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BOLTON & COMPANY <br />PC BOX 6030 <br />PASADENA, CA 91102 <br />626-799-7000 <br />ci r i----=°®-~-~-~ <br />~.ww.,,.,.o.a <br />Policy number: 03312696.1 <br />Undenvntten hy. <br />United Financial Casualty Company <br />February 2, 2007 <br />Poet oft <br />-~O -r/k <br />A ~oo~ lly-a <br />Certificate of Insurance <br />teAHicate Holder Insured <br /> <br />Add !' anal Insured ._... <br />FlELD DATA SERVICES INC. <br />CITE ':F SANTA ANA 8370 WILSHIRE BL 209 <br />PUB'-~ :WORKS AGENCY BEVERLY HILLS, CA 90211 <br />20 CIvIC CENTER PLAZA M-43 <br />SAN i A ANA, CA 92702 <br />Agent <br />BOLTON & COMPANY <br />PO BOX 6030 <br />PASADENA, CA 91102 <br />This document certifies that insurance policies identified below have been issued by the designated insurer to the <br />insured named above for the periods} indicated. This Certificate is issued for information purposes only. It confers no <br />rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies <br />listed below, The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, <br />endorsements, and conditions of these policies. <br />pofiry Effective Date. Nov 26, 2006 Pohry Expiration Date: Nov 26, 2007 <br />Insurance coverages) Limits <br />Bodily Injury/Property Damage $1,000,000 Combined Single Limit <br />UninsuredlUnderinsured Motorist $1,DOO,ODO/$1,000,ODD <br />Employer's Non-Owned Auto BIPD $1,000,000 Combined Single Limit <br />Hired Auto Bodily Injury/Property Damage $1,000,000 Combined Single Limit <br />De';ription of LowtionNehicles/Special Items <br />Scheduled autos only <br />1994 TOYOTA 4RUNNER SRS JT3VN29V6R002499B Stated Amount $&,000 <br />Medical Payments $5,000 <br />Comprehensive $500 Ded <br />Collision $SOD Ded <br />AFi RC _ e:- T`7 FORM <br />~~~ ~/~ <br />.,, . .. , : . _y <br />Continued <br />