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<br />. N.v-24-04
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<br />
<br />Fr.m-ACCO SERVICE OPERATIONS
<br />
<br />T-809
<br />
<br />P.002/005
<br />
<br />+18182482141
<br />
<br />CERTIFICATE OF INSURANCE
<br />
<br />PF<)OUCEA
<br />ÞG1 Risk fie! ~C~. Inc. of Southern QalilOmia
<br />701 Wilshi-u 30 JtéVard. Suite 6000
<br />Los Angeti$. CII90017
<br />(213) 631H2 ()
<br />
<br />F-284
<br />
<br />lJ""IClM'."V,,""
<br />
<br />1010112004
<br />
<br />TtilS CERTIFICATe IS ISSUED AS A MATTER OF INFORMATION ONLY MlO CONFERS NO RJGtfTS
<br />UPON THE CERTIF1CATE H01.DEA. THJS CERTIFtCA1'E DOES NOT AMEND. EXTEND I'" ALTER
<br />THe COVERAGe AFFORDED BY THE POUC:IES BELOW.
<br />
<br />~~..... ~ ~ -..., If;. ~1:t!. .... ~4.....~ ..~,Þ"",,::,,:r-JLI.I:';""""" r. ...,'~." .'!'~" ~
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<br />THe POUëi Š,JF INSURANce U$TED BB..OW MAV!: Bf:EN' \ssUED TO TH~ INSURED NAMED ABove FOR THE PQUCY pE:RIOD INOICATED, NOTWrrH:3TANOING
<br />""'Y RECUI :Ð 11!Nr, TeRM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS cemlPlcATE MAY Be ISSUED OR MAY
<br />PERT AfN . HE INSURANCE AFFORDeD BY TI'fE POLICIES OESCAI8EP HEREIN IS SU8JEicr TO ALL THE TERMS, EXCLuSIONS, AND CONOITIONS OF SUCH
<br />POllCtES, " He uMITS SHOWN MAY HAve BEEN REDuceo BY PAlO CLAIMS.
<br />
<br />co T 'PF OF INSuRANCE POLICY NUMBeR POLIcY Eh'C~"
<br />l'T1'l . DATEIWfMXWY't1
<br />
<br />A GENEU U\IItUTY RTC2J.co.9494A136 1010112004
<br />!;21 0* "n.~Al,.eENERA1.U ,ß LTT'I"
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<br />[J "'..-. Ii!I =>MEN'"
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<br />0 om; In I. COHTRI\CTQR"$PAOT
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<br />~O)N RA,-ruAL
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<br />INSURERS AFFORDING COVERAGE
<br />
<br />""-"" INSURED
<br />
<br />INSURER A:.
<br />
<br />Travelers property Cas Co of America
<br />
<br />A-~aYf-D53
<br />
<br />ACCO Er'lOit 191 êd Systems
<br />6265 San F. nando Road
<br />Glendale, ;;¡ 9' 201
<br />
<br />tH$URIiR B:
<br />
<br />INSURER C.
<br />
<br />INSURER 0;
<br />
<br />INSURER E:
<br />
<br />
<br />FOUC'I'!)OI'IJVr.TION
<br />Do'oTEI'-' IAIOONY
<br />1010112005
<br />
<br />GENERAL ACJGI'lIEGATE
<br />PRQOUCTS - COMPIOP.AGG
<br />
<br />PERSONAl & ADV INJ\JR'r
<br />E.-.cHOCCU~
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<br />FIRE OAMAGIi ¡ky One rite)
<br />MEa EXP (My One Prnan
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<br />AUTOMC ilL!! LIABILITY
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<br />J;2II"qU 'N.TOS
<br />sa f't(JN JWriEOAlIT08
<br />0
<br />0
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<br />PROI"EATY DAMAGE
<br />
<br />1010112005
<br />
<br />1 0101/2004
<br />
<br />RTC2J-cAP-9494A 148
<br />
<br />ÇOM!;IINED SLNGLE UMrT
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<br />BOOILY J'IIJI,JRY
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<br />OODIL Y IMJURY
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<br />AUTO ON!.. Y - E¡\ ACCIOENT
<br />OTHER 'THAN ALfI'O ONLY:
<br />EACH ACCIDENT
<br />AGGiGREGATE
<br />EACH OCClJFlRENCE
<br />AGGREGATE
<br />
<br />GAR ,GI LII>EIIUTY
<br />O'JN .un
<br />
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<br />EXCfSf L,1,e."UTY
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<br />wORKË i$" ~PENSATION AND
<br />EMPI,Q' :R :'LIABILITY
<br />THE. >fI ff fETQAt
<br />PAR~'N( '\So ~&:C:V11VC:
<br />OFFI::E. S,,fI.E:
<br />
<br />ATAJ-UB-9494A 124
<br />
<br />10101/2004
<br />
<br />10/Q1/2005
<br />
<br />~ ~cf~T~ [J OTHEA
<br />E.L EACH ACCIC~
<br />E..L DISEASE - POLICY LIMfT
<br />E.L DISE.asE - ~E.MPL01'EE.
<br />
<br />NHA212711
<br />
<br />10/Q112OO4
<br />
<br />1010112005
<br />
<br />A
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<br />DINe\.
<br />0 EXCl
<br />
<br />OTli;F
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<br />UMITS
<br />
<br />$
<br />S
<br />.
<br />$
<br />
<br />2,000,000
<br />2,000,000
<br />1.000.000
<br />1,000,000
<br />100,000
<br />
<br />s
<br />
<br />$
<br />
<br />5,000
<br />
<br />s
<br />
<br />1.000,000
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<br />$
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<br />
<br />s
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<br />$ "1,000,000
<br />$ ".000,00'
<br />$ "t ,000.000
<br />
<br />DESCRlPn)f Of OPERATIONSlLOCAnONSlVEKlCLESJR¡;SiRIC'T10NSlSPeCIAL ITEMS
<br />
<br />Cily of S:; nt. AI a. 20 Civic center ~Iaza. Santa M3, CA
<br />Add'!\iona. It out ~ endolllemant Attached,
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<br />AOCO/Ac«$/AOOOSERI e~7
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<br />,',~~';'Z?~,~~~~,o/(t:~~":t\;;,~~~~."t~~~ ,- : ' " ~~., ., " '" '. '
<br />~';::: s.lOIJt..D PH'( OF THIO ABOVE OESCMEO POUClES Be ÇANçal.IW &EFOAE THE EXPtRATION DATE.
<br />?~~~ THSREOF, THE ISSUING COMPAKY WILL ~ 1oWL....1Q.... DAYS WRITTEN Nt1TIc:e TO tHE
<br />~~ CErmFICATI; I10LDER N¡\MGO TO "T11E lEfT,
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<br />~~ AlITHORlZêD REPRESENTATIVE
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<br />Cit)'o S1ntaAna
<br />Atbl~ :ir ICè M. Þerret
<br />20 l:::i1 jç Cenær Ptaza
<br />Sarlta At ,Ð, CA 92702
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