Laserfiche WebLink
<br />-RURIltI'!D~"H~l-....r- <br /> <br />11II1!IIICl---T ClWIllQ TIe I'GUCY. I'WH RfAD If CAllllW.Y, <br /> <br />AIIDIl1OfW. INStJRED PIl1IIARY Qi 'II II 1. II <br />COVEMGE lXlIItEIlCIAI. IlENEIW. UAIlIU1Y <br />11* _11II..' lIIIllII8I i88a prlI'Iided ... thefcbtv; <br />~.~ IlBEIW. UAIIll1IY COVEI!AGEPAAT <br /> <br />IIIn "..... II' O. I 1 " <br />The ~pot at Santa Ana <br /> <br />(I no emy fAlIIII ..... l1bnliIIIIn ~ " <br />...... INlI llIIlIDII8nItI wi lie __ tI the <br />Pod ,... ..... ".. llIVJlw..fl. <br />WIllIS All INSIJREI) (SIcIcIn II) II nndId "1ncIudI .. <br />.. iIIIlnd the peIIOn or ........' __ In 11I8 <br />SdIecU8 .. "the '**' PIll'iIIDno. <br />1. 11* iluMat .... t1It/ " .. IIIIIrt JIlU .. IIlId <br />IIIIIlI8 ill: <br />.. Ycu...,..,. 1Dt... iIIIlnd '" or lor <br />l1lI(lI' <br />.. lhI glIIeIIi ....-. ~ '/1M .. <br />qIIIIIIanI '" the peIIOn cr .1iIlIb. __ <br />II 111I SllllWt. <br />2. 11iI iIuInce ... nal .. E <br />.. 'lldi iM' cr 'pIllp8Ily .... IIiII1I lU <br />~"-ftIIlIIgonoo crlllU ~ 01, <br />crlDt .... II _ lIIIiilId lIJ, tile peIIOn <br />II' ........, __ II" ~ II' <br />.. 'Bodtt 1M' cr 'pIllp8Ily dlmIgt' DiJded <br />..... .. 'J1I1*_,,~ opnIn <br />'-'1' <br /> <br />1ll3Ul1JJlce Co - American States <br />Policy No, 01CG67436910 <br /> <br />COIl.IIGII <br /> <br />ICItElllU <br /> <br />A peIIOn '. II' 0IgIIUIII0n 1... II.. iIIIlnd ... IIiI <br />.__11811 .. .... '/1M CIpIlIIooa lor... IImd <br />1M ___ <br /> <br />No -. wi lie pIIIidId ~ II lhI ..... ~ till <br />IIIlIIInoolorf, 110""" lIIlIId lie n....., ",.. 011 jOlI <br />CMIIoe ... lie irAld "Ill tIIIllt 01 '/1M IlIlIiIoIIa <br />II' .. ICOllIlIIv II) lie IfIIIbIlIt "*'*"' of <br />It- ~1 fIlA <br /> <br />\\lit I8IIIICI III III __ donIId .. ...... <br />iIIlnd, IMGIIIIII 4. 0IlXHlEllCW. GENEIW. LWIl1IY <br />CONlIIIOtlS (SIcIcIn IV) II cllIIIlId IIIlI IopIad '" tI\o <br />iIIowIv <br /> <br />4. oa.r__ <br /> <br />.. 11iI __ II pIftJy MIl 1IIlIIOllIlIIIu, <br />MIl 011' oI1IIgdore .. nal oIlad br IIIf _ <br />i88aCll1lldIlrIUlll.....iIIIlnd <br />... JIIW,8Iy, -....... or 011 IIIf <br />-- <br />.. 11iI adIIIoNI ,llIlilion .... my " lie <br />peIIOn or llIQIlo",",-, ..... it.. SdIIGlk <br /> <br />"'1 ,II <br /> <br />\, ?KOVED AS TO FORM <br /> <br />---,-~,,~t1y <br /> <br />j,'c1 <br /> <br /> <br />\:,,:,iSl<.lnl City Attorney <br /> <br />T :ihq 1.1 <br /> <br />eTj,'SO SO TT ~~~ <br />