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HOLISTIC YOGA AND HEALTH LLC (DBA BODY AND BRAIN) 3
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HOLISTIC YOGA AND HEALTH LLC (DBA BODY AND BRAIN) 3
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Last modified
6/15/2022 10:03:13 AM
Creation date
1/23/2019 9:19:44 AM
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Contracts
Company Name
HOLISTIC YOGA AND HEALTH LLC (DBA BODY AND BRAIN)
Contract #
N-2019-016
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/31/2019
Destruction Year
2024
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ACORD DATE (MM DDnvvY) <br />>., CERTIFICATE OF LIABILITY INSURANCE 05/0112018 <br />PRDVucea Prone n+5J3-70B9 F. TIu533deD THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />EG INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />616 S. EUCLID ST. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ANAHEIM CA 92802 Al TER THE CQVERAra evenonen Rv xve D, —ie� <br />N-2019-016 I INSURERS AFFORDING COVERAGE I NAIC # <br />INSURED <br />HOLISTIC YOGA & HEALTH LLC <br />10015 GARDEN GROVE BLVD. <br />GARDEN GROVE CA 92844 <br />1Q .-aC U�'-L 00 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY 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 />ivsv <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />PpLWr EPPEcnVE <br />GATE M/Np <br />ra.lp ExrlaAnon <br />PATE MAVOp <br />LIMITS <br />GENERALCOMMERCIAL <br />NN930980 <br />05/03/18 <br />05103/19 <br />EACH OCCURRENCE <br />s 1,000,000 <br />X <br />JANAGE Ta REVFD <br />P4 NSES£a w2i�1 <br />S 20,096 <br />COMMERCIPL GENERAL LIABILITY <br />CLAIMS MADE LnJM OCCUR <br />MEO. EXP(Anyonepnonl <br />5 5,690 <br />A <br />P/imary and Non CCntrftIoq <br />X <br />PERSONAL S ADV INJUR Y <br />$ 1,000,000 <br />X <br />Waiver of SlArogefion <br />GENERAL AGGREGATE <br />s 2,000,005 <br />GENT AGGREGATE LIMIT APPLIES PER <br />X POLICY PRO- 71 LOG <br />PRODUCTS-COMP,OP AGG, <br />S Included <br />5 <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANYAUTD <br />(Ea atdden) <br />S <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />iPer persory <br />- <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />BODILY INJURY <br />(PI,r.w") <br />5 <br />PROPERTY DAMAGE <br />yPer acadenD <br />S <br />GARAGE <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY >U <br />ANY AUTO <br />M 9 <br />OTHER THAN EA ACC <br />5 <br />AUTO ONLY_ AGG <br />S <br />EXCESS/ UMBRELLA LIABILITY <br />OCCUR ❑CLAIMS MADE <br />_ <br />L <br />? <br />EACHOCCURRENCE <br />s <br />AGGREGATE <br />S <br />DEDUCTIBLE <br />RETENTION 5WORKERS <br />COMPENSATION ANDEMPLOYERS' UAaIUTYANY <br />C.L. EACH ACCIDENT <br />PROPRIETCWPARTNERIEX UTIVE <br />r <br />OFFICERIAIEMBER EXCLUDED+ <br />YECIAL <br />E L. DISEABE-EA EMPLOYEE <br />E.L. DISEASE -POLICY LIMITOTHER: <br />S <br />PRO SIGNBPECIAL PROYIBIOxs mw,v <br />Iterms <br />DESCRIPTION OF OPERATIONS/LOCATIONSfVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />Certificate holder, its officers, agents, and employees are named as Additional Insured in regards to General Liability per CG2 <br />and conditions are based upon the actual policy <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 00 SO SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />City of Santa Ana <br />THE INSURER, ITS AGENTS OR REPRESENTATIVES <br />Attn : PRCSA <br />AJTHOR2ED REPRESENTA➢VE _ <br />20 Civic Center Plaza <br />Santa Ana, CA 92701-- <br />._ <br />Attention: <br />Jay Lee ` <br />ACORD 25 (2001108) Certificate # 11288 IS ACORD CORPORATION 1988 <br />
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