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'AC40REW ® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 05/28/2' 13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN.THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require in endorsement. A statement on this certificate does not confer rights. to the certificate holder in Ileu of such endorsement(s). PRODUCER - - - CONTACT - - - - Willis Insurance services of Georgia, Inc. _ c/o 26.Century Blvd. P.O. sox .3.05191- _ PHONE�.� � � - FAX 77- 945 -7378 8- 467 -2378 E-MAIL . certificates@willis.com Nashville, TN 37230 -5191 - INSURER(S)AFFORDING COVERAGE - NAIC/1- INSURERA:.Philadelphia Insurance Companies 18058 -900 /201 INSURED. - - United States Professional Tennis Association, InIINSURERF: INSURERS: ACE American Insurance Company - 22667 -008 500,000 3535 Briarpark Drive - INSURERC: - - Suite One Houston, TX 77042 INSURER D: - INSURERE: CLAIMS- MADEF—x]OCCUR- - rnvPDA/-'I =S CFRTIFICATF NIIMRFR•'I a"Ai;nr; - RFVISInN NIIMRFR*Rnw Rnmarkw THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUER TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT. OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - - TYPE OF INSURANCE DD' SUB vivn POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERALLIASILITY Y PHPK948137 12/31/201212/31 /201 EACHCCCURRENCE $ 1.000,000 PR MISES EsE,rence -$ 500,000 X. COMMERCIAL GENERAL LIABILITY- - CLAIMS- MADEF—x]OCCUR- - - MEDEXP (Any one person) $ PERSONAL& ADV INJURY $ 1,000 000 X Athletic Participant GENERALAGGREGATE $ 2,600,000 - GEN'L AGGREGATE LIMIT APPLIES PER: . .PRODUCTS - COMP/OP AGG $ - 1,000,000 $ X POLICY PRO. LOC AUTOMOBILE LIABILITY. _ COMB'NEDSINGLELIMIT $ - BODILY INJURY(Perperson) $ ANYAUTO ALLOWNED - SCHEDULED - AUTOS AUTOS - - BODILYINJURY(Perecckient) $. - PerxcMentj $ - HIREDAUTOS - NON -0WNED. AUTOS - - - A X UMBRELLALIAS X OCCUR PRUB403104 12/31/201 12/31/201 EACH OCCURRENCE $ 3,000 000 AGGREGATE $ - 3,000r000 EXCESS LIAR - CLAIMS -MADE - - DED I X RETENTIONS 10,00 $ - WORKERS COMPENSATION - - - - - - TWC AND EMPLOYERS' LIABILITY -' ANYPROPRIETORIPARTNER IEXECUTIVEYI❑N NIA - - E.L. EACH ACCIDENT - $ - - (O(MMFFICERIMEMBEREXCLUDED? atory I ff under - - - - - - - E.L. DISEASE, EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT Is yes e DE SCRIPTIONOFOPERATIONSbelow - B XCQ 1325833442 12/31 201212 31 201 Excess Liability $5,000,000 Limit DESCRIPTION OF OPERATIONSI LOCATIONS /VEHICLES (Attach Acord 101, Additonal Remarks Schedule, R rnore space Is required) - - THIS VOIDS AND REPLACES PREVIOUSLY ISSUED.CERTIFICATE DATED: 5/24/2013 WITH ID: 19873529 Elson De Cantuaria 53128 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 nd e=lovees are included as A dit'o al Insureds as GtK 1 II-IGAI t KULULK - - GANGtLLA I IUN - - - - - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCEWITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - City of Santa Ana 20 Civic Center Plaza, PO Box 1988 f Santa Ana, CA 92702 I _ pn— 6�, Coll:4109169 Tpl :1596672 Cert:19874505 © 1988- 2010ACORD CORPORATION. All rights reserved CORD 25 (2010/05) The ACORD name and logo are registered marKs of ACORD 25EJ-44