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<br />DAMON CONST
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<br />3103243569
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<br />PAGE. 4
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<br />/~CORD_ CERTIFICATE OF LIABILITY INSURANC~~~ 1 bAt.IMM'OI1m1
<br />Ol/26.Lg1
<br />_GA - TIII$ ceRTIFiC...re IS 18~!I.~ AS A MATTER OF INF~!!l!'!,TION
<br />'1'1\. Wood:l.tch CClIIlp....r Xn.urUlee ONL V AND CONFERS NO RIGHTS UPON THE CIlRTIFlCATE
<br />Serv!ge., ;rile.. : HOlDeR. nlls CERTIfICATE DOES NOT AMEND, EXTEND OR
<br />1 Park Plaza, #fOO ALTER THE COVERAGE AfFORPeo IlYTHE I'OlICIElI BELOW.
<br />-"",j,ne CA ;2614 JNIURE~ AFFORDING COVERAGE
<br />.oa., 9.9-553-9800 ~axI949-553-0ll70 , .. .
<br />'.....10 INSU~A: Qener..1Accident tns. Co.
<br /> ......... .. Explor.... Ins"......... ~Oq>"l:IY
<br /> DPon const. Co. INSUQA e~ ==1
<br /> -
<br /> 455 ~~.ou P~..a Dr., St.. r INSl.IRERD:
<br /> Car.on CA 90 46
<br /> , INIUREft, &.
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<br />COVERAGES
<br />
<br />lJ.II;: PQLICI&9lY INSlNoNCG l..J&11;;P BQ.oW HAW &tEN IS9UEDTO THE I&.Ai:D ~ ~ FOO 'me. PQL,;y ~IOD IMlICAT~. NG1WI1'H9TANDING
<br />AftII REQlIlRQBO'" TIJIW ORCONDmoIllOF IUIV CONnw;r OR 01HIiJt OOCUMGN!'WITH REf#lECTTO wtCH T..8 CERTIFICATE UA"" Dl: ISSUED OR
<br />MAYPSfTAW. mE .!N8LIftANGEItFFORCEDUY. THe I"OI.Qm oe1Cf\KEU tfI!JmN IS .$UIJIeCTTO All TIE TEIWS,. PClUSION$ AND CONDITIONS Of &UCH
<br />1'OLlG,a._TElUT1lGHOWNlO\y HAW...... "_lYP"1II ""'....
<br />rTJi" TYl'lor~ I'"O&&T HUWim ~~ U_.
<br /> GIHIRAL LIAllIi.iT't o!AI:II octIIMENC8 '$1,000,000
<br />A X COI.IIISocw. G"""""lWIlUlY o;!p~ 11l1912S-00 01/01/00 03/01/01 FIRIi. DMIAOI:: (.My MIRA) '$ 50,000
<br /> I cu....."""E @ OCCUR Ul!:DlXPfAII1OJ18,1111fK1f1) U:xcludad
<br /> '- PERSONAL. NN IUJR'I" .$1.000.000
<br /> ----.", , .~. ODD, 000
<br /> 5~-n~ MeDUeTl. CDFIOP.lOQ '11,000,000
<br /> FOLICY X LDe
<br /> ~IlEUAalny COMoINED Ei!lQU: LIMIT '$1,000,000
<br />A Z """ NJIO BA 03~0970-00 01/01/00 03/01/01 (100_
<br /> ""'" "'-LOW""......,. BOWL V INIIJR'(
<br /> I-- 00f'0\.0.B>"""", (/'or_.. ,
<br /> X Hlrun ALI'1'Oe lOW. 'Y 1NIiJR'f
<br /> "i _AUTOIl (Psr.clltdlnt) $
<br /> "'i $1,000 ~_ Dad PROKRTYDAMAGE
<br /> X $1,000 C.ll Ded 11'0<...._ .
<br />r CAlU.QE LlA8M.rrv AUTO ONLy -!AACCIOeHT .
<br /> B """'lITO O'!HOl\'!1<.Ut 1iA_ .
<br /> AUTO OM..Y: AGG .
<br /> EXCE9S LIA8IUT'V E.lCHOCC~ .
<br /> :::::r""""" 0 C.........MADE AGGiREQA~ ,
<br /> .
<br /> g~~ .
<br /> RET<Nl1OOI , ..eo-. ,
<br /> .L""r ~'I.
<br /> IMJRKERS COMPIHIA'rIOH AND VOllOl/02 XI'!'OI\ ...LOR
<br />II I....OYE....~ WSb1557G54_04 01101/01 .$1.000,000
<br /> E.L.fAC"'ACC~
<br /> ( ./ ...........E...fiii'<.Ol'ell. $1, 000.000
<br /> U. ","1!ABlO.l'OUCYl/lIIT..L' $1, 000.000
<br /> DTHEll
<br />DEK1_ INN OF OPIRAl1DNIiLOCI\TIQNINIHCLIlillDaUftlOHaADDEDwr ~I5nGML rRO'tISfOH5
<br />*10 days notice of cancellation for nOD-pa~eDt ~f premium. Certlflcat...
<br />Boler is Nam.d .. Addition.l Insured per Attached. U. Pro~"ct 1744,
<br />Citywide ~. ~onar.t. ..pl.c....nt Contract
<br />CERTIFICATE HOLDER I Y J,AIXlItIDlW. .........; ,_......,...,. CANCELLATION
<br />I SJIIITA'S SHOUlD ANrOfl' THI: MOYEtESCRlBEO fIOUOI:t BE CANCELlED BE~ THE EXl"ftATION
<br /> DATI!T~. f'1oI!! ISStaNO IW3lJRMlVIL.L 11""_..__. ....IMiL ~ DAYS WRITTEN
<br /> Ci ty of Sant.. An.. HOflGGTO THE CERMcATI HOLDER NAMED 10 TfC L~. U"t:r r Jml!l'........fJ 1Lt-&...
<br /> Public Work.. Ag.ncy "'''!III tIlt1J/iJIlIU 'R u.....-,y?r ..'V~...D...I1D1'111oI..,lr.._'...o::.. ..-.e.....'IIfllT01:nl1
<br /> /Ltbll Wj,11:l..... Alhr.:l.g!"t
<br /> ~o Civic Center Plaza K-22 -".I<:lo~I",I"....__
<br /> S..nt.. An.. CA n701 ,11 ','"11. . Slit I,i/.
<br /> -'- . 1Ii11i.... 8. Wooditch I~~
<br />ACo.ul ,5-8 (71l17) OACORDCORPORAnoN1N8
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