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<br />'CERTIFICATE OF LIABILITY INSURANC~N8S~ ~A:~~";t;o~
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<br />THIS ClRTlFteA IS ISSUED AS A MATTcll OF INI'ORMATION
<br />ONLY ANI> CONFEIt8 NO RIGHTS IlPON THE C~RTlFICA Tl
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
<br />AI. TER THE COVERAGe AFFORDED BY THE POLICIES BELOW.
<br />
<br />Z-CCL- 03 k
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<br />ACJJllP..
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<br />Corona Branch
<br />Sawyer, Cook' Company
<br />P 0 Bo" 2220
<br />Re~l.nd. eA 92373
<br />Phooe:909-793-2814 r...:909-793-S793
<br />1N5~-~--"""""-"-'''-'-
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<br />INSURERS AFFORDING COVERAGE
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<br />Hondo co~ny, 1ne.
<br />Bob L1QY~
<br />~m.aS~Y~ n~~'
<br />COVERAll.S
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<br />THe FlCLICIES OF IN3LJ""I\iCIi ~ffl'!O I1ELQlN HAI.o1: 8(EN 1!!uED iO THE INS\.IRUl mHEf) ~ilQVI; FOR nlf ItOL!GV PERIOD INOlCATED. NOTWml!i."l"ANQINGo
<br />ANY ~(W'RfMfN'J, riA>> OR: CONOITION 01/ "'~ CONT"ACT 0.&1 OTHER ODCllMl!.-.T WITH fteSPECT TO Wl-lICI1 TI'lIS !;I:RiltICA1! .....v 81i ISSUt 0 OR
<br />M"'" PERl...,., Tl1E. 1"l$\,IR.NCI!. AFFORDED BY THE PClUCll:.S DESCRIBED HI!.~ElN 1& SUBJECT ro ,All TH~ ffRMS ~CLIISIOHSAHO CONOlTiOfoltj 01' 5UCH
<br />POt-IeIE! ...BGREGATe LlAdlT6 5"OWN'~Y /'lAve eeE", Rt9tJCfO IV IlND CLAlMS.
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<br />B ~'.J(.'ICOMME.e....... "'.A'.'",". '."Y 18CSOOOJJ89 06101/0' 06/01/031'~'""",~"!~100.000
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<br />06/01/02/
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<br />C(lWUNED SI~LE. LIMIT II 11 i 000 000
<br />06101/03 !- t~~ '_n --1~':':':...~,
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<br />06/01/021
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<br />AUTO OM. Y': ^(;G to
<br />I E,l,CH,{)CI~lJRR!NCE I 2 t 000.000
<br />06/01/03 ,...."'o;,~ ~OO.OOO .
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<br />D1/01/02/
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<br />e.L,OISI!!,o,Se.IlOLICYtl.-T 11,000 000
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<br />- OTH!R
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<br />OUQIP'flOIrl OF oPfAA.~LOC.'OOHIIN!'ttCc.ma:cLU$O"" ADm: ItV iA/DOffSE.'1lI1JSIII!:CIAL, ,.''tWJ2JON1,
<br />City of Santa Ana. its off~c.r5 aqenta ~ ~lQyees a~e n~ a8 ~ltion.l
<br />inlured per 'the attached form. '1"h1. certificate supercede.. ,prav;i.OUB
<br />e.~tlr1cate 1.'u.d on 6/21/~002. ~10 day notie_ o~ cancellation for non
<br />paynl!l:at. .
<br />
<br />CERTifiCATE HOLDER
<br />
<br />Y A.DDmOHAl.INllUIWr; MUfttJIl UT'tI", JL
<br />
<br />CANCEL~ATWN
<br />
<br />Santa AnD Regional
<br />Tc.n.p~~~tton Cent&r
<br />CarQl~Q. Ful1e~~Qn
<br />1000 E. S~nta Ana Blvd. '108
<br />San~a An. CA 92701
<br />
<br />SAN'1'M.N SMOULD ANY OF TME .\HOVl OBCRIHO I'QI.ll::In liE CANt'fiJ.eC aBOftf 1"Hl EX~RA'tOH
<br />a"n. THfiRiOf. TH' ISIUING lHWP:EIl: WilL" ~__ M"L .JD.!. DA'l'.s W~I"'.N
<br />!4QTlcr: 10 TIit """heAT<< ttOl1)1!tt IroIAMtD TO THE LEfT." .- .o.rr'A ,.- -- ."1
<br />~. 1r..-T.'.~. -'n__~-T '""IiIII"-"~ tJ 1J'
<br />AlPRISUHATrvn
<br />R1ilED IW'RilifrfTA
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<br />ACORD CORPORATION !fee
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<br />~ Af. TO FORM
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<br />- c INELEESHAW
<br />Deputy City Attorney
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