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SENTRY INSURANCE A MUTUAL COMPANY <br />STEVENS POINT, WISCONSIN <br />(A PARTICIPATING MUTUAL COMPANY) <br />IWIPW A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES <br />. TERMINATION OF CERTIFICATE ACCOUNT NUMBER 49-39070 <br />Name and Address of <br />Certificate Holder <br />THE CITY OF SANTA ANA <br />ITS OFFICERS, EMPLOYEES, <br />AGENTS, VOLUNTEERS & <br />RESPRESENTATIVES <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA 92701 <br />You are hereby notified of the <br />issued to you under the policy <br />certificate will terminate at <br />mailing address, effective on <br />Name and Address <br />of the Insured <br />K & A ENTERPRISES <br />ALL SIGNS AMERICA <br />15481 REDHILL AVE <br />TUSTIN, CA 92780 <br />INC DBA <br />STE A&B <br />termination of the certificate of insurance <br />or policies herein described. This <br />12:01 A.M. standard time at the insured's <br />the date shown below. <br />Termination Date 01-09-2006 <br />Type of Insurance Policy Number <br />Businessowners Liability 49-39070-01 <br />Automobile Liability 49-39070-06 <br />Umbrella Liability 49-39070-03 <br />Workers' Compensation 49-39070-02 <br />A replacement certificate is attached. <br />c A-t�� eb <br />0 80-1020 (MECH) <br />ALL 49-39070 31-040416 <br />12-12-2005 <br />PAGE 1 <br />(0007) <br />02511 <br />