|
<br />!~~~~'..
<br />
<br />
<br />"lATI(~""
<br />
<br />DlnlO~
<br />
<br />THIS CERTIFICATE IS ISSUED AS " MATTER OF IHFOIltolATION
<br />ONLV AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />MOLDER. THIS CERTIFICATE DOES HOT AMEND, EXTEHD OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />ii,nd.l. In.qr.nc. a..noy
<br />150 F.~rl.nt Avenue
<br />P. O. aO)l 831
<br />GI.n4.,. Cl 112D'~31
<br />(8111 244-1141
<br />
<br />
<br />
<br />CONPANY
<br />J\ Hertf.rd Fir. I.sur.nce to.
<br />00I0IP_
<br />B Hartford' C..u.lt In'. c..
<br />CC>.lPoINV
<br />C
<br />
<br />..
<br />
<br />Ph4.nlx 8r~p ~At.rm.tl.ft S,..
<br />38. Valt ..... W.r, _no
<br />Tnren"., CA IO&D1
<br />
<br />^ - .;It()<f-I}/ J'
<br />
<br />. .:i~~.:J~:' ~.' .,~1Mt'Ut~\WA~~!i1~~&i1: ~~j~tf-it~,.::: *i .U~~,{~ti~~gt!tl;i.~iL :'~, ':?,~~l~:, :~~1;.1.~~~~~wj~lW~~;~~.'r :it~m~1t~~~
<br />THIS IS TO CERTII'Y THA TTHEPOLICIESOFINSURjI>.NCEUSTEDIlELOW HA VEBEENISSUEOTOTHE INSUREONAMED ABOVEFOA THEPOLICYPERIOO
<br />INDICA TED,NOTWITHIT ANOINOANYREDUflEr.IENl. TlRMORCONOITIONOl' "'NVCONTIlACT OROTHl'!RDOCUMENTWI1'HIlESPECTTOWHlCHTHS
<br />CEIlTII'ICA TE.....Y SE ISSUED OR 1M Ii' PJ;fITAlN, THE INSURANCE AFFORDED BV THEPOUC1E8 DESCRIBED HEREIN IS SUIlJECTTO ALL THE TERMS,
<br />El(CLUSIONS AND CONDmONS OF S\l<:H POLlCIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY ."'10 C\.A_.
<br />~ TYPIO'.'U"ANca POLlC'(II..... 'D~:~ 'l:';:=:~) UMI1'8
<br />
<br />. GIN...... UMiLlTV n~lq3lli 10101104 10/0l/OS GENERIoL AGGREGA.1E $ Z IlllO.OOO
<br /> COltolAERCrAL IlENERALLlAl!lLllY PROClJCTS"-cOlol'/OP AaG $ 2,DCO Gaa
<br /> CLAIMS MADE [!J ~ PERSONAl. . AnV INoUfY $ 1 000 000
<br /> OW>ER'S . CONTRACTal'S PIlOT EACli OCCUMENCE I 1 CGQ,aoo
<br /> FIRE DAW.GE ("IV CIne fir.) , 300 00ll
<br /> r.EIl EX' (Any aN ",,""'> I SOlO
<br /> A1I1'OI&O.... UAliIJ'TY 7311.\A'Z138 10101/04 10/01/01 COlIBINED SINGLE UIoIII $
<br /> ArN AUTO Z ,ooO,OOll
<br /> AU OWI/ED AlJtOS BOOIL If INJIJRY $
<br /> SCEDlA.ED AUTOS fPt( !)I~on)
<br /> X H,JlEO "'UTOS 8001\.. Y INJURY t
<br /> X NON-oWNED AUIOS: {P.... accIdent)
<br /> PROPERTY DAMAGE $
<br /> ,
<br /> QA..AClI LIAaurr "IJfO ~ Y . EA ,"CCIDENT ,
<br /> ANV I>lJJO OlHER THAN Aura CNl. Y: :;01Md~%!}1WitWMt?jY
<br /> ~Oi ACCllENr I
<br /> Laura S itt Slleed A<WlEBA1E .
<br /> b(S.. UAaUTY As~istaut ity Attorney EACH OCClAAENCE
<br /> iMlREW. FORW AaoREtlA1E
<br /> ODER THAN !AeReLLA FOAU
<br />. ~.COIIP'IM-.-noN4ND 1Z1WCOUU '.Ial/CH 10101/08
<br /> hIfil.O'rI"" L1A.Lm
<br /> a. EACH ACCIDENT . , _ DOll
<br /> TIE PROPRIETOOI 1NQ.. EL DISi!,l.SEof"Qt.IC't' UhUl I
<br /> PARTtBtSJEXECUTIVE I,OlIO ooa
<br /> QFFl~ERS ARE: EXCl. EI. OISEASE.EA EIoF\.Ol1!E , 1 OlIO ooa
<br /> alii...
<br /> COIllll.nl.1 Crl.. P,.Hey I~D7Z23 lIJ1SI1I3 11111104 511S,DDD l'.lt p.r a.aurr..ot
<br /> $21,000 D.4v.tl~l.
<br />
<br />
<br />
<br />
<br />.-
<br />
<br />N
<br />
<br />c.
<br />
<br />It Is e,r... thlt the Clt, of Saftt. Ana f. n...4 Aalttloft,1
<br />I.aur" ./r...rd to len,r.1 Lllbillty .'~.r.... and p.~ the e1t.o.~ .~dltl'~'1 Insurad iD~r."'nt.
<br />
<br />
<br />Cltr .f Sent. Aa.
<br />Itt.ntl.n: Laure lhedd~
<br />20 Cfyl, t.nter Ple.a
<br />'Mt, Ana. eA 12.10\
<br />
<br />;" .,:t.:t1f.-~ ~~V ~:,,~' ~l_ 1:," .
<br />,j . ~ i#!~.;.~i h'Zr,*~~... ';l.,
<br />aw.oLU>> AMY 01' TNt gOVl DUOIUldb POUCII:I I' ClNfc-..LlO uroll TH'I
<br />llD'--.nalf DAft THIIICOI', 1')U' ".1..UNll CClUPANY WI.L. IllDIArGlI TlJ M....
<br />SO DA.n wlun... "OTI_TO THa""""'JCAl'I Hoc.DlJIl. NAMID'IO'THIiUPT,
<br />aUT PIt.LUM: TO MAL 'UOH NGTIOW SKML ~.O aLlOA1'ICN DR UMUTY
<br />01' idlY IaICD UflON n4. CO " IN' AQUIZ&.. R....UNTATI'IU,
<br />
<br />
<br />A
<br />
|