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A OI?D,. CATE OF L I <br />NSURANCE DATES <br />CERTI F I ABI <br />L I TY I 05" a <br />PRODUCER 619238-1828 <br />THS CERTI F I CATS S I SSUED AS A MATTER OF I NF ORMATI ON <br />Drive AI I iant Insurance <br />ONLY AND CONFERS NO RIGFTS UPON TIE CERTIFICATE <br />1620 F if t hAv Blue <br />WILDER. THIS CERTI FI CATEDOES NOT ANEND, EXTEND OR <br />AL TER TIE COVERAGE AFFORDED BY THE P OL I CI ESBEL OW <br />San Diego, CA 92101 <br />CONPANI ES AF F OiDI NG COV ERAGE <br />Franco Ganino <br />CCNPANY <br />A Everest National Insurance Co <br />INSURED <br />COW ANY <br />Dal ey &Wt (APartnesfip) <br />a <br />462 St e✓ ens AV e, #201 <br />COUPANV <br />Sol ana Beach CA 92075 <br />c <br />COWANY <br />D <br />Cov EHAGES <br />THIS I STO CERTI FYThAT THE POL I Cl ESP I NSURANCEL I STE ®EL OJYHAV E BEEN I SSUEDTO THE I NSUREDNANED ABGV E FOR TIE P0. I CIPERI OD <br />I ND CATED,NOTW TP5TANDI NG ANY REOUI REM=NT, TERM OR CCND TI ONCE ANY CONTRACT OR OTHER DOCUMENT W TH RESPECTTO WBCH THIS <br />CERTI FI CATIMAY BE I SSUEDCR MAY PERTAI N,THE I NSURANCEAFFORDED BY TIE PM I Cl ESESCRI BED IEREI N I SSUBJECTTO AL LT4 TERNS, <br />EXCL USI DNS AND COND TI CNS OF SUCHPOL I CI ES. L I M TS SWIM! MAY [AV E BEEN REDUCEDBY PA1 D CL AI W. <br />CO <br />L TR <br />TYPE OF INSURANCE <br />POE ICY NUMBS <br />PQ ICY EFFECTIV <br />DATE (NM O D YY) <br />0.1 CY EXPI RATI <br />DATE (W DO W) <br />LIMTS <br />GENERAL LIABILITY <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS- C0W /GP AGG <br />$ <br />CC",ERCI AL GENERAL LIABILI <br />Y <br />CL AI NS MAIZE I OCCUR <br />PERSCNAL &ADJ I NJURY <br />$ <br />EACHOCCURRENCE <br />$ <br />O.M1ER'S &CCNTRACTDP'S PROT <br />FI RE DNAGE(Any Onefl,O <br />$ <br />NED EXP (Any one per son) <br />$ <br />MIT CIVUEN L E L I ABI L I TY <br />ANY A11T0 <br />CQvPI NED SI NGLELIMT <br />$ <br />AL L DAN ED AUTOS <br />SCHEDUL ED AUTOS <br />RED L VI NJURY <br />We Pe.n) <br />S <br />NREDAUTOS <br />NON-QMIED PUT 05 <br />BCOLYINJ <br />We accident) ) <br />S <br />P RCP ERE DANWGE <br />S <br />GARAGE <br />L IABI L ITY <br />AUTODNL V- EAACCI DENT <br />S <br />DTNR TARN AUTOCNL Y: <br />ANY AUTO <br />EACHACCI DENT <br />$ <br />AGGREGATE <br />4 <br />EXCESS <br />L I ABI L I TY <br />EACHOCCURRENCE <br />5 <br />AGGREGATE <br />S <br />UNREEL L AFORM <br />$ <br />Ot NR T" U W REL L A F ORM <br />A <br />VCRKERS COW ENSATI W AND <br />EN' L OYERS' L I ABI L I TY <br />39)001 7579)12 <br />6108/03 <br />6/08/04 <br />X STATU- GTH <br />TOItVL I M T ER <br />FL EACHACCI[ENT <br />4 1000000 <br />TN PRCPRI ETCH/ I NCL <br />PARTNERS/ EXECUTI V E <br />EL DISEASE - POL CV L M <br />5 1000000 <br />EL Cl SEASE - EA EM'L QYEE <br />5 1100000 <br />OF PI CERS ARE EXCL <br />C)TWR <br />i <br />DESCRIPTION OF CPERATIOJS /LOCATIONS /VENCLES /SPECIAL ITEMS <br />P ROOF OF COVERAGE <br />GIEJiTI Fi Cq'fE N!L DEiT <br />° CANCEL L ATI CU <br />CITY OF SANTA ANA <br />SHWLD ANY OF THE ABOVE DESCRIBED POLICIESBE O/WCELLEDBEFOIE TIE <br />EXPIRATIONDATE Till TN ISSUINGCUPANY WLLMCF.AVOI TO M'NL <br />MS.JUANITAPRECI ADQFERNANDEZ <br />30-DAYS MITTEN NoEiCETOTHE CERTIFICATBULCER NAKED TOTIE LEFT, <br />20 Cl V I C CENTER PL AZA M-29 <br />BUT FMLURETO MNL SUCH NOTICESNLLL INPBE NO BLIGATIONB LIABILITY <br />SANTA ANA, CA M702 <br />OF AN Xg UP T COMPANY, ITS AGENTS B REPRESENTATIVES. <br />/417181 ENTA E <br />AG iC?25 -8 t7lffil s 4 <br />��� �A€ QAD C10RjPW I;oF* 7568 <br />