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DATEAO M.CERTIFICATE OF LIABILITY INSURANCE 0611012017 <br />PRODUCER Phone 714433.7084 Fax: 7145803073 <br />EG INSURANCE AGENCY, INC. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE OWnFICATE <br />018 S. EUCLID ST. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ANAHEIM CA 92802. <br />ALTER THE COVERAGEOROhD '• <br />INSURERS AFFORDING COVERAGE <br />NAIC d <br />N-2018-008 <br />AgencyUb#: COMMINSURED <br />AUTHORIZED REPRESENTATIV <br />Attention: <br />GB E ALLABLITY <br />INSURER N. NAUTILUS <br />00103117 <br />INSURER B: <br />EA28 20Q'0 <br />HOLISTIC YOGA & HEALTH LLC <br />10015 GARDEN GROVE BLVD. <br />_ <br />INSURER G: <br />X COMMERCIAL GENERAL LIABILITY <br />GARDEN GROVE CA 92844 <br />A, ^-rytr��+s` ��yq _7 _ ��^aq <br />IV'iPr.A U-4' 4 --00, <br />INSURER D.•--� - <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISS ED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED, NOTWITHSTANDING <br />ANY REOUIREMCNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIPIOATE 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 />ILM <br />IN9R <br />TYPE OF INSURANCE <br />POLICYNUMBER <br />POLICY BPPBOTIVe <br />POLOYMPIRATION <br />LIMITS <br />AUTHORIZED REPRESENTATIV <br />Attention: <br />GB E ALLABLITY <br />NN713330 <br />00103117 <br />08/03118 <br />EA28 20Q'0 <br />DAMA35 m RENT T—S 30,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />MRO. EXP (Any one Prean) $ � 0,000 <br />A <br />PERSONAL &ADV INJURY- $ 1,000,000 <br />GENERALAOOROOATE S 2,000,000 <br />71,11 AGGREGATE LIMIT APPLIES PER: <br />21 POLICY 0 PRO LOC <br />PRODUOTS-OOMPIOP AGO. $ Included <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />COMBINED SINGLE LIMIT <br />(ER eccldent) $ <br />ALL OWNED AUTOS <br />BODILYINJURY <br />SCHEDULEDAUTOS <br />(Per person) $ <br />BODILYINJURY <br />(Per 000ldene $ <br />HIREDAUTOS <br />NON•OWNEO AUTOS <br />PROPERTY DAMAGE S <br />(Peraccidont) <br />GARAGE LIABILITY <br />AUTO ONL E ACCT E T $ <br />ANYAUTOOTHRRT14AN <br />\< <br />EAACC $ <br />AUTO ONLY: AGG $ <br />EXCESS/ UMBRELLA LIABILITY <br />. <br />EACH OCCURRENCE a <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION <br />a\� <br />n.�'i <br />G <br />AGGREGATE <br />$ <br />IS <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />AWPROPMBTORIPARTNOROMMUTIVa <br />/+, <br />^d <br />'S�• <br />w C a' OTHER <br />PRv rAra <br />Lewis <br />ILL, EACH ACCIDENT $ <br />E.L. DISCAS&EA EMPLOYEE $ <br />OPPICBtUMEMBaR a%OWCaOY <br />Ifyes,dSa,ribeender <br />aPSCIAL PROVISIONS below <br />I <br />I <br />""'"-'-�•' <br />E,L. DIEEASE-POLICY LIMIT $ .... <br />OTHER: <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES!EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS <br />Certificate holder, Its officers, agents, and employees are named as Additional Insured in regards to General Liability per attached 002028 / <br />All terms and conditions are based upon the aotuai policy <br /><A'dcaild[NL11aZ11:LeT11*1e7fJC.T�M : A L <br />ACORD 25 (2001108) Certificate # 10529 ©ACORD CORPORATION 1988 <br />SHOULD ANY OF TNR ABOVE DESCMI <br />S BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE IER WILL ENDEAVOR TO MAIL 10 <br />DAYS WRITTEN NOTICE TO THE CLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NOR LIABILITY OF ANY KIND UPON <br />City Of Santa Ana <br />THE INSURER, IT'S AGENTS OR REPR <br />At1n: PRCSA <br />20 Civic Center Plaza, Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIV <br />Attention: <br />� Jay Lee <br />ACORD 25 (2001108) Certificate # 10529 ©ACORD CORPORATION 1988 <br />