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<br />Talbot In. , Fin Srvn., Inc.
<br />4371 Latham Street Suite 101
<br />.... !lox ~~45
<br />reraidej CA '2.501
<br />'~~-788-esoo ... f..x909-788-a..??~.
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<br />J33J FOu,t"Letl:'lt:.b St.rlI.t
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<br />COMP.u!v
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<br />Campanie
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<br />L1bertil Surplus Insuranc
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<br />Corpora
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<br />Ri-.r.ide ~ 9.501
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<br />COMPANY
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<br />THIS 10 TO ClPUlpry 1l1AT 1l1! P'OUCES OF INSUIltANG! ulliel) $li.OW "AilE H!N ISSUED TO THE INSURED NAMED ABOV~ FOIl 'rHf LICY "'UOO'
<br />INDlCATtD, NOTWITHSTANCINO ANY MaUII'tIMtNl'. TiRM ~ I;:QNEUTION OF ANY CONTAACT 0'" 0't'1ot'" bOCUMIN't WITI1: RdPECT T YlHICH THIS
<br />CEI'T1FICATE MAY BE 1lISUEC> OR MAY NATA"', THE INSUIlANc.e AFFORCeD !Y THII'OLICII! D1!1lCR11lI!D HEflEIN IS SUBJECT TO A THE TERMS.
<br />EXCLUSIONS ANO ~_l?l!J!lNS OF SUCH 'IlUCIES. UMITS SHOWN MA~Ij.~.V.I SEEN 1lE0UCEO BY PAID CLANS. .
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<br />A IIDIIML UAllLIIY
<br />X COl\rM[RCIAL GlNEAAI. UA.8luTV
<br />!~~,: .'..V t:UJlMl MAUl [K] OC~U"
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<br />I"CIUGY NUMIIM
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<br />POLICY IfIFIClIVI
<br />DAT1.IIIIICGI'IV~
<br />4/01/2004
<br />
<br />IIOlICY IDII1ATlalI
<br />DlIlTlCMM~
<br />4/01/2005
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<br />u.""
<br />
<br />AZCSD724S65
<br />
<br />A AllTOIIOIlI.I. walUTr
<br />.NY 4UlO
<br />ALL OWNS) AUToe
<br />SCtolllDULlD AUTOS
<br />X H1J1t!!OAutr:)$
<br />X NI;IN.QWNlQ AUTOtl
<br />
<br />I
<br />AZC80724565
<br />
<br />4/01/a004
<br />
<br />4/01/2005
<br />
<br />GlNiR.ALAaGIUGA.n ...000.000
<br />....OStU(:T. COMrw~Ma. 000 Q.9..9"...
<br />llEIlIONALa.ADV1PfJURY . eluded
<br />~~t!,~,~~~ . 1,000,000
<br />"~~.~,.R,~~,~~:_ft,., .100,000
<br />MIDI><P(An _ ~I . ,000
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<br />COMIlINeD .p,j(J~E:UMlr . ~, 000, ~~.~
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<br />PFlOPIRTY OAM~
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<br />A "''''l.IAIO.lTV
<br />UM8I'!1.lArOJlM
<br />gTr4IPl11'l"-N UMIRW.A FORM
<br />WOftKIM COMft:NIAl'ION ANOi
<br />IiIM~"" UARlTY
<br />Tr4E l'ROrRllTORI INCL
<br />tAII~S,iEXlCUT1Vl I
<br />OfII'lC:cMiMt; D:CI..
<br />B rr~. Liability 2JEIl71077211012
<br />
<br />UMB0401a003
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<br />
<br />4/01/2004 ~4/01/2005
<br />
<br />AUTQ OM,.Y. U AC;CIl)INT
<br />OTHEfl THAN ,tdJTO ~N,~X~
<br />J.-.c:.. ACCICINT f-
<br />AD All.
<br />eAeH oec.U""eNCt
<br />.~~~":i,
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<br />000 09.0
<br />. ,000 000
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<br />e.. DIIU.Sl! . tA tM!"LDVeE
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<br />./14/2004 ./14/2005
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<br />$5,000.000 each cla
<br />$5,000.000 agg.aq&t
<br />Ded: $50.000 .. ela
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<br />1lIOCII1'T1.....~_CATlONl/Y__,...IT_
<br />;lty of ~Dnta Ana is named a. add1tonal In.urp.d WIth ~e.pect~ t~ tbQ oP4ration. of the named insured.
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<br />City of S~a Ans
<br />PO 80x un
<br />Santa Ana, CA '2702
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<br />IHOULD NIV Of THI AlaVI D...... rcuc8: IE c~ IIfiiIOM TIC
<br />UP'lRA1"QN DATI ~. ,.. ....,.,.0 OO~'l" WIll ..
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