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<br />f"11q't!>;J"~("'>:.i:!:'1lni'l'';:''1.''';:;o <br /> <br />PRIIIJRE11lVl'" <br /> <br />FOi?<i;r;9oHJ9 <br />(1i',..?IJAlf(if~4.Jwt <br />e0.,.w4^~ilSI <br /> <br />CQmmM;ilj! ^,Jf;:I hmlt'a"C8 <br /> <br />PaHq numba,: na3!gQ01~ 1 <br />ScplernbtJ 15, 200'j <br />~1'Elat 1 <br /> <br />Certificate of Insurance <br /> <br />C.,-tH"lQ.tffl"kti.f <br />Add,;w'nai trrsured' <br />CiT'!' Of );,JliA A'XA <br />20 CfV!C C9\1I.R Pl.:.(f <br />SNHl~ rNA, (.A 92701 <br /> <br />IllMltd <br />ifNANCE 1?.ANSroRTA110i'1 <br />MS!~(1.EN5o:N <br />IRVJl~E, CA:J2601 <br /> <br />..~, <br />PROGHESSNE <br />P080X9c47.1'1 <br />C~/ELAND.OH44101 <br /> <br />This dowment (PIHli61h~! Ir'lSfirilf'Kf policies identilted below niNe been i~Slff!d by the dfH>lgnatNf in<;UH"f lothf' <br />fn~t.tlcd nitrlU.'d ()b(p,'C' 101 the pCIlod(s) indiGlll.:d. lhis Cerlijk~le {S issuedfOf informiJtlQn pmpus("i only, It (ontrf~ no <br />righ.ts upon lhe (cltifi(<J~c holdel ilnd does not (hangE', after, modily, 'OJ extend the fOVClilgCS dffordcd by ttu: policies <br />listed bflow. 'loe ((l-'.'erages afforded by tne polide~ ll<;l€d b~$(}w i}:rp subject to aUrbetNm5, exclusions:, IimitilHoos <br />endmSfITH;lflf'l<. and rmditiam of tnl"se< polhjpIi <br /> <br />Puht Frlf-rt;VF f)illp: 0(t J.Ol'FS <br /> <br />FQlky f~p-i;(Itin!1 Oat<>: On ii, 1006 <br />Umtb <br />$ t :(ji)(},rii'~(omhtc~d~i~gi;' i Im';l <br /> <br />hj~lltan~ ~lWHAgfIM <br />:noddy Jl1Vily,lflf~lp.;t.l'L\l\Tld9<' <br /> <br />Description of locatlonNehides/Spedalltems <br />S(.h.dbr~,~, ,al!~()$~"ly <br />t9gA HC~IMAC(Q;lD ~XrlXH lHGC0565XRAO'i,111 <br /> <br />(lutifitate nUmBt <br />168051P6007 <br />Ple.,e bo advised that ad~itional insured, and li.nholdeIS will bo notified In the ev.nt of. mid-term <br />cancellation. <br /> <br />~~ <br /> <br />F:u.:'::W!I:l:};j <br /> <br />APPEOlfED lIS ro FORM <br />;-If ,^ <br />;~)> <br />"--'~-"~-'- <br />\ anTi] SUI SL..-:cdy <br />\\,~i"l;~;JL C:ily AllnnlC\ <br />