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<br />Sen~ B¥:~LUCAS INSURANCE; <br /> <br />6612550284; <br /> <br />Aug-12-04 <br /> <br />9:17; <br /> <br />Page 2/3 <br /> <br /> <br />AJ:1JBD. <br /> <br />CERTIFICATE OF UABILlTYINSURANçe <br /> <br />-~ (661) 2~5-6980 <br />Lucae In8u.,anae <br />23556 Lyons Ave <br /> <br />Santa Claric. <br />- <br />'1'c".>:88 MaJ.ntom.u.ca <br />29124 Highpla1ns Ct. <br /> <br />CA 91321- <br />IJ- J,003 ~o1-;J.- <br />¡J- .;.w03 -0<1;)..-01 <br />/1/- ,;2.003 - 04¡). -0';>'- <br /> <br />INSUIU!R8 AFFORÐIIIG cOÝERAGe <br />_AkBw:lin n In8urance <br />8N8URER B: P .ai.. Insurance; <br />~RC: ' <br /> <br />1tIE POUCIfS OF IHSUlWlCE LISTED BELow HAIlE BEEN ISSUE!! TO THE .iNSUR£D PWIED.I'BOIIE FOR THE POUC'I PERIOD I IrED. N01\\mISt <br />RecIUI!IBoIENT. TeAM ~:CONofI1ON Of AHY CONTRACT OR O1II&RI!OCWENT WITH RESPeCT TO WHICH lI1IS CÐmFlCAtE Y'" ISSUED OR MAY . <br />"!HI! - AfFQRØED BY THE POLICIES I!ESCRIIEO HEÀEIN 1$ SUaJECT TO AU. THE tERMS. EXCWSIONS AND cØNomoNS OF SUCH <br />AGGREGATE LIMITS SIIOWN MAY HAVE BEEN REDUCE!! II\" PAID CU\8IIS, . . , <br />- T'fl'IIOI''''''''''''' -- . 1IÞH IJIIIm <br />A --......... . <br />X __rw.llAllUTY . <br />X CI.AlM5ÌÌADf OOC(:UR 1&OBOOOn4 02/13/2004 . <br />X 1000 DllDiIcnB:wI . <br />. <br />. <br /> <br />/ / / / <br />/ / / / <br />/ / / / <br />04/03/2004 10/03/2004 <br /> <br />HC <br />tÞIOULD ANY Of' 'nft!!! NÞlNE D~ t"OLICIII8 .. u---. - IÍi!FcmI <br />EØWUo1'lóN DAft 1WEM5Of. .. ........ ~ WtLI. ~VOR to <br />~ DOn -TI1Io NOTICE ","E CIII1IACA1E - - 10 _1Uf. <br />,............ 00 10 IIIAL&.-Ni:> _1ION~UAelU1YCó --.- <br />-.. ,. <br />TA1M <br /> <br /> <br />Caataic <br /> <br />CA 91384- <br /> <br /> <br />LO<: <br /> <br />B <br /> <br />MlTDII08K..E~ <br />ANy AUTO . <br />AU. Q'MIEONJT08 <br />X SCHEDlILEDJÌllTos <br />HÆD AUTOS <br />NQH.OVINED ~os <br /> <br />/ <br /> <br />018&3120-0 <br /> <br />/ <br /> <br />/ / <br /> <br /> <br />/ / <br /> <br />/ / <br /> <br />--"'¡'IJA8IUTY <br />OCCUR 0 CLANS MAl!\! <br /> <br /> <br />/ <br /> <br />/ <br /> <br />/ / <br /> <br />--'IDI- <br />_UAIILII\' <br />_~-ÞmNtMXEClJ'1'rÆ <br />~"&xcu.ŒD? <br />1t~.....wdIr . <br />PROVf88ONS .... <br />~ <br /> <br /> <br /> <br />/ / <br /> <br />/ / <br />/ / <br />/ / <br />~OfõOPIRA'IIOÞI~~AÞOEO"'EHDOnHII""' If'EI:I.L"".."", <br /> <br />:ERTlFM:ATEHOLDER <br />( ) <br /> <br />Ci~ of Saäte Ana PoliC8 <br />60 Civic C8ntar Plaza <br />P.O &0.0; 19iu <br />San'tli. Ana . <br />CORD U (2001/111) <br />L. _(0100).05 <br /> <br />Dça"QI8Ilt <br /> <br />CA 92702- <br /> <br />IL£CTROMC LASéR FOAM';; IN(! - 11IM\~.tIfWõ <br /> <br />.. <br /> <br />/ / <br />/ / <br />/ I <br />I / <br /> <br />/ / <br /> <br />/ / <br /> <br />/ / <br /> <br />/ / <br />/ I <br />I I <br /> <br />NAIC . <br /> <br /> <br /> <br />COMBINED ~ LIMIT <br />(Eo- , <br /> <br />. <br /> <br />eOOtL,. tMIURY i <br />W« pn8n) : <br />80ÐIlY INJURY! <br />tJ"r~) : <br /> <br />. <br /> <br />. <br /> <br />100 00 <br /> <br />PFOQPWYO. <br />(,. 8œIdIN) I <br /> <br />. <br /> <br />25 00 <br /> <br />AcCIDENT I <br />!UCC . <br />IoGG . <br />. <br />. <br /> <br />AI1rO OÞLY. <br />OTHER THAN ! <br />~OOl'llY: <br /> <br />AGGREGATE I <br /> <br />. <br />. <br /> <br /> <br />!.L eACHACc . <br />E.L. D!8EA8E. iWt, f¡ <br />. E.L ona!ASE. Of LMT . <br />