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10 3 O5; 3:30PM; Paint Your Heart Out <br />714 758 7378 # 4 5 <br />TIES CANCEIS AND REPLACES CERTIFICATE L9$UED DBYm105 ~ _. o~UGfi-!'e+ S <br />CERTIFICATE OF INSURANCE° ~ 81EQ"'E <br />s <br />ia3ro <br />PRODDER <br />Driver. ARlant Insurance Services <br />Ina THIS CERTi7GTE LS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />, CONFERS NO RIOSiTS lJPON THE CERTIFICATE HOLDER THIS CERTIFICATE <br />P.O. BO% 25664 DOES N07 AMEND, EXTElB) OR ALTER THE COVERAGE AFFORDED BV THE <br />Sams Ana, CA 92799 POLN:IES BELOW. <br />(z~s2 <br />aaD.Fau(a~a~TSe-z»s COMPANIESAFFOROINGGOVERAGE <br />T <br />INSYn~ar[tw' ~ c~ANY q EV/WSTON INSURANCE COMPANY <br />PAINT YOUR HEART OUT, INC. <br />7TAB W UNCOLNAVENUE ~rt ANV B <br />gNAHEIM, CA 9780.5 ' <br /> LF~rYER C <br />- <br /> ' <br />P~ D <br /> Lt~-rrErt~ E <br />"- - <br />COVERAGES - <br />..~ <br />THIS RT0 PERrIPY TMT TIE POLEiES OF wSURAN[E LISTiD BELOW NAVE BED! IA4V®RI lNE IR3URED NAI~DAw7V! FOR T18 POLICr PEAIpo wPICATm, <br />NPTwIrNSTANp1V0ANV REGVwEMFM, TERM OR CONDRgM OFANY CONiRACrae OTER DOCIILENr WRN RF$PECT TO WNICII TES eeRfine•TeMRr BE IswE9 <br />OR MAr RENYAN4 THE w5Uf1M1(a:A e'f T~pCLSAES PESCg1BEpIIERDN EI 9UBJECrTJ ALLTHE TEARS, EXCLUSION AND CONDITONE a EPPH PPImES <br />LBEIfj SHOWN WY WIVE ~ IiEElYCEO BY PAID CLAp6. <br />~ <br />L'1k TYPE OF wSURANCE POHCYNUMBER PDLfCr bPrECI1YE <br />PATE IrSM'PPIYYI POLS:Y <br />EIVIRATro11 <br />L1MR3 <br /> MlE DIYY <br />A ~ ~U'~'TM SLIP3000A5 0929/DS 0929/06 ~N°''ti'~~TB NIA' <br /> X COMMERCUL GENERAL PRpOVCT$:ONPr9P <br />$1 <br />000 <br />000 <br /> I.1Ae1Lrtr AGP. , <br />, <br /> OMS ~ OCCUR PERSONALAADV.INAIRY $~ ODO <br />00 <br /> ,0 <br /> R'RBCONTRAGTOR'S EA HIX.CURRENCE S1 <br />DOO <br />00 <br /> ~T , <br />,0 <br /> X GlD®:S7pW P <br />IRE wMAGE Vhv olle ~ OOD <br />$1 <br />DDO ._ <br /> ~ <br />J , <br />, <br /> ME .EXPENSE IAnrene <br />n wA <br />A AYr PNDBEELUBBSrr SLIPS006.p5 09/29J06 $1,000,D00 <br /> ANY AyTO <br /> ALL OWNED AUTOS ~ODILYI VRY <br /> SCa1FOULEDAOT06 (PN pNem) <br />- <br /> ~( HIREG AUr09 60PILY INJURY ~-~ ~~- <br /> X- NIXJ-0WNEO AIfr05 IPera¢Me,C/ <br /> GARAGE LIABILRY PROPERTY DAMAGE <br /> AUTO DER S1,aW <br /> kA(.H OCGVRRENCE <br /> UMpRCLU FORM AOfjREGATE <br /> QTHFR THAN UMBREµA FARM <br /> yfp'fUTDRY VMITE <br /> WORKER'S COMPENSA110N EACH ACgOENT <br /> AND PISEASE.^OLICY LIMB <br /> EYPLOYERSUABR1Tf pSFn$F-EPCH <br />A NOKI~P120FTiDIRECTORS SLIP300D-D5 08C28Y0~ 08f28f08 ST,DGDAOD PEIJOCCURREHCEANP <br /> A <br />OFFICER3 <br />N <br />D ANNU4 AGGREGATE <br />~E~P rpN <br />F <br />o <br />yg <br />•PRAEPI6NP°G91~.Q'~ E <br />AS RESPECTS TO THE AGREEhENT WITH THE CITY OF SANTAANA THE CITY OF SAHTAANIA, rtS OFRGERS, AGENBAND EMPLDYEF$ SHALL BE <br />NAMED AS ADDRpNAL MJSXIRED. TIES POUCVAPPLIES FOR IUIBttIrYJTRLSING OUT OF THE INSUREDS OPERATIONS ON A PRSMRY BA31S, AND <br />NISURAWCE MAIN7AWED BY SUCH ADOR101ML BiSI1RFDS 1S EXCESS AND 1WNCONIRIBUZING WfR1 THIS POLCY. TWS POLN.'V COMMNS A <br />STANINIIiD CROSS LIABBTIY OR GEVEMBMY OF RTTEIiESr CIAUCE ADDRIOIMi NLSURED ENIXN25E),ENiATTACHED. SUb,IECT TO POLICY <br />TERMS, CONDrt10NS AIA EJ(CLUSIONS. <br />CERTIFN;gTE HOLDER CANCELLATION <br />S/IDVIA ANY OF THE ABOVE DESCRIBED POLKTES BE CANCELLED BEFORE THE <br />EXPIRATON DATE THEREOF, THE LSSlnNO COMPANY WILL ENDEAVOR TO MAIL <br />~. ~ SANIAANA '70 DAYS WRITIBi NOTCE TO THE CERTIFICATE XOLDER MAMEP TO THE LEFT, <br />ATTN: fRANK HERNANDEZ BU7 FAN.URE TO MAIL SUCH NOTICE SHALL SIPOSE NO OEDIPATNJN OR LIABILITY <br />MANAG9ENTAIDE <br />OF ANY qND UPON THE COMPANY, fT5 AGENTS OR REPRESENTATIVE3 <br />2G CMC CENTER RAZA <br />SANTA ANA, GA 92707 'EXCEPT 10 DAYS FOR -PA Ni <br />AUTIKJRLZED REP A <br /> <br /> <br />