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<br />.J <br /> <br />,jun29 2004 315PM <br />., <br />\\ <br /> <br />CHEVAL [NSURANCE <br /> <br />No 5235 <br /> <br />P 2 <br /> <br />.. 4 -' .- <br /> NEW Rl;STNFSS . SL-llC'3177.00 <br /> ~Mtrican Bankers . 12:01 Alii AT IIIISUREOs ADDRESS <br /> , .~- ,:,..-; ".. -, " NAMEO BELOW <br /> ~.-.....". ':n.~j ,,;~-;... ..'.....ltl' -:./ .. : ~,-.. "('(: <br /> " ,,' .., ,I . ~ I 'I ' ", . r t__ _ . <br />222 S. 15th Street, SullH OOJS. Omell., NE 68102 <br />POLICY "UMBE~ J>:'IlICV :;;f'I:"lD POLICY TYPE AGENCY p <br />"A'NA ~ <br />Sr. 1103177 HI!200J l~m:2004 Cl~MMTlRClAf LJ.\I:HUn COVblLo\W:. 3432001.002!S I <br /> YOU AS NAMED INSUltED AND ADDRESS AGENT <br />CHERYL 3KIDMOJU: tJ - ;1.004-- 055' THe OARN (iR01'P, ['Ie <br />DBAfUl\ \\lTIIIlORS.'lS 21~L.J)SI ~nu:FT <br />1~7 E. WILSON ST. <br />COHA MESA. CA 92627 t-"'EW VORK. r-. Y 10('16- <br /> <br />""......... <br /> <br />Tho Insured Is: .1lI An Individual 0 A Joint Venlure <br /> <br />:J J\ PlrtnClr&:hip 0 ^n Or"anlz~tr~n (otr.arth.:an a panncrahip -11J;nt vontur.,.) <br /> <br />-.J It. lImlleclllablllty Company <br /> <br />All know" e~posures orlh. beginning of the ~ollcy p.,jocl ho". b~~" I~p."ti~ed below. <br />L.aC8tjan of 2111 pr.mis8s owP'1ed, fBntad oocupied or controlled by th. insured; <br /> <br />130" S -U' [)LR~uN <br />ORANGE COljNT;' <br />AN"HF.l?vl U 92805 <br /> <br />~/.l <br /> <br /> <br />y4 <br /> <br />In "'nl,.lTlll')r your PilfIrnliWl' of ri"e ,squll1ld prerrrium," pro:.vide the COmmprc.ial Liability Cc"cr"'[.lC(jutlfl~ It It IJvl",y J,lclri:>cl, <br />L..lm. of LI~billtll <br />E"h 0"""",,''''.1 "it $1.000.000 <br /> <br />M'e:li~1 P8Yf'l'M'nts iTli1 '5.000 IIJ~ fJl:"'~1 <br /> <br />Gcnarljl .llo.ggle~:re Llrnll S 2.000.000 <br /> <br />Olller than Produc'<'Com_ Wor< S 2.nOO,nno <br /> <br />/\(1gregJtc lfrrll pradLC]J.'COfT\?l8fCCl WOI'W I 2./l(jO,OOO <br /> <br />Fire> l.ij.llia~~y ISU.IlUO <br /> <br />1~:o:'currenCll <br /> <br />If rhl~ I, creekI'!:": - we :Xl ocr :m)\Iide co..,er.il:[3t' 'f)f f'rodUc.~&'Con"leted Wor<..and tl)p E~(";h Ot.:I."tlllt"H.:loI Lir'1I1 dut~ 1'01 <br />aj:!~ 10 Coverate N. <br /> <br />Gha'gs for ~on.o.._ Aulll J .Il'My Cov."'llc S NOT~OVER.ED <br />Ch...., r". 11....d Aut- lI""",y 'n'''.9' ! 1'101 COVERED <br /> <br />Cla.Cfic.ao" <br />Saddle Animals. Cumrn'l <br />Rldill~ Cluh. & Ac.d"'l1i., <br />AdJil.<r.l.J [nOUred. <br /> <br />Cod. <br />16401 <br />1620':; <br /> <br />'blipy 1.5oIS <br />VARIOl'S <br />VARIOl:S <br />VARIOUS <br /> <br />RII. <br />r\'(:U. Dill <br />INn.IIlFO <br />JNnlTlHl <br /> <br />Pramlum <br />136 <br />'<18 <br />225 <br /> <br />CONTlIIIUED 0". IIIElCT PAGE <br /> <br />"Tb"d...~("II'O.p. <br /> <br />i <br />NrC;:,(j <br />