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<br />MAR,-14'02(THUI1I:03
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<br />ANDREINI ~ COMPANY
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<br />TEL:310 260 "166
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<br />P 02
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<br /> -
<br />ACORD. I OAlI! (-..011"I)
<br />CERTIFICATE OF LIABILITY INSURANCE Il2I22i2IIa2
<br />-.,., THIS CERllflCATE IS ISlUED All A !lATTER OF INFOR!lATION
<br />And..lnl Ii Co l.IconoeI D2IIIll25 ONl.Y AND CONFERS NO RIGIfTS UPON TIlE CEII1IFICATE
<br />11400 Olylllplc Blvd, lite 400 HOLOER. TIllS C~F1CA1E OOES NOT _0, EXTEND OR
<br />ALTER TIlE COVERAQE AFFORDED BY TIlE POUClES BELOW.
<br />Loa A..-, CA 90054
<br />31G-444-7722 FAX 310.4441839 INSUREIIS AFFORDING COVERAGE
<br />,.- _k --
<br />_ $yMom.. Inc lNSUlI;R B: - __CO.
<br />AlIIl: R_ Soeo 1N3UREFl c: _on!
<br />11959 Dl8cDvsy CL IN.SIJfI:fI D:
<br />-....... CA _, IN~E:
<br />
<br />COVERAGES
<br />
<br />l1-IE POUCIES OF INSURANCE USTEO BELow HAVe 8EEN ISSUED TO TI-lE INSUREO N.6,MEO ABOVE FOR 'THE POUCY PE:I=lIOD INDICATED, NOTWITHSTANDING
<br />ANY ReDUIAEMeNT, TeRM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMi:NT WITH AESF'eCT To wHICH 'tHIS CERTIACATE MAY BE ISSUED OR
<br />MAY PEFlTAIN, THE INSURANCE AfFOODED BY lHE POUClES DESc..aEO HEREIN IS SUBJECT TO All lHE T1'AMS, fJ(CLUSIONS ANO CONDITlONS OF SUCH
<br />I=POUCI~ AGGREGATE UMITS SHOWN MAY HAVE eEEN AEOUCEO BY PAlO ClAIMS, ,", 1Wc"f~
<br />'rl lWE Oli ~ fOIJCY NUIRFI =' IJHCTIV'i .AlI! ....
<br /> ~LI..WlIU!"Y .f~LO~~~~~_.~~_ -'~..~. ,....lIIIO
<br />A ~ D~CIAL~ LIABLfTY 3S33-9903 121181 01 12118102 FIRE: DAMAr.li= /IJ... fit.., . "'000
<br /> CLAIMS ~E [!] OCCUR ""D "'" Ii." ,,,, , 111.000
<br /> - '-';;"000
<br /> - ~ONAL & ADV IN.lJRY .
<br /> GENERAL AGGREGAlE . 0,-000
<br /> -,," .".-,,-~., . ~ooo
<br /> l~ 'O'"''ril';' """n~' PFIOoocrs . COMPICP AOO
<br /> POUCY X L.OC
<br /> ~1IfD1K)8I..!: UAIIIlT'Y OOM3tED SINU UMrr . 1.000.000
<br />A ~ ANV AUTO 7......... 121 18/Dl 12/18/02 (Eall.~
<br /> ,,-- ALl OWNeD AlITOs BODIL. Y INJJAV
<br /> .
<br /> - SCHEDUL.E:O AUTOS (Per parDI)
<br /> ._~'~.~..-..~-. ~,--
<br /> ~ HIREO AUTOS BODilY IN.1.IRY
<br /> ~ (P.lllo;ddenO .
<br /> NON-~E.D AUTOS
<br /> ,- - PftOP'EKTY DAMAGE .
<br /> (P.'I~I)
<br /> GARAGE lWIlnY WTO ONLY ~ EA A~oa:NT .
<br /> ~. ""'. 'UTO "ACe '.
<br /> 0'- lHAN ...
<br /> ....uro 0Nt....:
<br />A DeBS WUJLrTY 1972-9879 12111/01 121181 02 .....er .....000
<br /> l!:} oem, D cuws MAD' ~~!!,GAT' .....,000
<br /> .
<br /> R OeOUC1ae -,"'-
<br /> """""'" . .
<br />B WORICIRljI COUPDIU11ON AND Po"'V No: WN...........' 12118101 12118102 ~ T~sr~ I IUJ~-
<br /> u.La'IfRS'LIAIIUI'Y CoIl""'. 00ly 1 .... ODO
<br />C PolLy lIm: W.00S64e2-o1 12/18/D1 12/18/02 E.L EI.CH AC~IOQlT -
<br /> 00_ """ """'..... 00ly ~~~e - eA EMI"LOYEE 1 ........
<br /> e.L. D~~ - pOUCr lIMIT . 1"""000
<br /> 0lltER
<br />~,A).. OP OPmA~TIOl'tS'YitIEI.E&'EXr:Llr.lClfCS ADC:II!D IT !IL.-_1!~fi~ PROlISlOJIS ,:\ i--" Ie (I: lU 1~ ~
<br /> CMIIIco.. ho_ '" ...- .. Acldlllonol _rod .. ~ 10 "'0 ,11~
<br /> __ 0I1ho _ __A. ~ under ~ont _ 1he
<br /> C11y 01 Santa Ana.Any 1_ ...__ by CIty 01 -.. An. ahall
<br /> opply In ..... I< non can_ willi .... psovtded by 11I10 policy. Michael Viglioua
<br /> Deputy City Atlorney
<br />CERnFICATE HOLDER Ixl..,.........._:__~: CANCELLA'I10N
<br /> ItiOULD ANY OF 'tHE A80YE -...m POI.IC&S III: c.uCILUD IIIiRJRE. n-= fDlI'A1IDN
<br /> aAW: 1MERB)F, THf. IlISUIII& IfSURIR WI...l.. MAL ___ DJ,YS WAmEN
<br /> NOTICE TO 'lIfE CPmFICATE HOLDIA HA~ TO TIfIi: L&T, - ,
<br />City of Santa AJ1a - ~ ~ _n urlUfYK.-:tlll'VN ........_ , .
<br />60 Civic Center Plaza A""",,",",, _A..... K~ d, I ..\ 1 Q ^ pI
<br />g.......a An" ,.... Q'2703
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<br />ACORD 2SoS (7197)
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<br />~ ACORD COAPORA11ON 1188
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