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nx/>o/ns 75:06:40 Frow g49-477-5040 TD:17602431473 Hull & company, inc,page:004y <br />r ACORD„ C RTIFICATE O <br />LIA <br />.je (will <br />ILITY INSURANCE 0912920 A) <br />PRODUCER <br />Hull & Company (Cali) m1a), Inc. <br />16OO DOMc Slreel, Sul 315 <br />THIS CERTIFICATE m 16SUED AS A MATTER OF INFORM. TON <br />ONLY AND CONFERS NO RIWT91 UPON THE GERTIF. ATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEN OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES B! IIW. <br />Newport Beach, CA 97 80 <br />COMPANIES AFFORDIMG COVERAGE,__ _ <br />y - <br />COMPANY <br />A Evanston Insurance Company <br />COMPAN- — <br />COMPANY <br />c <br />-• - ' <br />wauREo <br />CllfrordZwarlowakl <br />HI Desert COmmun,cali nS <br />17199 JaSmine Street b <br />Vidorvlle, CA 92392 <br />COMPANY <br />COVERAGES <br />TH19 IS TO CERTIFY TH T <br />INDICATED, NOTWRHS'II/1NOING <br />CERTIFICATE MAY BE I SUED <br />EXCLUSIONS AND CON. <br />CO lYPf OFINEURAN <br />LIP <br />THE POLICIES OF INSURANCE <br />ANY REOUREMENT• TE <br />OR MAY PERTAIN, THE IN <br />TXJNS OF SUCH P01, OU LIMI <br />STED REI <br />M OR CON <br />URANrF A <br />.SHOWN M <br />HAVE BEEN ISSUED TO THE INSURED NAMED A013VE FOR THE POLICY PI'P :D <br />TON OF ANY CONTRACT OR 07HER DCCUMENT IAII TH RESPECT TO WHICH 1 13 <br />FORCED BY THE POLICIES DESCRIEEC HEREIN 15 RUDJL-CT TO ALL THE TF;F <br />Y HAVE BEEN REnIICEO BY PAID CLAIMS, _�_ • _ <br />POLICY EFPECTWE P0IJCY EYPAXgT10Nl LIMf13 <br />04e IMW00/1Y1 DATE IMWDo"11 _ <br />C <br />POUCY WIAX <br />ER <br />DET,ERAL UAs.Q" <br />X I_COM.NLncwA OFNFRALLIAOdITY <br />CCNFPAI AGC,IIECLLTF <br />s 2.1•II 'GOO <br />6 2,I,R 000 <br />PROriUCiO•l,CNLIPIOPABG <br />A <br />_ �CUMASAUIDE 4X <br />�OwNER'9ACONIMACIOR'6 <br />OCCUR <br />PRO'f <br />CPOAO7D0 <br />8/30/2noA <br />8/3Of200$ <br />PEFEONµAIJIVINJURY.. <br />S 1,11( 000 <br />EAA'H OORIRIII;NCE <br />�FIRG <br />S 1,1!( .000 <br />OAMMG elm onn Muhl <br />111 . <br />6 I( ,000 <br />NED EXT 1An,,,, wrLm <br />b DOO <br />_ <br />OMOFIIIE LIANLYV <br />I ANY AUTO <br />tu <br />Atli OwNEO ft T", <br />COMeIREO SINIGL LIMB <br />eonRTlNdunr <br />EXCs '. 'IED <br />s EXCL.I !ED <br />f 5C1IEOlAFVAUT04 <br />Pa pPeM) <br />HACDAUTOs <br />NONOWMEO AUTOS <br />I <br />Rn01LriNdugv- <br />IPPr aadannq <br />p EXCI..I !ED <br />PIIOPFRroan,lcE <br />_ <br />S FXCLL IED <br />_ <br />— <br />I <br />CARADE LIAOILITY <br />ANYNIX <br />AUTOONLY 9AACCICENT S EXCI.L IED <br />OTNER TIT AN AIPIO OW <br />EAG•ncclncNl s EXCLL IED <br />_ <br />__ <br />AAMNEGATE S EXCL.L 'FD <br />EXCESSugcUTY <br />VMUnELLA F011M <br />n!T <br />APPR <br />JED�y <br />1 <br />S O F01 <br />1" <br />EACH nrXUnP['_NCE <br />S EXCLIL �90 <br />ACGRCCAW <br />I EXCI.L ED <br />OTMFI{PiAN LNApif4 <br />FORM <br />, <br />_ <br />. EXCLJ_ 1=0 <br />WORKEgs COMRMRAn;w, <br />EMPLOYERS' UABIUIY <br />UIE MOFR,EIOPI <br />PARTNERNEXECUTIUE <br />OFFICFRR ARE. <br />INCL <br />F<GL <br />�� 1.4� <br />' <br />�� 2 <br />_... <br />WCSTA}U OTH• <br />MIT:.z ER <br />Llura S <br />SSlb Ifl III <br />I t hcedy <br />I Arl!)Cl1lk <br />eL-A.nIACCIDtnr s EXCLU ED <br />hCISEAEEPOLICVLIMIT <br />EI OIEGA6E - EA F:NPLOYEE <br />S EXCLU I-D <br />S EXCL) �?O <br />DYRER <br />DPSCRIPTON OP OPERATKMIYROC <br />TICRerveMMLE ,R CCAL REMY <br />CiDIf"Ie holder y Pamed A <br />A adatiunAl ElaUreo per loan MEOD <br />D, wlich IE al <br />}Aopd IO the oba,,e rofaraneed poky 'CXcap110 dap NA,ce DI CPncellalon for noP.pnymw I <br />oRTi W II. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />Clly of Santa Ana. Its <br />011riara, <br />NIDNLO ANY OF TNC AeoYE DED111W..o 101,1 3: PE CANOOLLQ, DEFCRE rf <br />Employees, AOenly, V <br />ituntaurs and RepreoenlefivR <br />EMINArION DATE TNPnEOF, YRE IEaIAN'O CONIPQr11 WRL ENDEAVOR Yo Alp <br />2D CIVIC Center Plaza <br />'30- pAYe WM".N NOTICC TO WE CEM1FkPTf. MOIOEq MIMEO SO !RE LIFE <br />Santa Ana, GA 92392- <br />aVT rAILIME T SUCH M=CE SMALL IMPWO NO DRLCAIpN DO LIARA.II <br />nF AN v N OM ♦Mq DUWTaAiN M AGCNYI RP nrPEPeNTAT,VCI <br />4M.ORIZEOn gTNE <br />CORPORATION�1 III <br />ACOR02FS(1195) <br />