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ACORD W. DATE (MMIODiYYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 1 0511912017 <br />PRODUCER Phone. 714-533-7089 Fax: 716-533-8873 <br />THIS CERTIFICATE IS 6SSUED AS A MATTER OF INFORMATION <br />EG INSURANCE AGENCY, INC. <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />616 S. EUCLID ST. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ANAHEIM CA 92802 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIL # <br />Agency LIe#� ceaslxJa <br />INSURED <br />INSURER A: NAUTILUS <br />INSURER B: <br />HOLISTIC YOGA & HEALTH LLC <br />10015 GARDEN GROVE BLVD. <br />INSURER C: <br />GARDEN GROVE CA 92844 <br />INSURER D: <br />+ <br />I1 r ,a1.wY (.L�I <br />INSURER H' <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTSNITH:STANUIN5 <br />MANY 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ <br />INSR <br />LTR <br />Acr <br />INSR' <br />TYPE Or (INSURANCE <br />POLICY NUMBER <br />PPECTIVC <br />DATE POLICY EMMroDrvr <br />POLICY EXPIRA'GION <br />DATE UULU2 YY <br />LIMITS <br />GENERAL <br />LIABILITY <br />NN773339 <br />05103117 <br />05103118 <br />EACH OCCURRENCE <br />$ 1,000„000 <br />DAMAGE TO RENYED <br />PREMISES Eaoccurenrxl <br />S 30,000 <br />CGMM.,LAIMS rn GENERAL <br />CLAIMS MADE I A r OCCUR <br />MED. EXP (Any one person) <br />$ 5,000 <br />A <br />PERSONAL 8. ADV INJURY <br />$ 1,0'00,000 <br />GENERAL AGGREGATE <br />$ 2„000,000 <br />GENT <br />AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMPIOPAGG. <br />$ Included <br />POLICY' PRO- LOC <br />): <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per person) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident)Ll <br />$ <br />PR:OPERTYDAMAGE <br />(Per acoldent) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />ANY AUTO <br />° <br />$ <br />EXCESS I UMBRELLA (LIABILITY <br />OCCUR CLAIMS MADE <br />LjDEDUCTIBLE <br />RETENTION $ <br />� <br />. 1w+„ <br />_'*� <br />L4.� 1 <br />Lr" ..,�" � ,q, <br />i� "P. pt'S' <br />' <br />EACH OCCURRENCE <br />$. <br />AGGREGATE <br />$ <br />$ <br />WORKERS COMPENSATION AND <br />WC STATU- <br />TORY LIMITS OTHER <br />EMPLOYERS' LIABILITY <br />EL EACH ACCIDENT <br />$ <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />E.L.. DISEASE -EA EMPLOYEE <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />It yes, describe under <br />SPECIAL PROVIISIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />OTHER: <br />DESCRIPTION OF OPERATION SILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />Certificate holder, its officers, agents, and employees are named as Additional Insured in regards to General Liability per attached CG2026 I <br />All terms and conditions are based upon the actual policy <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />City of Santa Ana <br />THE INSURER, IT'S AGENTS OR REPRESENTATIVES. <br />Attn : PRCSA <br />AUTHORIZED REPRESENTATIVE. <br />20 Civic Center Plaza, Santa Ana, CA 92701rc <br />Attentions <br />i.ay Lee <br />ACORD 25 (200,1108) Certificate # 10529 @ ACORD CORPORATION 1988 <br />