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THIS CERTIFICATE IS ISSUED ASA 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 COVERAQE 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 />_ IMRORTANT: ffthw ac rff_6a a holder Is onn 4OBITI6NAL I GREtF thn policy(ios) must SUdR6_GXf1_0N IS WAIVED, 5object to
<br />the terms and o0ndlllons of the policy, certain policies may require an endorsement A statement on this certificate does not ranter rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />AMELauren Kachadonan
<br />Edgawpad Partners Insurance Center
<br />"YNt PAY —-------
<br />(wc No PXq 617 399 5560 j(Arc,nq__
<br />27 School Street, Suite 04
<br />...
<br />Y,
<br />Boston, MA 02106
<br />Alto
<br />I_AnBasS
<br />Christopher M. Price
<br />INSURr:Rt3ZAFFOROiNG pOVERAGE �_ NAICH _
<br />51,000L000
<br />I INSURER A: Philadelphia Indemnity Ins Comp 18058
<br />i 19
<br />_INSURL%Ra�
<br />—
<br />United States Professional N d*7lJ)13—
<br />INSURER C:
<br />Tennis Association Inc.
<br />3535 Brlarpark Drive, Suite 1
<br />INSURER 0:
<br />ANYAUTO
<br />Houston, TX 77013
<br />MSURERE:
<br />S
<br />.». ALLOWNED SCHEDULED
<br />......... AUTOS ......_,. AUT03
<br />ERF,_,_._
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<br />NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVEBEENISSUED r0THE INSURED NAMEOABOVE FORTHE POLICYPERiob
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDI HON OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT
<br />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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />_
<br />S 1P05L 8UBN'. _�--. �`-----_ POLICY EFF P011ppY F.X LIMITS
<br />I TYPE OF INSURANCE POLICYNUMBER
<br />_.-,.._•.___._,._..,—_—
<br />MMpO YY MMIJ IVYY _
<br />A GENCRALLIABILITY HPK1269427 2131/201A 12/31/201aEACHoOcuaaENCE
<br />s1h!ppE{D
<br />EN'rEf°AEMISES,J,Poc,- current
<br />s1 0000—•
<br />jx. MMERCLGCE�CCCUR
<br />,„,. MED EXPjAny onePeracn)
<br />3
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<br />51,000L000
<br />IGENERAL ABC ELATE
<br />s2,000,000
<br />GEN'L AGGREGA'T'E 41M�ITAPjPLIES PER:!PRODUC'TS-COMP/OP AGO
<br />s20001000
<br />_ x1 POLICY J �NC'L_.h.� LOC
<br />9
<br />AUTOMOBILE WAR411'Y^^--
<br />ANYAUTO
<br />!BODILY INJURY (Per person)
<br />S
<br />.». ALLOWNED SCHEDULED
<br />......... AUTOS ......_,. AUT03
<br />PODILYINJURY(Peracdoone
<br />$
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<br />HIRED PU'r06 AU705 I �
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<br />PROH RTY9hM—A'd .___...—
<br />Per apltlenl
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<br />A
<br />X urdaRIELLA LIAR X QgCUR PHUS483468
<br />12131/20141213112015
<br />EACH OCCURRENCE
<br />$8,000,000
<br />S8,000,000
<br />EXCE89 LIAR CUIhIS•MApE
<br />OETS!N.'..._...,..,.__.._.�_.___.___......_,_�...__"__�__.._.__
<br />LAGOFtEOATE
<br />WORKERS COMPENSATION
<br />ANOEMPLOYERS'WASiLITY YIN Review
<br />d by
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<br />AN1'PkooPR&gORIPARTNGTy8EXUCUT1Vf14i3Y ��ii
<br />EXCLUDElIY �:NfA
<br />,7
<br />P'. I. EACH ACCIDENT
<br />,.,...
<br />s
<br />(MandatoryFICE
<br />In NH)
<br />"/;t•.
<br />AFL. DISEASE-1EA EMPLOYEE
<br />it 02, dawree Under
<br />r13GR!VTION OFOPERA'f1oNS ba!aw�. . —
<br />POLICY LIMIT
<br />s
<br />SiiviaCuevas
<br />DESCRIPTION OF OPERATIONS ILOCATIONS /VEHICLES (Attach ACORD 101, AUdltlenel Ramarke eehedule, Pmore space To requirea) ��•
<br />USPTA Members are insured for General Liability for playing, teaching or officiating in tennis, picklebail
<br />and platform tennis or operating a tennis ball machine for practicing or teaching.
<br />Arlene Ruffin 54144 City of Santa Ana, Its officers. Employees, agents, volunteers and representatives, is
<br />Included as an additional Insured in respects to General Liability when required by written contract
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<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 />AS MORRED REPROSENTATIVe
<br />nnPlarlRATll1Nl All Anhfe„w
<br />ACORD 25 (2010105) 1 oil The ACORD name and logo aro reglstorod marks of ACORD
<br />#S360240/M356236 CMAR2
<br />
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