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<br />.. <br /> <br />. <br /> <br />n..~~ <br />......... !lichol.. GQlolwaa <br />Talbot ;tn. r. Fin BIVe., Inc. <br />&371 Latham street Suite 101 <br />l'I"l l!ox 5345 <br />",raid", CA. ~3501 <br />''Yll'9-788-8500 ... fax90'-7BB-a":,, <br />iNiiuMD <br />Kinkl., _~~9.~ ~ Bp~1gg8 <br />J3J.J Fo~.u:L.etl..ll::.l! St.rw.t <br /> <br /> <br />it <br />1: <br /> <br />CO"..., Campan! e <br />A <br />CO",.., LiEeiEil Surplus tnsuxanc Corpora <br />B <br /> <br />Ri~r.ide ~ 9.S01 <br /> <br />COMPAHY <br />C <br /> <br />Corot....,.y <br />D <br />:': :!~..;..,; ...i~~Jtki='r."MJ~.~=~,~' ,,:!' ~:' J" 1,...~'. ,:". "~.; :.~~i~' <br />,',.U$ It TO ClPfrlpty TtlAT THE POUCI!S Of INSUIV\NC! uSTeCJ tllLOW HAVE IH!:!.N ISSUID TO THE INSURED NAMED AI!O\le FOH 'tHE <br />tN()JC4TEI), NOTWn'HST ANDINO ANY Mo.U1'-!Ml!N1. ,....M OR. CQ,..OlTlON OF ANY CONTRACT 011I 01'''111III: lXlCuMINI, WITH: RlIliPICT T <br />CamFICATE MAY BE lS$ueD Oft MAY /'IATAIN, THE INSURANCE AFFORlleO BY THe 'O~ICIIB DlBCIII8EO HEREIN IS SUSJECT TO A <br />EXCLUSIONS AND ~9N.l1..l!'!',~ OF SUCH PDUCIES. UMITS SHOWN MAYH,~\I.~ BEfN REDUCED BV PAID CLAIMa. ' <br /> <br />M!:~~~?:#!li <br />LICV I"l!RIDD <br />Vr'MICH TI-IIS <br />THE TERMS. <br /> <br />co <br />llO <br /> <br />'l'VfltCP~l!. <br /> <br />P'CUi!y NUMIIM <br /> <br />I'CUOY&!'ND'T1Vl 1'Ot,1CY IXlllIU.TD U"1lll <br />DATI tWIIIHIVVI lIlIITlI""/llOIYYJ <br />4/01/2004 4/01/2005 QfNiRALAOGRIG~TC . 000.000 <br /> ""OOl,le'T. ' COM~" Ma , 000 (m <br /> 1IIP180NAL a. ADV IJlfJUII:Y . " elud"d_ <br /> ,~~~,~"~".,'-,~.-.- . 1 000,000 <br /> ,.~~~"R.~~, IAnr:1If\III II,. .100 000 <br /> I,4lDl)(p(Any_ ...1 000 <br />4/01/2004 4/01/2005 OOMfflNfCI _NOLE .UMIT " ,000,000 <br /> <br />A _"""'''''' AZC80724565 <br />X COlllMPCIAL GP.5IW. UADluTY <br />{~:~; ,'-,-' (:IJJMt MAQI 00 QC:CUIlI <br />QWNIIIl'.. (:QN1lIACTQ".. ~T <br /> <br />A lWT........"""'UTY AZce0724565 <br />ItHtAI,ITO <br />AU. OWNED AUTOS <br />SCHrOULlD A.UTOS <br />X Hllilm ,Ilu1Q$ <br />X NQN.QWNliQ AVToe <br /> <br />iOOn.'r'IN.JLJlIlV <br />............ <br /> <br />,-' ~-- <br /> <br />,: "~ <br /> <br />-"", <br /> <br />_......un <br />-""" <br /> <br /> <br />1l0DILY INJlJl'iY <br />hllttldulti <br /> <br />. <br /> <br />I. <br /> <br />".""/ <br /> <br />PAOPIRTY D......"G~ <br /> <br />A .....1.IAMn'V <br />UMBAfl.lA 'ORM <br />OTH~ TriM UMIIW.LA FCPbl <br />WOMIft8 CDMPENIATlON AWD <br />IM;WV.' UULITY <br /> <br />llMl104012003 <br />I <br /> <br />4/01/2004 ' 4/01/2005 <br /> <br />AU"!'Q ON. Y , IA Af;tl!)lt,lT " <br />OTHEfl THAN AUTO ~~L VI <br />l4Ctl ACCICINT <br />A An <br />~(;H oeCUl'lftfNCi <br />,~~~TI <br /> <br />000 000. <br />,000,000 <br /> <br />, <br />'-'--'-1 <br /> <br /> <br />BJiB'Jl07721?Ol:::! <br /> <br />3/1&/2004 3/14/2005 <br /> <br />1L1JoC"''''CCIDiNT. . <br />_~2!.sy.-!t~~~,~IT . <br />eL. ~KAS!! . U VM'LDYIE! <br /> <br />$51000.000 .aoh 01. <br />$5,000,000 aggreq&t <br />Oed: 8501000 ea cla <br /> <br />TH! 1'ft01'ftI!TORJ <br />I'AIlTNfRUX!CUTrvl <br />OI'''C:,"'.tM: I <br />B m'f. Liabilitl' <br /> <br />INtl <br />""Cl <br /> <br />~"."'TION""""""'_CATlONaIY_''''IT_ <br />:U:y of Santa An.1. 1s named. a. a.dd1tona..J. ln8l.lrflo.d ....jt.h r'e$pl;l:c;:t. to tbe optirl.t1on. of tkl. named iruU:lZ'tld. <br /> <br /> <br />city of Sane_ Ana <br />PC Box un <br />8an~a Ana. CA '2702 <br /> <br />:~!~j'" .::~:l~ :~., ::,m~~,~~!:~,:ik~~~~.'~ <br />aHOUt.D MY 0Jf THE AlaVI DIfCNIIrl POLICe: ee CAtICSJj!b ~ THE <br />UPlU"I'IQN DATI THIJIlIOIl. THI IHUUIO 00"''''' WIU. eN TO MftIL <br />A. n DA.... WNnIN N01'1CI TO .,... CliltIACA'fI HOI.Ollt NAIll TO THI LEI'T. <br />~Y8 netic. tor nQI')->>.YtDent ' <br />JUT I'IIII.UM ro MM. IlUCH NOnct!'HALL tMlIOIf.:MI ClUIlAT '" 1MI UMlUTr <br />Of lIMY Il;~ T v, IT, AC' Oil" ...?lV" <br /> <br />--........."... ~,y. ~ <br />.r~~,~~~;!;:i!~rw~~:~!!~:~~'ilr.-.:~~~i_l:iW'~ ..... .. ,.~~--'~1'~~'."~' ''';:~:F''''''''w,''~:''' <br /> <br />81311 <br /> <br /> <br />.' ", ....,.."-,,.~"',.,. <br /> <br />.../ <br /> <br /> <br />ed"*1S07U. <br /> <br />