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ACORDM DATE (MM/DDYY YY) <br />CERTIFICATE OF LIABILITY INSURANCE 12/17/2019 <br />PRODUCER Pnarle 714-53>rOJ9 Fax na-E_s-rsET= <br />THIS CERTIFICATE IS ISSUED 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 />NAIC M <br />Agency balk Oe3g093 <br />INSURED <br />INSURER A. NAUTILUS <br />INSURER B: EMPLOYERS <br />HOLISTIC YOGA 6 HEALTH LLC <br />10015 GARDEN GROVE BLVD. <br />INSURER C: <br />GARDEN GROVE CA 928" <br />INSURER D. <br />NSURER E_ <br />COVERAGES <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 />rank <br />LTR <br />A00 <br />Iry <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POUCYEFFECTNE <br />POLICY EXPIRATION <br />M <br />LIMITS <br />GENERAL LIABILITY <br />NC418666 <br />mmm?AT <br />05/03/19 <br />05103/20 <br />EACH OCCURRENCE <br />S 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADEFX-1OCCUR <br />DAMAGE TO RENTED <br />%tEMISEg apcu,l,rw <br />$ 30,000 <br />NED. EXP("0ePerson) <br />$ 5.000 <br />A <br />X Primary aw Nm CmtrWwy <br />PERSONAL S ADV INJURY <br />S 1.000.000 <br />X <br />Walvar of SuOrogallm <br />GENERAL AGGREGATE <br />8 2,000.000 <br />GENL AGGREGATE LIMIT APPLIES PER <br />X POLICY PRO- LOC <br />PRODUCTS-COMP/OPAGG <br />S Included <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(Es awaem) <br />S <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Pow parson) <br />3 <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per aca U <br />$ <br />PROPERTY DAMAGE <br />(Per accMent) <br />S <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />§ <br />MY AUTO <br />AUTO ONLY AGO <br />S <br />EXCESS I UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />§ <br />OCCUR CLAIMS MADE <br />AGGREGATE <br />$ <br />S <br />$ <br />DEDUCTIBLE <br />RETENTION § <br />S <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOTUPMTNEIUEXEWTIVE <br />OFFICERMEMBER EXCLUDED? <br />EIG 2654780-01 <br />07/02/19 <br />07/02120 <br />X gYTDy{g OTHER <br />EL EACH ACCIDENT <br />$ 1,DDD,DDD <br />E L DISEASEEAEMPLOYEE <br />$ 1,600,000 <br />R yeasPM» <br />,SPECIAL PaovISIONlsloas Belo. <br />EL DISEASE -POLICY LIMIT <br />§ 1,000,000 <br />OTHER: <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />SEE SUPPLEMENTAL CERTIFICATE INFORMATION <br />CERTIFICATE HOLDER CANCELLATION <br />REVI <br />By RI <br />WED & APPROVE <br />MANAGEMENT Divisic <br />E CELLED BEFORE THE <br />pRATIONYDATETTHEREHE �OFE THE ISSUING INSUR RDCRIBED POLICIESBWILL ENDEAVOR TO MAIL 30 <br />mAys WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />City of Santa Ana <br />Risk Management Division <br />08 2020 <br />THE INSURER. ITS AGENTS OR REPRESENTATIVES <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza, 4th floor <br />- <br />Santa Ana, CA 92702 <br />_4�Jay <br />Attention: <br />SAWWHA <br />M. LAMBERT <br />Lee <br />ACORD 25 (2001108) Certificate # 12560 0 ACORD CORPORATION 1988 <br />