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<br />. <br /> <br />. <br /> <br />~.~". <br />~ MJ2BD", <br />B:__'_'_iN+t<o 'i' <br />.......... Niohol.. lJgli!w.... <br />Talbot tn. , Fin Srvc., Inc. <br />4371 Latham Street Suite 101 <br />".., Box 5345 <br />",nide, 0. ~2501 <br />'~9-788-e500 ... fa"909-788-a.??~ <br />INIUII!D <br />:tinkle, ttwigltr- it Spriggs <br />33JJ Fow:l.eentl'! Stre.t <br /> <br /> <br />Ti [lll1iI1DDNV1 ". <br />21 2004 ~: <br />ThiS C!IITI FORMATION <br />ONLY AND CONFEIlI NO RIGHT' UPON THE CEIlTII'ICAT! <br />HOlDER. THIS CIRTll'ICATI! DOI8 NOT AMeN , EXT!/ID OR <br />AL Till TtII! CoveRAGI AFFOlIOlD 8Y THE PO CIES BELOW. <br />COMPMllJil!. A.~FO!!P\~!l9~Ci <br />COM.....' Fireman's Fund Insura.nce Companie <br />A <br /> <br />C:OM"~\, <br />B <br /> <br />LiEerty'surplus Insuranc <br /> <br />corpora <br /> <br /> <br />COMPANY <br />C <br /> <br />ai~~.t~ ~ g2501 <br /> <br />CQMPAfty <br />D <br /> <br />co <br />,... <br /> <br />',:1~~.~ ,:~:~~ll.it~=d;:JnNmif='l',~;,.:_...~!~, J';: :~~i!.' . ~, <br />1'111$ 1$ 10 CllUIIIY TttAT THe: POLICe OF INSUAANCt: usrt:o alLOw "AVE R!N ISSUED TO THE INSURED NAMED ABOV~ FOH 'rHf <br />INDICATED. NOTWITHSTANCINO ANY IlI!QUII't!M!N1. Tf:RM OA. l;QI"fPITION OF ANY CONTIIlACT 011I O't'HIPl tXlCUMINi WITH: RUPiCT T <br />Carn'leATE MAY BE IHueD O~ MAY HIIlAIN, THE INSURANCE Al'FOMlIO ey THE '0~1C118 Cl!IlCIlI8EO HEH!lN IS SUBJECT TO A <br />EXCLUIIlONS AND CONOmOIlS OF SUCH !'QUCIES. UMITS SHOWN MAY HAYE BUN REDUCED 8Y PAID CLAlMe. . <br />-'--'-'---1 ......... <br />PClUCYIflFllO'T1Vl <br />'f'VHCII~i PClUGYNUMIIlIII OATliMllllOO/VYi <br />A __LIlY AZCS07~4565 4/01/a004 <br />X CONMD.CI.IP.l. CINmtt.L U.....lu,." <br />'::~S~~: . ',. l.:iJJ.... MADl 00 oc~u~ <br />ClWNIUI". (:QNlllAl;TQI"l'. ~T <br /> <br /> <br />~'?~i;~~m!~m: <br /> <br />IJC)I.ICY fXllllllATDlI <br />DlllTI '''''''-''' <br />4/01/~005 <br /> <br />u"''''' <br /> <br />A AllTotIDMLUAIlUTY <br />ItHtA\,ITO <br />ALL OWfW) AUTOI <br />SCI'lEDUlID AUTOS <br />X 11"!c ...\110& <br />X NQN..QWNIIQ AVlOel <br /> <br />I <br />AZCS0724565 <br /> <br />4/01/a004 <br /> <br />4/01/2005 <br /> <br />GfNl!RALACGlllEa,UI ..000.000 <br />f'ftOD\lC'T. eQMI'I'IQI""'O'J. 000 QJt9 <br />~flSONALa.f/lDVIJlfJURY . eluded <br />,.~M:t:!.~,~~~~,;.___",."". . 1,000,000 <br />. 100 000 <br />. .000 <br /> <br />CO_"EO ....""""T . '\1. 000 , 0. O.~ <br /> <br />::~~Ulll'tl , <br /> <br />"~.~~,~,,~~,~:OM fir" <br />UlDlKPtAny_ Sl;InI <br /> <br />.. <br />..' <br /> <br />i , " ~ <br /> <br />_UMllTV <br />""'Aim> <br /> <br /> <br />aODILYINJ\.J1In' <br />!"-lIl:J::lriant! <br /> <br />. <br /> <br />I. <br /> <br />.'.'~' <br /> <br />PFlOPlATY DAMAGE <br /> <br />I <br />'.'---'-1 <br /> <br />A _l.lMIUTI' OMB04012003 <br /> <br />U~~lA 'OIllM <br /> <br />gTi"lIf" THM: UMIIWJ.A FORM <br /> <br />WOIIKIftI eDMPENtA'I'laN ANl) <br />_My.' UMI.I'TY <br /> <br />THE I'ROI'ftlf.TOPJ INel <br />,.Aft~CUTNl <br />QfllltC:frl8.v.: I !XCI. <br /> <br />B rr~'f. Liability BJm?107721?012 <br /> <br />AUTO QNl.,Y." AC:i;I~''''T <br />OTHfA THAN AU1'li ~N~X'" <br />1.f.C.,. ...cCICINT <br />A An <br />4/01/2004 ~4/01/200S ..cHoceU"'.c, <br />/~~~~ <br /> <br />000 '1.00 <br />0- 1000,000 <br /> <br /> <br />IL JACM ACCIDINT. <br />1!:_D!.~:.~_l!~.~IT <br />e.. DtRA:e. u. tMPl.OYB!. <br /> <br />,/14/2004 <br /> <br />,/14{a005 <br /> <br />$S,OOOlOOO _ach cla <br />$S,OOQ1000 ag~.9&t <br />Ded: $501000.. cla <br /> <br />_....,ONO!'_11OI<IIt.OCATl~I...,... <br />~ity of ~Dnt. Ana is named aB add1tonAl In.ur~d wIth ~&.p~t$ to thQ operation. of tbe named in8ur.d. <br /> <br /> <br />.:f~ifial!~~~~':; ,"~:~~~~~'~:~;:m:r'.."r'~~iiili:l:~~ <br /> <br /> <br />..flV.. <br /> <br />,~~"'_ : '~: : :~~~I~\"1,!:l~~~~!!::~;;;~~;~:~;::~~;;tmmrt~~, <br /> <br />C1t:y of SII11U. Ana <br />PO Box an <br />Santa Ana, ~ '2702 <br /> <br />.../ <br /> <br />4Ida*lS07U. <br /> <br />81311 <br />