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i 'FROM':TALLER SRN TECH <br />07/12/2004 11:04 FAX 714 347 756A <br />i <br />FAX NO. :7145690941 <br />9JUR PTRR NANACBNRNT <br />Jul. 22 2004 11:02RM P2 <br />R ooz <br />ACOMLZ CERTIFICATE OF LIABILITY INSURANCE <br />Purge 1 of 3 07/0"712004 <br />8771,945-717" <br />T1iS1 c91iTIFl "I [le7oNr�INFaew�npoN <br />WHIN Mouth aaaeire,'200. - avoto, 1 r -•.t Mear <br />a" R�gne��A�w�AprQ1N <br />aqNg�,,yy �A i��NOF.fl ND7 I�ND���D is <br />NOLDiR� 711F7A0 <br />94 water S1r8. <br />a. C. Mal x09191 <br />COW �vswnoe ¢ S INN <br />919MRS AFFORDING COVERAGE <br />NAAW11e, tR 3713P0191 <br />MOUND aimteri K 9t. JO <br />890 9000A aat. j bsub R wee <br />......... _ —. <br />INSURMA Americo DaiG OeOUp Ltd. C099➢ -001 <br />ONINi9ge, <br />or"p, CA 99969 <br />6/30/7006 <br />INaOERC .. .. <br />6 <br />.�... <br />MpPaAR <br />muo�mNr•� <br />a <br />THE PMPM OF INSURMM MIED aOLOW HAVE BEEN IMUM YO THE NMKM NAMED A90YE FORTNE POLICY PERIOD INDICATED. NONWRHSTANDINO <br />ANY REGIRMEM, TERM OR CONDITION OF ANY CONTNACT OR MER DOCUMENT WMH RESPECT TO WHICH THIS CERTIFICATE MAY 9g 190UEP 0R <br />Y TA - LI��KFORD �T �qB DED�p�CW IAN IB SUBJECT TO ALL THE TERMS, EXCWBIONSANDCCNDRIONB OF BUCH <br />w+e CED <br />KAY CCIm <br />7GM:AQQRM72L <br />9N2 ^COL -04 -01 06/30/7004 <br />6/30/7006 <br />EAG, OOOIRRENP 9 <br />6 <br />rPlAmonepmeen <br />.CiRaMLALinoV,IIAINRY <br />- <br />PEN9RALAOORSOAIE <br />PMt <br />Poucy <br />PR000CT0•COIIPlOPAOG <br />i <br />ARNOMaaIm <br />LMasm <br />ANYAMID <br />VR=aINPLEUMT <br />i <br />KLOWNEPAUTOS <br />SCNAPM6nAUWS <br />soo AV <br />IFr AMeml - <br />i <br />._ '_. �.- .�...... <br />.I .ArsmLl <br />HMAUT09 <br />NON0RN®ADr0& <br />i <br />. <br />RArPAOMUAOE <br />_.... <br />_._ <br />41AaH1Y <br />A 0SLY•NAACODENT <br />$ __ <br />AA'AUTO <br />OTHERTN <br />AMocwv: A00 <br />I -- <br />EmAa•LMRaY <br />OCCUR CLAM MAM <br />FAGIa( ENCE <br />AOQRCOATE <br />i <br />3 <br />WpmNlw9NAla}a1MTENAaO <br />9EIAYE4'MA•i.RY <br />y <br />....... <br />F EAC 1AOCIDENT <br />i <br />EL M3Fi�iF- pLOYEE <br />aL WAEME -POULY Uw <br />OTM <br />0•AOaIRI•R DFOPSAATNIIRM1YPAiISRMiiNIRi /,i1M : lDINIM APPIOEYAPSIO•i1MPtiECMLMOYNIPMi <br />C•rtifl0ata 3014w a44ad as A4ditigoa1 Ensured by endu90HSh nt to policy mubje0t to thm Irma got <br />forth in the ondoraamint, 09JO dba Tmllax San Joe , $look Grant, 670 R. Poinmetta, Santa Ana, CA <br />99701 <br />W OMO ANY OF TM AeRY• RMWO POU040 •A GAN UM120 WPM TNA aPIRAMN <br />•Ari TNWAW. Us mm mwmme a lemommemm MAL 30 RAYS eMRSM <br />at Santo am, She ouloorm, agent• NOTaa MWMCa r1rMAT9N0LRaINAIR.PTRTHP LmPT •ean <br />� • 4c�INniLy ow"lo0amnt agency <br />•Sq <br />or Plane <br />•e - man_ m,.., lean 9EiaamrllA. _. —. _ <br />