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<br />, , ACORQ, CERTIFICATE OF LIABILITY INSURANCE I DATi tIN'OCft'YYV) <br /> 02/0l/2005 <br />..0<lUC.. (310)326-6333 FAX (310)326-9304 rHIS CERTIFICATE IS ISSUED A3 A MATTER OF INFORMATION <br /> Nickerson Insurance Ser~ices ONl V ANO CONFERS NO RIGHTS UPON THE CERTFICo.TE <br /> I1OLDER. THIS CERTIFICATE DOES NOT AMENO, EXTEND OR <br /> LIC 10491589 ALTER THE COVERACE AFFORDED BY THE POLICIES BELOW. <br /> 2106 Wost lomita Blvd. <br /> lomita, CA 90717 INSURERS AFFORDING COVERAGE No.lC' <br />liiiiWt.. SALVADOR SANDOVAL - .. '--- '-,,- 19704 '- <br /> INSURER Ii. Alner1can States <br /> DBA: MODULAR BUSINESS INTERIORS INSVRER8 <br /> 1749 CONTAINER CIR N - ;;.005 '~ D..;l.,)... INSURERC <br /> RIVERSIOE, CA 92509 INSURER 0 <br /> I~ERI!;: <br /> THE POLICIes OF' IIIISURAHCE LISTED BELOW Ii'\VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO INDICATED. NOTWITHSTANDING <br /> ANY REaUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTifICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCtES OESCR18EO HEREIN IS SUBJE.CT TO All THE T';:R.MS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POUCIES AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID:W: ~ <br />~ TYl"l!!Oi'IH8U--'NCf: l"OlaMUMaell F v 1II1T8 <br /> .......,UA..."V 01CG674H910 12/22/2004 12/22/200~ EACH OCCURReNCE . 1,000 001 <br /> ! COMMERCIAL GENERAL lIABlllTv OAW\GE TO RENTEO . 200,001 <br /> ,- - <br /> _ :.J CLA'" MAllE LX] OCCUR ME D EXI> (Afw one l*'Mln) . ~~ <br /> A PERSONAL & "'rill INJURY . 1 000,00 <br /> OCNERAL AGGREGATE . 2 000 00l <br /> GEN'L AGGREGATE lNIT APPLIES PER: PROOUCTS - COMp.IOP AGG . 2,OOO,!llJl <br /> h POLICY n ~s= -.DlOC r--' <br /> ~TOMOBlLEi LIA81UTY COMAINEO SINGLE LIMIT , <br /> ANY AUTo (EIIKetdenlJ <br /> - - - -~--,.. <br /> AU OWNED Auras IlODILYINJUFlv <br /> '-- W8l'jlIIlllln) . <br /> - SCHEDUlEO AUTOS <br /> HIRfD AUTOS 80DllYI'AA}RY <br /> - (P..ccJd&N.) . <br /> NOI\l-OW"'lEOAUTOS <br /> ~ <br /> - "ROPERTY DAMAGe , <br /> ,...........<iIInt) <br /> ~~.~ITY AUTO ONLY. I;A ACCIDENT , <br /> ANY AUTO OTHER THAN EAACC S <br /> AUTO ONLY; AGO . <br /> EXCESSlUMBflElLA UA8lUTY tACH OCCURRENCE . <br /> P OCCUR 0 C,^lMS MADE AGGREGAT[ . -'- <br /> . <br /> R~EDlICTl8lE , <br /> RETENTION . . <br /> WORKERS COMPENtA'noN AND ~1\J:~- <br /> flllPl...OYER$" UABl\.fTY <br /> ANY PROPRllTORrARUlERlEXECUT1\IE E,l. EACH A.CCIOENT $ <br /> OFFlCEIVM:M6ER UClWIi;O"l tii,L D1SEAS& EA EMPLOY&' , <br /> ~~~:'~~~~SbQb<o EL DISEASE . POtICY LIMIT . <br /> 0""" <br />DalCTfON OF OPERAfa:S/ LQCA'm1 V!IICLes I !XCLUSION5fDEDd' ~~:NT reCIAL P~NS Ana, its officers, eq)loyees, <br />ertl icate Ho er 15 itional Insure _n lnc U 5 City 0 Santa <br />~gent5 and representatives; 20 Civic Center Plaza, Santa Ana, CA 92701 <br /> Except NonpaYMent of 'remi.. is 10 days <br /> <br />...oULIl ANY OF THI!AIOVI! Df.SCAJHD POlICIES 8E CANCELLED BEFORE THE <br /> <br />The DepOt at Santa Ana <br />1000 East Santa Ana Blvd <br />Sui te 108 <br />Santa Ana, CA 92701 <br /> <br />EJtPlAATI)N DAn: rWENEOF, THE ISSUING lNSUMRWl..L ~MAlI. <br />.30 DAYSWRlYTEN NOTICI! TO TtEClJltTlFlCAlE HOlDER NAMED TO THE LefT, <br />~~W~""_6Ilt'.IIN""<<XX <br />1liI(."PM~UItI""lOXUlMUlCJOII'V___'VUXXXXXX <br />AUTHORIZED RE'R6ENTAl1\IE <br /> <br />Sarah Ken <br /> <br />T <br /> <br />~~ <br /> <br />ACORD 25 (2801108) <br /> <br />IIlACORD CO_TION 1m <br />APPRO, Gd A.S 1'0 'u"", <br /> <br />'~~L-~) <br />laura SII(/ Shc~.d\i --. <br />"'i'd., I <br /> <br />G'd <br /> <br />1:1"111 <br /> <br />"lv'SO SO 11 ~"W <br />