /> HIREDAUTOS - NON-OWNED. <br />AUTOS - <br />- - PerxcMentj $ - <br /> <br />A X UMBRELLALIAS X OCCUR PRUB403104 12/31/201 12/31/201 EACH OCCURRENCE $ 3,000 000 <br /> EXCESS LIAR - CLAIMS-MADE - - AGGREGATE $ - 3,000r000 <br /> DED X RETENTIONS 10,00 $ - <br /> WORKERS COMPENSATION - - - - - - <br />?? <br /> AND EMPLOYERS' LIABILITY -' <br />YIN - <br /> ANYPROPRIETORIPARTNERIEXECUTIVE? NIA - - E.L. EACH ACCIDENT $ - <br />- OFFICERIMEMBEREXCLUDED? <br /> ry <br />MMan <br />un - E.L. DISEASE , EA EMPLOYEE $ <br /> der - - - <br />i <br />dGac <br />nbe - - - <br /> DE SCRIPTIONOFOPERATIONSbelow - E.L.DISEASE -POLICY LIMIT Is <br />B XCQ 1325833442 12/31 2012 12 31 201 <br /> Excess Liability $5,000,000 Limit <br />DESCRIPTION OF OPERATIONSI LOCATIONS /VEHICLES (Attach Acord 101, Additonal Remarks Schedule, R rnore space Is required) <br />THIS VOIDS AND REPLACES PREVIOUSLY ISSUED.CERTIFICATE DATED: 5/24/2013 WITH ID: 19873529 <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 />it of Santa n i and e=lovees r included A dit'o Insureds a <br />GtK 1 II-IGAI t KULULK - - GANGtLLA I IUN - - - - - <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCEWITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE - <br />City of Santa Ana <br />20 Civic Center Plaza, PO Box 1988 f <br />Santa Ana, CA 92702 I _ pn- 6?, . - A e a- A <br />Coll:4109169 Tpl:1596672 Cert:19874505 ©1988-2010ACORD CORPORATION. All rights reserved <br />CORD 25 (2010/05) The ACORD name and logo are registered marKs of ACORD <br />25EJ-44