Laserfiche WebLink
02×11×2003 17:04 BACCARELLA INSURANCE a 17145652693 N0.471 PO1 <br /> <br />ACORD, <br />~°'~'C~a~LLA,-,,.,,~.. INSURANCE EERVICEE, INC. THIS CERTIIqCA?~ Ie lUUED ~ A MATTER O~ !NFORA~TIOf4 <br /> ONLY A~D CDNFER8 NO RIOHT8 UPON THE CERTIFICATE <br />Ul4 INDIANA AV~. ~ 21~ HOLOER. tHI8 CERTIFICATE DOE8 NOT .~ME~D. EXTEND OR <br />FA,X: J{~-~07-65~ IN~URERE APPORDING COVERAGE <br />C.B. OLENN T~LE COMPANY, <br />7,71 KARHAY AVENUE <br />MIDWAY Crry CA <br /> <br />COVERAG~B <br /> <br /> 6l.~l.-~:t,uJ~l.n.~ 213700?40&0 ~AN 22 03 dAN ~3 Q4 <br /> ~~ .... 1~,000 <br /> ,, <br /> <br />~! SOUPCON OF ~E~T/ONSILO~ flD~EHICLEGIEXCLUSlONS ADDED ENDORB~MENTI SPECIAL PROVISI~8 <br /> JOB: ~E DEP~ AT aANTA ~A, ~noo E, a~T* ANA BLVD., aANTA ~ CA. SEE A~ACHED FORM C~2010-~7 FOR COMPL~E NAME <br /> OP AD~mON~ INBURED, ~mMARY WOR~NG AND WAIVER OFaUBROGA~ON INCLUDED. <br /> '~CEPT ~0 DAYa FOR NON PAYMEHT OF PREMIUM <br /> <br />liANTA ANA REOIDNAL <br />tRANSPORTA'TION CENTER <br />1000 E. &ANTA ANA BLVD., 1300 <br />9ANTA ANA. CA 927D~ <br /> <br />&CORD :'5 i~001;Ol) <br /> <br /> <br />