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MENOMONIE <br />1 <br />LEGAL DEPT <br />PAGE 05/05 <br />ISSUE DATE (MMIDUM <br />nAb ~ <br />PRCOVCER I 04 <br />DM THIS CeRnFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND C <br /> <br />AOn Rick Services. Inc.-of Southern California ONFERS NO <br />RIGHTS UPON THE CERTIFICATE NOLbER <br />THIS CERTIFICATE <br /> <br />707 Wilshire Boulevard svhesow . <br />DOES NOTAMEND, <br /> <br />LOS Anpdas, Cardornia 90017 ExTENDORALTERTHECOVERAGEAFFORDEDOYTHEMUGE5E61OW <br />(213) 63D-3200 <br /> COMPANIES AFFORDING COVERAGE <br /> S4rAW <br /> L? A Insurance Co. of the State of PA <br />CODE <br />SUB-0ODE <br />KurµY <br />INSURED LrrrzP B <br />DWWHA <br />M. S, Inc. tmo*v <br /> <br />Attn: Denise Jenkins C <br />F TFA <br />605 Third Avenua <br />New York <br />NY 101 S6 00MP101Y <br />, D <br /> LtTrEA <br /> 4dawv E <br /> UTTER <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LI6TED BELOW HAVE BEEN 1SSVED TO THE INSURED NAMED ABOVE FDA THE POLICY PER D <br />INDICATED. NOTWITHSTANDING ANY REOLUREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WW <br />CERnFlCATE ANY BE ISSUED O CH THIS <br />R MAY PERTAIN. THE IIJSUFM ,CE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERW^, <br />RICCLLISION AND CONDITIONS OF UCH POLICIES. THE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS. <br />TYPE OF INSURANCE POLICY NUMBER PuucYGerweru[ wpwtr 4Twmn1 <br />L? f1ATC L OArr ALL LIMITS IN THOUSANDS <br />GENERALIJAQILRY, <br />1 CDewLLAOPwfCIR S <br />(b WEIePLaEreMAYNILT PAPP?v.TSOPLL,CR AaePiOATE S <br />Q/1bel r am.T mgc Poamw. AwvMONO lHAVn = <br />arxvmsswHrrKrols vamFrnve S <br />cc? <br />RAw t>ww: p" Ova nwq S <br /> AHYAVta <br /> so <br /> AL OwfPy` ILTC6 <br /> softy aL1Jw <br /> PCHwdAfA /+na? ,a f _ <br /> NIAeJfUiJL <br /> <br />NQVO•wnFOAN.? g:dLY PUU,t• <br />tM AO=VJTl <br /> (:ARUl<JNIA?TY <br /> <br /> EXCESSLIASILTTY <br /> AGGREQATE <br /> UW?YitlAWfe, OCCURACT:4E <br /> <br />otnaw THIN LWOna AMrA S <br />S <br /> <br />A <br />WORI(M COMPENSATION <br />912A 30 (ADS) <br />04,v1R00e <br />07101/2005 <br />STATUTORY S i <br />A AND 52124 St <br />G <br /> <br />EMPLOYERS' LIABILITY ( <br />A) OA INW4 07 IMMS c 1,OCV Pecan <br /> 521 E462(Wq 04972006 <br />04,D12005 <br />S 1.0m puuec tVLKYLwj <br /> OTHER <br />I S 1,00 pb[-C. Vmlmm <br />DESCR IPTION OF OFERATIONSILOCAMONSN FHCLESIRESTAICRONSSPEGA L ITEMS <br /> <br />Jar P <br />nea Ne. i04810S4M=1 The COnV <br />N <br />R <br />d : <br />FHINrtTare <br /> n ry <br />t <br />e <br />eAkv-leMAW0y <br />SHOULD ANY OF THE AI5OVE DESCRBED POLICIES BE CANCELLED BEFORE THE <br />City Of Santa Ann EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />Contact: Mr. Joe Par= j DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDan NAMED TO THE LEFT, <br />20 GYvIc Center PLa BUT FAILURZ TO MAX SUCH NOTICE SHALL IMPOSE NO OBUGAT70N OR U4B1LrrY <br />Santa Ana, CA 52701 Of ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORED REPRESENTATIVE