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<br />.. <br /> <br />. <br /> <br />..".. .. <br />s,.~~, <br />.......... lIlioholaa Clolo;lw..-. <br />Talbot In. , Fin SrvC8, Inc. <br />4371 Latham Street Suite ~Ol <br />"'"' !lox ~345 <br />....nide, CA '2501 <br />'~9-788-8S00 ... fax909-788 ~??'" <br />-- <br />Kinkle, AQd1g.~ . 6prigga <br />J3JJ Pou.L'Leez'lt::.}! st,rw:.t <br /> <br /> <br />,,,,.....,,.......,,. <br />~d,.~=t m <br />ThiS C!IITlI'ICAT! IS IsaU!D AS A MATTeR OF FORMATION <br />ONL V AND COHFIllI NO RIGHTS UPON THE CEIlTII'ICAT! <br />HOLDER. THIS CERTIl'ICATE DOEI NOT AMeN . EXTEND OR <br />Al T!lI THE COVIRAQI! AFFOlI D IY THE PO CIR BELOW. <br />o .. .~'.AFFQ!!P\~!lQ~G <br />OOM''''', Fireman's Fund Insurance Campanie <br />... <br />COM'.,,, LiE.rt~rSurplus Insuranc corpora <br />B <br /> <br />COMPANY <br />C <br /> <br />R.i~:r;II.i.tle CA 92501 <br /> <br /> <br />.' 'l!"'~:,I; ~ ,.! 'I" . i~;;'!'I:i~...li i' :' : I' <br />. :"....:,.~_ . ..~.~c~lc!='=..". oj. ,~.... <br />THI$ 1$ TO CIlIfTIIIY Tt1A.T 1l1! POL.lCIeS OF INSUIltANGt: uSTeo ISIL.OW HAVE II!!N ISSUED TO THE INSURED NAMED ABOVI$ FCIt 'fHe <br />INDlCAn-D, NOTWITHST ANCINO ANV fl!QUn.I!MtN1. Tt:RM O'PI. CONOITION OF ANY CONTRACT 011I or",... t)OCUMINi WITH: RI'$PICT T <br />earn'leATE MAY BE IlI\iUEC> OR MAY I'IIlTAIN. THE INSURANCE AFFORCeD IY THI 'O~ICIII Dl!SCIlIBED _I'll IS SUl!JECT 10 A <br />EXCI.IJ$lCIN$ ANa ~.Q!!'!lNfl OF SUCH I'OUCIEB. UMITS SHOWN MAY.~."y.~ SEll'll REDUClED BV P....O CLAN$. . <br /> <br /> <br />~~~t~i;~1~);mm!:! <br />~ICY "RIOt> <br />~ICH nls <br />THE TERMS. <br /> <br />8la T\'PICJI~E <br /> <br />A ..............urv <br />X CO""MPCI~ GlNU.M. UAA!uTV <br />~~~!,: .-_.,' l:1JJU(; MADf 00 occu" <br />OWNiII". (:QNTV!I;TOJ'\" I"JWT <br /> <br />I'GI.IOY MUM_ <br /> <br /> <br />IIOlIC't' IUlIU.TDlI <br />l>lITlCl1ll1lllOOlY\'J <br />4/01/2005 <br /> <br />Ul1lllll <br /> <br />AZCB0724565 <br /> <br />A AUTOIIDIlU.UU1UTf AZC80724~65 <br /> /ttHf4I,lTO <br /> ALl OWP<<D AUTOS <br /> SCI'IEOULlC AUTOS <br /> X l-I"'lie oll\lTC)$ <br /> X NON.QWNIli~ AUToe <br />""",/ <br /> _.....urv <br /> _J.IfTO <br /> "--,-,,,-1 <br />A _UAMlTV UMll~4012003 <br /> UMBRfllA FORM <br /> 'WTHtlt TH.-.N UMIRllLA FORM <br /> WORK"" OOMNNIA'I'ION AIleD <br /> IMMy.' UUlI.ITY <br /> TH! IIhOMtlTORJ INtL <br /> rAAlleRSA!XlCUTM I <br /> Ol'I'ICf:J'I$ItoI'lI: <XCl <br />B ~"t. Liability BJ:e:&?107721i012 <br /> <br /> <br />GENeRAL. AGGRICa1E . 000. 000 <br />","012\11:,.. COM~"AOa. 000 <!9R". <br />I"E~SONALI..-.oViNJURY ,~"" .cluded_ <br />.~~t:!~~~~'"~__'''''' . 1,000,000 <br />.~!~,~,.R,~~,~r:_f1r" ,. 100,000 <br />MIDDCP(A _ _I . ,000 <br /> <br />OOMWl~eoIlNOi..E.U"'"T '. ,000,000 <br /> <br />IOOIL.'f'IN.luIiliV <br />...",... <br /> <br />. <br /> <br />,; 1.':'_.' !"'\ <br /> <br /> <br />aODILYINJ\lIlW <br />iPw","" <br /> <br />'I <br />I. <br />, <br /> <br />PAOPlATY DANAGI <br /> <br />AUTO QNI.'f'..... AGCIOilllT <br />OiH_~ THAN ^Ul'li o~,~ Y. <br />U,CIoI AicCtCINT <br /> <br /> <br />. <br />~CH OeeUJ'lMNCr. <br />.'!~~Ti <br /> <br />... <br /> <br />000 09.9. <br />~ ,000,000 <br /> <br /> <br />o . <br /> <br />II.. u.cIU,CC:IOINr . <br />.!:Ei!i.!A~u_e.;!.,~!I_ . <br />eL o.KAS~ . U. tMP'LDYff <br /> <br />./14/~004 r'/14/~005 <br /> <br />$5,000,000 eAch cla <br />$5,000.000 aggraqat <br />Ded: S501000 .. cla <br /> <br />......"'... Of' .......~CA"ONI/\IMC........."...,J8lf <br />:lty of ~ant~ Ana 1s named a. ~ddltonal 1naur~d wit~ ~$.p~t, to tbe op.ration. of tbe named i~ursd. <br /> <br />City of 9~t. Ans <br />ro Box 1919 <br />San~a AnA, CA '2702 <br /> <br /> <br /> <br />,:.;!l~ <br /> <br /> <br />z;.r~;",...." <br /> <br />_*15077&4 <br /> <br /> <br />aMCJUU) MV Of' THE MOVE DIICNIIIl roue_: II OMlC8.llU' lIEfOU THe <br />IXPlMTION DATI 'nWIIJOf!. ,.. ItUtfO OOYPM'" WIll ifili' .. TO M"'" <br />,n DA.... WNT'IN N011CC to 'tHe CIItt~,. "01.DBl NAIIII <br />~y. r.lotice tor nQt1-p.t.ylment ' <br />IUT r.tIIWM TO IMIL IUCI1 NO"T1CI! IHAU. ttllI'OK:/110 OILlGA,. <br />Of NllY ll:;lNQ T ,JTlAG Olltl <br /> <br />___AOlVI ~ tf. ~ <br /> <br />~::~~:~,,",,y...~.,.,:,., ..... . <br /> <br /> <br />./ <br /> <br />81311 <br />