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<br />~ <br />SEP-7-2~04 <br />., . <br /> <br />FROM:ATAOERO INSURANCE AG 19093556679 <br /> <br />TO: 17146476515 <br />Policy Number; <br /> <br />15:25 <br /> <br />P.3/3 <br /> <br />ACORD.. CERTIFICATE OF LIABILITY INSURANCE I DATE <br />9/7/2004 <br />PRCXXJCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> 9835 Sierra AvanU8 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> I'onuna, CA 92335 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> (909) 355-6677 INSURERS AFFORDING COVERAGE <br /> 9734376 456 <br />IN8URED C:I'l'.COM, :INC. INS~ER A:. Ma <br /> WJ:LL:tAM ROMIISBtIRG INSURER B: <br /> PO BOX 890513 INSURER c' <br /> TElŒCtILA, CA 92592 INSURER D. <br /> I INSURER E: <br /> <br />COVERAGES <br /> <br />THE f=lOllCIE$ OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />INSR. TYPEOFMURANCe POUCYNl8mm POIJCYeFFI!C'Y1ft PCUÇYI!XPlRATION <br /> <br />œ.I'ÆRAL UMlLI1Y <br /> <br />EACH OGCURRENCE <br />FlREDWAGE cn"rI <br />MED EXP one n <br />PERSOtW.. &AOVINJURV <br /> <br />UIIITII <br />.1,000,000 <br />$ 50,000 <br />.5,000 <br />Sl,OOO,OOO <br />$ 1 , 000 , 000 <br />PROOUCTS-COMPA)pAGO S 1,000,000 <br /> <br />A <br /> <br /> <br />GENERAL AGGREGATE <br /> <br />170250601 <br /> <br />7/23/2004 <br /> <br />7/23/2005 <br /> <br />LOC: <br /> <br />"""""""" LWlUTY <br />AffY AUTO <br /> <br />COMBINED SINGLE LIMIT <br />(Ea 8Cdd8nt) <br /> <br />All CMn\IED AUTDS <br />SCHEDULEDAUTOS <br />HAEC AUTOS <br /> <br />BODILY INJUAY <br />(Per person) <br /> <br />BODILY INJURY <br />(Per8OCldent) <br /> <br />NON-OMED AUTOS <br /> <br />PrtOPERTY DAMAGe: <br />(Per acciden) <br /> <br />_UMLJTY <br />MY AUTO <br /> <br />AUTO ONLY. EAACcmENT $ <br /> <br />OTHER THAN <br />AUTO ONLY; <br /> <br />EXCESS UA8l..I1Y <br />OCCUR 0 CLAIMS MADE <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />DEDUCTIBt.E <br />RETENTION' <br />WORKERS CDMPENIÃ110N AND <br />ElFL.OY&RB' UABIJTY <br /> <br /> <br />(Ic <br /> <br />,/j;)¡J .n <br />.C~ <br />f <br /> <br />E.L EACH ACCIDENT <br /> <br />E-L. DISEASE. EA EMPLOYEE , <br />E.L- DISEASE". POLICY LIMIT $ <br /> <br />OTI£. <br /> <br />_/_/- <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />EAACC S <br />AOO . <br /> <br />. <br />. <br />. <br />. <br /> <br />. <br /> <br />. <br /> <br />DE8CRP'nON OF OPI!RA11ON8ILDCA'nONINEIICLeIII!XCWIIQNS ADDED BY ENDOR8EMENTIIPECIAL PROVIStONS <br />'l'IIE CER'l':IF:ICA'l'E HOLDER, :ITS OFF:ICERS, EMPLOYEES, AGENTS, VOLUN'l'EERS AND REPRESEN'l'AT:IVES ARE <br /> <br />NAMED AS ADDITIONAL INSURED AS RESPECTS TO 'l'IIE OPERATIONS OF 'l'IIE NAMED :INSURED. <br /> <br />CERTIFICATE HOLDER <br /> <br />TIlE C:tTY OF SAN'l'A AHA <br />20 C:IVJ:C CEN'l'ER PLAZA <br /> <br />CANCELLATION <br />SHOULD Nl'I Of' THI! ABQ\II! DeSCMJED POUCŒ8 BE CANC&UJlD 8BFORIi THE EXPIRATION <br />DATE TtEREOF, 1tE ISSUWG lNaueR WILL I!NDE!AVOR TO MAIL 030 DAYS WRITTEN <br />NOncE TO 114E ŒR11FICATE HOI.DI!R NAll!D TO THE !£FT, BUT FAIL1JItI! 10 DO SO SHAlL <br />IMPOSE NO OBI..IGATION OR KIND ~ON 11£ NiUAl!R, ITS AGENTS OR <br /> <br />ADDIT1OIW.. INSURED' INSURER LÐT1!R: <br /> <br />SAN1'A ANA, CA <br /> <br />92701 <br /> <br />REPRE8ENTA1'M!S. <br />AUTHORIZED ItURUI!!NTATlVE <br /> <br /> <br />ACORD 25-8 (7/87) <br /> <br />ACORD CORPORATION 1988 <br />