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Sep 23 04 10:43a HoustonaHarrisPCS 9094220841 p.2 <br />ACP CERTIFICATES Fax:909-886-0053 SeD 22 2004 15:13 P.02 <br />c <br />n_ CERTIFICATE OF LIABILITY INSURANCE HOVST <br />DATE IMWDDITTTT) <br />2 09/21 04 <br />PwbucEn <br />THIS CERTIFICATE IS ISSUED AS A MATTER <br />INFORMATION <br />Allsti7 <br />Cooper L Prioe <br />ONLY AND CONFERS NO RIGHTS I F'ON TM <br />ERTIFICATE <br />CERTIFICATE <br />Ins Aq <br />P O <br />oniGy Ina (Lic-0546677) <br />3200 <br />HOLDER THIS CERTIFICATE DOES NOT ANI <br />ALTER THE CCWERAGEAFFORDEI I BYYHE <br />NO, OrrEND OR. <br />DOLICIESSELOW. <br />,"aidina.CA 9.,2413.328C, .,,., <br />',',:. ).;r.: <br />Phone <br />909-886-9861 Fdx:9D9-BB6-2013 "- <br />..•.. .:��.': <br />INSURERS AFFORDING COVERAGE <br />NAIC0 <br />m5 <br />- .. <br />INSURmEA Ihtioarl SR«q-rota tY <br />w911nertc <br />"' <br />Haos on 6 Barris PCS Inc <br />...219310Harton Road'•'' I ..:. <br />Cyan Terrace CA,92313 <br />wsDReR D: ... <br />.. <br />' <br />"SURER F:. <br />COVERA <br />S . <br />- TNE.POLI <br />ANYRED <br />' <br />IESOFWSURANCELaTrOBGLOWNAVEREEMILWADMD RINSURMURMEDAYDVE FORTIRE POLICY PERIOD INDICATED. <br />IRF1N9n, TERM OR CONOITION OF ANY CONTRACT OR OTHERDDCUMENTWTH RESPECT.iD WHICH THIS CERTIFICATE MAY BE IS <br />UEDTNIp <br />OR <br />0' <br />MkTPER <br />AM. THE WORANCEAFFORDEDDYTHE POLICIES DESCRIBED HEREIN IS SUBIECTTO ALLTHE TERMS. E)(CAMMIONSNFD.CONDrFI <br />8OF SUC <br />- <br />POUCE <br />AGGREGATE LIMITS SHOWN MAY WIVE SEEN REDUCED BY PALD CLAIMS, <br />LTR <br />TYPe OPW E <br />PMMYNUMBER <br />T• YMN <br />DATA WIM N <br />LIMIn <br />UAaNTr <br />EAOI • <br />CURREN <br />s'1 DDD 000 <br />A <br />X I <br />COMBERCULOENERALLLABILm� <br />«AMt MADE DDOCUR <br />MX80829622 � <br />D6/26/OQ <br />�`06/24/05, <br />P <br />S(E• <br />$100 U00 <br />WED E14'wMcn <br />Tay.:' <br />a5,000 <br />PERBONALaAOY" <br />'sl 000 000: <br />GemEWAGGREG47r <br />$ 2 , 000 000 . <br />'NL.f.DREOa7e LNE'F AIYLIES Pete <br />PROOU <br />TS-Cbor <br />AOO <br />'E2 DDD;DDD-- <br />PDUCY Peer LDc <br />.. <br />A <br />MO•EE LJAREMY <br />ANY AMD _ <br />NMX80829622 <br />06/24/04 <br />06/24/05 <br />crne•DE•SMwLE <br />C AIII <br />Fnt) <br />IMrt <br />. <br />E1,000,000 <br />ALL OWNED AUTOS <br />9plPna cn AllT09' <br />'. <br />GODLY <br />1� <br />PUuW, <br />s , <br />HIM ALROS <br />NON-OWNEb AUTOS <br />. I <br />BODILY <br />miJURY " <br />(PN <br />DAMAG <br />... <br />s <br />- <br />. ELLMLITY - <br />- _ <br />.. <br />ARID <br />LY'i PAA <br />DENT <br />3 <br />ANYA)TD <br />. - <br />OTHER <br />AL?70 C <br />.. <br />SLY. I, <br />EA ACC <br />E <br />AGO <br />'t.' <br />5 <br />MFRLLN LNBEfrI <br />OCCUR CLAIMS MADE <br />.. <br />XEKOOO85758233 <br />06/24/04- <br />'.. <br />06/24/05 <br />EACH• <br />' N <br />LSARE C <br />`7Q DD D, DDD <br />AGGRE <br />ATE <br />et 000 000 <br />DEwDnBLE <br />;� .- <br />k <br />-RETENTION S <br />. <br />S <br />EM <br />R:OMPEN•ATON <br />BE'LIA•WTY <br />/ _q., <br />.. fG <br />- <br />�� <br />.': <br />•LIMITS <br />E : <br />. . <br />'OF <br />MEAGER EXCLWECIfiIYE <br />ED, <br />RunaOWSIONSbAYa.ELO <br />L ,II _ __ <br />T <br />- <br />E.L DIS <br />ASE - EA M <br />IFLOYEE <br />i' <br />.P <br />UMTe9t <br />Floater <br />MXI9840187 - <br />06/24/04 <br />06/24/65 <br />as be <br />ow <br />TEP�t <br />Section <br />M=6829622 - <br />06/24 D4 <br />06/24105 <br />O►ORABADDEDWENDOs <br />pertaining 'to named"visored for certholder.anta <br />Ana and its o£fYcera, agents, iapresentat.ivea, volunteers, <br />are add' 1 iasd/prim wrdg, as rraspeets gen r 1 liab <br />- - <br />•30 dimys <br />N OC except 1D daye for non-payment of premium.' <br />'. <br />- - <br />(%kTW4CkTErNOWM <br />.. <br />CANCELLATION. :. <br />:..... <br />.... . <br />CIS"06 <br />BHOULDANY OF THEASDVB MUREM PO L <br />ES bEC <br />GELLED BEFORETNEOIPLRATION <br />. <br />City Of Santa Ana - <br />� <br />M-21 Besa Annex Qth flr <br />DATE TNEREOP, THIS asum UMURtRwR <br />CE <br />'NOTToTim CERTIFICATE HoLDERNASIM <br />HAD. *30 oAyEwRwre, <br />To THE LEP, <br />20 Civic Centar Plaza. <br />Santa Ana CA 92704 - <br />- <br />WORD 2 <br />(2001l0S)_ .. .. .. 0 A,MRD <br />CORPORATION 1989 <br />