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RightFax 9/11/2003 7:34 PACE 2/3 RightFax <br />ACORD_ CERTIFICATE OF LIABILITY INSURANCEPage 1 Of 2 <br />1 09/11/2003 <br />PRODUCER 877 -559 -6769 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Nilli.a North Aoszloa, Inc. - aegiwlal Csrt Cant. <br />11201 N. Tatum Bl.d. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />Busts 300 <br />Phn.mi :, AL 85028 - <br />INSURED BiatssP of et. Joaaph of 0i 9. <br />INSUIEAA: Esrtfotd'In.ucanoa Co of th. Xi dwat 37478 -001 <br />480 south Batavia <br />Orange, CA 92868 <br />INSURER B: <br />AUTHOWWREPRIM PdTAM <br />aMOn K_O I�w,. <br />INSURER C: <br />NSURERD: <br />t <br />INSRRERE' <br />t <br />COVERAGES <br />THE POUGES OF NSUPANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOUIREMENT, 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 />NMULDANV OFTN6 ABOYE DEBCNBFA NUGEE BE CANCELLED BPFORETXE EI(NRATON <br />TYPEOFItlURANCF <br />POLICYNUMBER <br />CY <br />DU Y ION <br />UNITS <br />No. N25 - P.O. Sow 1980 <br />GBIERALUABBITY <br />At": Luoy rl.x <br />aanta ADa, G 92702 <br />AUTHOWWREPRIM PdTAM <br />aMOn K_O I�w,. <br />FACHOCCINPfJNCE <br />t <br />FIRE DAMAGE M math <br />t <br />BBUWERCIALOENEIALUMLUY <br />CAIMSMADE ❑OCCUR <br />I.EDEXP ma <br />PERSONAL9ADVULIURY <br />8 <br />OENEMLAGGREGATE <br />t <br />PRODUCTS -(XY AOG <br />t <br />fRElLAGDIEyRATELNTAPPLIgPEH: <br />NUM LOC <br />AIRDMOBLEUANUTY <br />ANYAVTO <br />COLMNFDSINtl E UYTT <br />(ES StldT) <br />t <br />BODILY INJURY <br />parDw�) <br />t <br />ALLOMEDAUTOS <br />80I1EDIREDnUroa <br />HIREDAUTOS <br />NONOWNEDAInOB <br />APPRO <br />ED AS TO <br />FORM <br />BODILY INJURY <br />(ps"-t- PM) <br />t <br />PROPER YONMAGE <br />t <br />GARAGEUAMLRYY <br />AUTOONLY- EAACCDENT <br />E <br />dy <br />OTHER THAN FAM <br />AUTOONLV: AGG <br />i <br />ANVA� <br />j-' j, S <br />Demu Y <br />f <br />MOSES <br />UABLBY <br />OCCUR Fl CUAWSMADE <br />EACHOCCURRENCE <br />t <br />AGGREGATE <br />E <br />s <br />t <br />DEDUCTIBLE <br />RETENTION 8 <br />t <br />A <br />WORICEINOOMPMATI <br />Ea -1-mal mm mµ0 <br />72MIC93300 <br />5/31/2003 <br />5/31/2004 <br />W <br />EL EACH ACCIDENT <br />t <br />EL DISEASE -EA EMPLOIFE <br />f 2,5QQ,ogo <br />EL DISEASE - POLICY LOST <br />t <br />°TIER <br />D6BCRPTIONOF DP DONSALCATIORWEMOLEK %CLUMONBADOED BY IMOR1WSNTM 'AL PRONW°NS <br />Re: SS" dba Taller San Jose, 131 ek Grant, 810 N. Poinsetta, Santa Ana, G 92701 <br />^..1 -Ww" u11:812180 xpt:144277 Cart:3414506 O ACORDCORPORATION 1988 <br />NMULDANV OFTN6 ABOYE DEBCNBFA NUGEE BE CANCELLED BPFORETXE EI(NRATON <br />DATE THEREOF, THE MUM INSURER WILL ENDEAVOR TO MAIL 30 DAYB WnTTP3I <br />City of Banta ama, its Offieara, agants <br />and Baployaa Cassmnity DaaWll.OF —Ot Agency <br />20 C11ic Cantac Plaza <br />NOTICE TO THE OMROATE HOLDER NAMED TO THE LET <br />No. N25 - P.O. Sow 1980 <br />tooloommom <br />At": Luoy rl.x <br />aanta ADa, G 92702 <br />AUTHOWWREPRIM PdTAM <br />aMOn K_O I�w,. <br />^..1 -Ww" u11:812180 xpt:144277 Cart:3414506 O ACORDCORPORATION 1988 <br />