<br />..
<br />
<br />.
<br />
<br />'f""'.... .
<br />. MJ2BD,
<br />n___,"-:::~.
<br />-.. Nichol.. Goldw....
<br />Talbot :tns " Fin Srvc8, Inc.
<br />6371 Latham Str~et Suite 101
<br />"'"' Box 5345
<br />renide, CA '250.
<br />'~9-788 -@SOO . .. fadO'-788 -<1,,:<<
<br />--
<br />Xinkl., ~i9.r , Spriggs
<br />J3]J Pou.L'L~"lt:l! St:t"..t.
<br />
<br />
<br />".
<br />."
<br />
<br />COM''', Companie
<br />A
<br />CO......, LiEeifil Surplus Insu:canc Corpora
<br />8
<br />
<br />Ri~~.~~ CA 92501
<br />
<br />COMPANY
<br />c:
<br />
<br />
<br />COMPANY
<br />P
<br />
<br />CO
<br />LTO
<br />
<br />'~~~~Jif._:~lt,~:~~~..j~i~t;.~i~~ .,::', ~ ,.,.~~i ,'L:~~=:::~.~.,~~~t~i;~~:;m:
<br />THI$ 1$ TO CIlUlflY lliAT TI1! POl..ICI!S Of INSUAANee ulSrf:O lHLOw HAW IH!!!N ISSUED TO THE INSURED NAMED ABOVe FOR 'tHf ICY "RIOt)
<br />IN()JCATfD, NOTWITHSTANDING ANY Mo.UI"!Ml!N1'. TtRM OR CONDITION OF ANY CONTRACT 011I C)'t'1oI'" DOCUMINIWfTi1:RI$P!CT T WHICH MS
<br />CERnFICATE MAV BE 1$$_ O~ MAV I'I~TAIN, THE INSURANCE Al'FOIlClCO BV THII'OLICII' DlIlCRIIID _N IS SUBJECT TO A THE TERMS.
<br />EXCLUSIONS ANO CONomONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE SEEN REDUCED 8Y PAID CLAIMS. .
<br />.........--., ........
<br />il'QUOY IN'IIrnVI
<br />nH:QII~l! I'QUVYI'lIUM"" OA'I'Ii"IIIIOOftYI
<br />
<br />A ..............urv AZC80724565 4/01/2004
<br />X CO,,",Mu.cI,ll,!,. GINVW. UAa\u'l'''
<br />~;:~ "'_..' CLAIM8MAOI 00 OCCUR
<br />OWNiI':'." (:QNl'IUIt~TQI'l" ~
<br />
<br />1JOl,ICY IXJllIllATIDN
<br />DlllTI Cillll-.v,
<br />4/01/2005
<br />
<br />U,"ITO
<br />
<br />A AUTOfIOIIlLUAIlUTf
<br />Atff.4.I,ITO
<br />ALl. OWNS) AUTOS
<br />SClolliOtJlfO Auros
<br />'X 111i1!D AUTCi$
<br />X NQN.OWNliQ AU'TOEl
<br />
<br />AZC80724S6S
<br />
<br />6/01/2004
<br />
<br />4/01/2005
<br />
<br />GeNeRAL ..aGRICan . 000 000
<br />f'ROpt,lCT. C:OMI'I'IOI"M/3. OOOL.Q.Q,.R"
<br />IIErl80NAl ,\ ,t,!)V INJURY . cl udllld
<br />.~~~~.g!;,~~,,~. .1,000,000
<br />,,~~.~~~~~:OI'MI fir" . 1.00, 000
<br />I.4IDIXPCAny_ Sf;ln! '. ,000
<br />
<br />OOMI1NEC .~~E:UMIT . ~, 000, .~~.~
<br />
<br />*Ot:m.Y INJU~V .1
<br />hll'lrlON
<br />
<br />, " ~
<br />
<br />/q\
<br />
<br />.,.,. u....un
<br />""'AUTO
<br />
<br />
<br />I .IIOOIL Y tNJlJlI;Y
<br />lPw-=cldantt
<br />
<br />PFlOPIRTY DANAG(
<br />
<br />.
<br />
<br />I.
<br />
<br />...."./
<br />
<br />AUTO ONLY. U Atr;Il)E~T
<br />OTHfIIl THAN AIJTt) ONL YI
<br />
<br />...--.-1
<br />
<br />lAC.. AicCICINT f-
<br />A ATE'
<br />4/01/2004 ~4/01/200S ",eHOeeU""..e,
<br />,~~~TI ,
<br />
<br />000 0.9.9.
<br />.000 000
<br />
<br />A ..... t.lAMlTV UMB04 0 l:il 00 3
<br />
<br />UM~lA FOlllM f
<br />
<br />gTH~ THAN UMII\IUA FORM
<br />
<br />WOMINI ODMPENIAl1ON "'1)
<br />"'1\0,.' UUlLITY
<br />
<br />THf. rR01'ftIlTOIV tNCl
<br />I'.MTNEAUX!CUTrVl
<br />Ol'1l!Ct:I'l' ANI I exCl
<br />
<br />B ~'l:. Liability BJE8?107721?012
<br />
<br />
<br />ILIleCHACCIOIIllr. .
<br />-~.Pisy.-!!..~~.~!:L .
<br />19.. atKA!!!: . U vM1.DVff,
<br />
<br />3/l.4/2004 3/l.4/2005 $5,000.000 o.ach c1.
<br />$5,000.000 agg.aq&t
<br />Ded: S50,000 .. cla
<br />
<br />"''''''I'TION """""'11CMIUlCATlONIIV_,Al.1TWf
<br />;lty of J:iantl. Ana. 18 11.lI.I'\Ied a.. a.dd1tona.l !n8\..ll'Ad '.d Lh ~E!!s.pect. to the optiration. of th4il flamed ilUlur4ilQ.
<br />
<br />
<br />
<br />Ci<y of San<. Ana
<br />ro Box l!illia
<br />Santa Ana, CA '2702
<br />
<br />:~!"'?I!~l:!!j~~;*:~~;#~~~~~;rt;'f~t:~~:~
<br />
<br />../
<br />
<br />OdaU50"U
<br />
<br />Sl1l1
<br />
<br />
|