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<br />05/06/2005 15:12 <br /> <br />7145714209 <br /> <br />PARKS AND RECREATION <br /> <br />PAGE 03 <br /> <br />FROM: [>REG(; CRAWFORD smTE FI'lRM INS FAX NO. 7145341006 <br /> <br />Milr. 02 2005 03: 29Pt1 P3 <br /> <br />CONTINUED FROM FRONT SlOE <br /> <br />m.- <br />~ <br /> <br />Polley Number <br />92-0N-756!}-2 <br /> <br />BUSINESS POLICY - S1~C1AL FORM 3 <br />Forms,Oplions,8nd Endoruments <br />P~ysicians and SurgeonS <br />LOSS payaOl~ EnllQ'lleman\ <br />Nl'lenaalory ConllllSII <br />Terrorism Ill9lJranCll Cov ~lob"" <br /> <br />FE-6407 <br />FE-6309 <br />FE-6551 <br />FE-6999 <br /> <br />IMPORTANT NOTICE: <br />c..liturnia law tequircs us to pl'Ovldc you with inlormation for Rllng complaints with the Stlltc Insurance <br />Department regarding'he coverage and service provided under tliis palicV_ <br />Oomp.l3ints should lie filed onlV after vou and Slale FllI'm or your ag,nt Of otller company ..presentative <br />have f31fell to reach.. satisfactory agrftme"t on D problem. <br />Ple6Se fonvard such campl.nls to: California Deplllrlmen. Of Insurance <br />Concumer SerVIces DIVision <br />~ Sa"'" Sp"'"l1 Street <br />Loa AngoeIta, C~ 90013 <br />or call toll free: HlllfH27-HELP <br /> <br />.,UVilD AS '1'0 fORM <br /> <br />P"o)ptore" <br />FEB 15 2005 <br /> <br />~<::l!:::' <br />Lauta 8rhr Sht:!:ed <br />,,(l!~/7e-\ y '-'~'-=-' <br />j y AUorn~y <br />