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<br />03/1 g/2004
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<br />0g: 15
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<br />g4g-451-3544
<br />
<br />BARLOCKER INSURANCE
<br />
<br />PAGE
<br />
<br />02
<br />
<br />..,,---.-- --"'..----
<br />
<br />
<br />AÇORD-
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />PRooue..
<br />
<br />lIarlock..r In". - Laguna Hills
<br />23332 Mill Cr....k Dr. Suil:.. 105
<br />LaÇ \1na Hills CA 92653
<br />Phon..: 949-461-3640 Fax: 949-461-3644
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />MAIC'
<br />
<br />-"'D
<br />
<br />,,-.----.....
<br />
<br />4" ).003- ;2.39
<br />~lin~cal L~ of
<br />~!/- !=-cæ'~rn~~
<br />21881 Barton Rd.
<br />San Btornardino CA 92313
<br />
<br />IN'U"'"
<br />
<br />....1~. Coo, Co 0' ',,"n, 'A
<br />
<br />INSU"'B, Tran"l'°rl:øl:ion In,,- Co.
<br />I'NSU"'C. ""'.C_u"~ 'no. "'.,
<br />INSU"'D' H1. ..-1., "....... _ny
<br />
<br />INSU". ,
<br />
<br />COVERAGES
<br />T"""')I.ICI"O' INS\JI..NCluSTODBELOWHA.. ..,NISS""DTDT"""U"D"""D"",,V, FO'T1<EPOuev "'IODINDICAT'D NOTWITHSTANDING
<br />^tit "OUIR"""'. TERN OR CONDITION OF oN\' CONT"CT 00 OTH" !)QCU,,",NT WITH "SPOCT," WHICH Tt<1S C""!FICAT' N^, BE ISsue. o,
<br />MAYoeRTAlH. "'" INSU""'OA"O'O'. IIY Tt<0 POLI<:IO' Dose..... HE"'H IS ,u.",eT TO ALL THE TE"'S. EXOLU'""",,, ^NO CONDITIONS OF SUCH
<br />POlIO",' ROCR,GIIT, UNITS SHOWN M^,"'VE BE'N .Ecue,. 0'( '^ID elA<MS
<br />~ NS' 'OLK:Y""'" "OT' .....".., TC UMI""
<br />
<br />,.
<br />
<br />
<br />TCI?2068975201
<br />
<br />! 02/01/04
<br />
<br />02/01/05
<br />
<br />OOCHO<:CU"""'" .!.b 000,000
<br />PREM""I~L '-100,000
<br />~~~-~,,!~!~!~I,. . ._'_1..<!,-,,~O_......_..
<br />""ONO"^WI",U", . 2,000,1100
<br />G,....IIt^G.ReGIIT' '2,000,000"
<br />oRODUCT,. ~o AGO. EXCLUDED
<br />
<br />A
<br />
<br />x ^NY AlJTO
<br />ALLO_DAUTOs
<br />SCH.OUL.O AUTOS
<br />
<br />BUA2068975084
<br />
<br />02/01/04
<br />
<br />COIAOIN,. ..""" I.",,'
<br />02/01/05 ,E."",..."
<br />""",LVlNJURY
<br />"",,'oon,
<br />
<br />.1,000,000
<br />i.
<br />I
<br />
<br />X H,","^ums
<br />X NONoQW",.AUTOS
<br />
<br />BOD" IH.I!JRY
<br />¡....""...,
<br />
<br />PROPERTY 0.......
<br />"...,""."
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<br />B
<br />
<br />
<br />..COSS.,....OLlA URIIII.ITY
<br />0 e'-"MSMAce CUP2068975344
<br />
<br />02/01/04
<br />
<br />A""'ONLY...ACC1D..!'.!.. .
<br />OTH'RTHOH ...cC'
<br />^UTOOlolLY AGO.
<br />'AOI<O(:CURRE"CE ~,OOO,.Q.QL
<br />02/01/05 'OOR'OR" .!..!.",Q.°!l,-°90"".
<br />u- ....1-'- ----
<br />"
<br />.
<br />X T veNIT! - i;!L ... .
<br />02/01/05 e.LEAC.ACCIO_.' ~,OOO,J!Q!J-
<br />..c",St"",,"'oLO... '1,~,000
<br />ElDI.".'.POllCVlIMIT '1 000 000
<br />
<br />DEOIJCTI1!lE
<br />"WITION
<br />
<br />"""RE" eo""",T1D. AND
<br />C ::~c::,;:'~~:';'NERlE""eUTI'Æ
<br />OFFlCER_..XCWDED?
<br />~ii~I:"~Vís:¡;;'s ,....
<br />
<br />D I :::~mional
<br />
<br />LiahiHt
<br />,",O<:"""DNO"'o'" N L
<br />
<br />'J'BD
<br />
<br />02/01/04
<br />
<br />E1?G0002395,.
<br />
<br />02/01/04
<br />
<br />02/01/05
<br />
<br />$1,000,000
<br />$10 000 Oed
<br />
<br />I YEHIe""'XCLUSIONS A.DED .Y "IDO""""'" f ...tlAt. .R"VI"'..
<br />
<br />CERTIFICATE HOlDER
<br />
<br />'1'om D;i.x
<br />Cil:y Yard
<br />City of Sanl:ø Ana
<br />220 S. Da1ay Av...
<br />Santa Ana CA 92703
<br />
<br />CANCEllATION
<br />'l'OfItDIXX ...auLDA"""""""""" DO.e""D oOUCI"" ""","_D ._FO._Tt<. .XPI"'"".
<br />DA.. Tt<....,., _I..."NO ""UReo WlLlE_ova.TO MOIL ;L DA.. """"".
<br />..",eE TO"'" œ'TIF"AU HOLD" HA"'. '...... LOFT. allT ""LU" TO D" so Ott^"'
<br />IMPO" ND oaL"A1TON "" Uo.'LlTY O. ... KIND 110O....., INSU"'.ITS AG""" 00
<br />"""'HTA_.,
<br />AU~""""'PR_._NT. .
<br />~1i I?et""son
<br />
<br />
<br />~
<br />
<br />
<br />ClACORD CORPORATION 111'
<br />
<br />ACORD 2$ (2001108)
<br />
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