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<br />sÞNT,a~'VAN DUZER INSURANCE; 3106960630; FEB-3-04 4:10~U;
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<br />; COIIFIAI NO III,HTS U- TIt! C!II'I1"CATI HOLDI'" THIS Clll'llFICATI
<br />; DOIS HOT All_. emMD 011 ALTIA THE COVEIIAGE AFPOAÐeo IY TltE
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<br />COMPANIES AFFOFlDING COVERAGE
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<br />Dick Van DURer ~ A..oc., Inc.
<br />P. O. BoX 49894
<br />Loa Angel.., CA 90049-0894
<br />(310) 476-6561 raK 476-2819
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<br />&;" A HARTPORD INSURAHC1I
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<br />HYGIENE TZCHNOLOGIIS INTBR.
<br />362S DBL AMO BLVD. #180
<br />'1'ORRANCE, CA 90503 ¡I, ;)¡OO:J. ~ I~
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<br />TH~ CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AaBNTS AND
<br />~:P:S~=~~I~~S ARB NAMBD AS ADDITIONAL X1ISURI:D NON OWNIm AUTOMOBILE
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<br />SI<OULD ANV OF THE ,917/E !lESCM!ED POlK:IU Of CANCfuEO 9EFOAE THE
<br />EXPIRATION OA'E THEAEOF, THE ISSlJING ÇO"",,' WILL !IteEM'eIHO
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<br />CITY OF SANTA ANA
<br />ATTN: RISK MANAGEMENT DIVISION
<br />PO BOX li88 M-~8
<br />SANTA ANA CA 92702
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