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<br />Talbot tn. , Pin Brve8, Inc.
<br />4371 Latham Street Suite 101
<br />.... Ilox 5~45
<br />renide, CA '1I501
<br />)nfg.78S-SS00 ... faxgOg-78a-1I"~
<br />NiuREo
<br />Xinkla/ AQQig.~ k Spriggs
<br />]J;1J P'o,",'L.eent:..1'1 Stn:.t
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<br />COMPA,Wv
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<br />Liberty-surplus Insuranc
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<br />Ri..~.i~ ~ 9.501
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<br />COMPANY
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<br />; '! :~~ .~!::, ~~. _~_~!~~.t.:e[[~' !;it: . . ~J~,...~~ :~ ~ ~" ~=,td;~-:' ,~!;~~~~#~:;'
<br />l'til$ 1$ TO ClPfTIN T11AT T11! ~ca Of' INSUI'tANG:! u$TeO lH:l.Ow HAVE !I!!N ISSUW TO THE INSURED NAMED ABOV~ FOR 'flif LtCY !"I:RIOO
<br />lNDtC4TiD, NOTW1THSTANOINO ANY MQUIJt!Ml!N1'. TrAM OA. CONDITION OF ANY CONTIIlACT Olll 011-t1ll: DOeUMINTWfTH:RISf'!CT T WHICH nlS
<br />CalnFICATE MAV Be ISGUIlC O~ MAV I'IIATAIN, THe INSUIlANCE Af'FOACli~ tV THe PO~ICI.' D1!IlCRIII!O HEJlBN IS IlUllJECT TO A Tllf TERMS.
<br />EXCLUSIONI ANO C!lI!I.'1.!!)!lNfl OF SUCH "lJUCIES. UMITS SHOWN JMYH.,,~.~ SEfN 1lE0uceo BY P.\IO CLAIMS. .
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<br />'I'\'H 0II1.NtUIWI01!.
<br />
<br />I'QLK!Y NUMIM
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<br />POUCY EJIIIKl'TIVf
<br />DATI t"U/tlOIYV,
<br />4/01/2004
<br />
<br />IIOlIC'I' IUllU.ra
<br />MTltllllll-'"
<br />4/01/2005
<br />
<br />UMITI
<br />
<br />A _....LITY
<br />X CO""MPlCIlU. GINUUt.L u.....u'l'V
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<br />OWNUl"'. (:QNTftAI;TQ"lIi ~T
<br />
<br />AZC807~4565
<br />
<br />GiNERAL AGGAm4TE
<br />
<br />000 000
<br />000 .Q.O.O...
<br />eluded
<br />.1,000,000
<br />.100,000
<br />. 000
<br />
<br />.
<br />
<br />A AUTOIIDlIILllAIlUTf
<br />N:t(A\,lTO
<br />ALL OWNm AUTOS
<br />SCJol&:OUU:O .a.UTOS:
<br />X H1f1I!cAutato
<br />X Nl;lN-QWNliO AUTQrl
<br />
<br />AZce0724565
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<br />I'ftODf,II;:". ~OM~I""'lJ'J .
<br />flll!l'IlKlNAL. ftJ)V I""JURY
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<br />,~~~..~.~~..~..v:D/'MI ftl1ll
<br />Mm IXP _ Sl;InI
<br />
<br />4/01/2005
<br />
<br />COfftlNEC .I<<!~E .U~IIT
<br />
<br />,000,000
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<br />IClClII..YINJulllIr'
<br />"",,,,oonl
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<br />PAOPIRTY DAN....G~
<br />
<br />A "_UAMIT\' UMB04012003
<br />UMl!lRI!:l..lArORM
<br />gTi"lIf~ TH~ UMIIWJ.A FORN
<br />WOMIftI CDMJIENIA,"ON AND
<br />11I"-0\'''' UUlUTY
<br />
<br />4/01/2004 ' 4/01/~005
<br />
<br />....UTO ON.y..... ,AC;CIClilll'l'
<br />O"HVI THAN MJTO ~~Xi.,
<br />lAC.. ACCIDINT
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<br />. 000 QQ.O
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<br />
<br />THE 1'ft(lM1ETORJ INCl
<br />~N1~SIEXlCUTIVI I
<br />Q;llllC:tMi Me; ~C1.
<br />B fr"A'f. Liability BJEB?107721'012
<br />
<br />II. LftCM ....CCIOEN'T
<br />A_DiS~J.!~.!.~IT
<br />a. DtRA5e. fA tMfPlOYU
<br />
<br />3/14/~D04 3/14/1I005
<br />
<br />$5,0001000 .ach cl.
<br />$5,OaO,000 .~.qat
<br />Oed: $50,000 ea cla
<br />
<br />~I'TION Of 0ftM11ONIILOCAfI~IAL tTWAI
<br />~lty of Sont~ Ana 18 named as add1tcnal in$urp.d with ~$.p~t. to thQ op~ration. of the named insur.d.
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<br />CHy of Santa Ana
<br />I'D Box an
<br />Santa Ana. CA '.702
<br />
<br />8MOUIJ) AMY 01 TH! MOYE DI$eNIID PClIC8:" C:NIC8.~ ~ l"HI
<br />UF'tMTIQN OATI THIJIIIOtl. THI ....,.. 00"""";'" WILl, .. TO MAA.
<br />:] n DA"" W""T. NOTlCf: to M CRtIACoA'I'E l-tO. l.DfIl:,.. 0 TO THI UPT,
<br />~y. ~Qtlc. tor ncc-payaant
<br />lIlT I'otIIWIIC TO IIMIL IUGH MOnet! IHALL IMII'OH:NO OIUllIAl' ot uMiUrr
<br />at; MY llNQ TI1i COM . rTI AG 011 R "',"\1'..
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<br />edaUS07U4
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<br />81311
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