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<br />ACORD <br />TM. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />INSURED <br />CHRISTIE LEA HALL <br />C/O VOGA SOLUTION <br />3624 CROWELL AVE. <br />RIVERSIDE CA 92504 RISK MANAG <br /> <br />A enc Lic#: 0028 <br /> <br /> <br />DATE (MM/DD/YYYV) <br /> <br />11/05/2004 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> <br /> <br />PRODUCER <br />FITNESS AND WELLNESS INSURANCE AGENCV <br />380 STEVENS AVENUE, SUITE 206 <br />SOLANA BEACH CA 92075 <br /> <br />RECEIVE <br /> <br />NAIC# <br /> <br />Zurich American Insurance Com an <br /> <br />COVERAGES <br /> <br />BD <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWTHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT vvrH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJ ECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADD'l TYPE OF INSURANCE POLICY NUMBER ~~~gY ri~~~g~~ Pg;i~~::'~':;'~N LIMITS <br />TR INSRJ: <br /> GENERAL LIABILITY EOL9012328-D0 11/02/04 11/02/05 EACH OCCURRENCE $ 2,000,000 <br /> t-- DAM~~E TO RENTED $ 100,000 <br /> X COMMERCIAL GENERAL LIABILITY <br /> J CLAIMS MADEW OCCUR MED. EXP (Anyone person) $ 2,500 <br />A PERSONAL & ADV INJ URY $ 2,000,000 <br /> I-- GENERAL AGGREGATE $ 4,000,000 <br /> ~'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 4,000,000 <br /> !Xl POLICY n,PRO.IF"T nLOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> r- (Ea accident) $ <br /> ANY AUTO <br /> I-- ... r>...!VEDAS TO I <br /> ALL OWNED AUTOS Io4INI\I! BODILY INJURY <br /> I-- "--.,, .. ...,...... (Per person) $ <br /> SCHEDULED AUTOS e~ ~~~ /.9-1 ar /07 <br /> I-- <br /> HIRED AUTOS BODILY INJURY <br /> I-- $ <br /> NON.QWNED AUTOS 0 (Per accident) <br /> r- <br /> - PROPERTY DAMAGE $ <br /> I (Per accident) <br /> GARAGE UABlUTY AUTO ONLY - EA ACCiDENT $ <br /> ~ ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: Ar..r.. $ <br /> ~ESS I UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> ~ DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I ~~~TAT~~o I I OTHER <br /> EMPLOYERS' LIABILITY $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT <br /> --, ~ <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE $ <br /> If yes, describe under E.L. DISEASE-POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER: <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLLSIONS ADDED BV I NDORSEMENT/ SPECIAL PROVISIONS <br />CERTIFICATE HOLDER ADDED AS ADDITIONAL NSURED ONL V AS THEIR INTERESTS MA V APPEAR. <br /> <br />CERTIFICATE HOLDER <br /> <br />CITV OF RNERSIDE <br />DEPT OF PARKS & RECREATION <br />3900 MAIN STREET <br />RIVERSIDE CA 9250'1 <br /> <br />DEe 1 7 2004 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br />DO so SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS <br />AGENTS OR REPRESENTATrvES. <br /> <br />Attention: <br /> <br />Finance/Risk Mgmt <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br />~~~ <br /> <br />Jeffrey E. Frick, CEO <br />0028716 @ACORDCORPORATlON 1988 <br /> <br />ACORD 25 (2001/08) <br /> <br />Certificate # <br /> <br />11704 <br />