Laserfiche WebLink
FRO- :CDA ADM IN/ECON DEV <br />Mt 3Y:'LAK lN8URANCE'AGENCY; <br />FAX NO. :7146476713 Jan, 12 2006 07:54AM P1 <br />7148887568; 8EP-6-0F 10c11AH; PAGE 1/2 <br />aats,PH;,, CERTIFICATE OF LIABILITY INSURANCE o9;z z3y <br />PRgoe1RL cy")AM-110PAX 14)931-756E <br />Lake Insuraate%4lrncY <br />13S91 NaWrt Ave., Suite 21S <br />TMs CMV FICATE li Ii6UEC AS A YATTFROF INFOIIM4TIM <br />0WY AN0 CO%VM%0 RtOHTS u"" Tsm CFH1lFfCATE <br />NOLDfeR. T11NI TE 00ES NOT AMBiD, EXTEIID <br />AE AF SY <br />OR <br />0d$ypEg8 AFFORDING COMRAGE <br />NATO X <br />"C,! #074 473 <br />Tustin. CA 92710 <br />mmm orange Cauaty ovildmuls TIEen�pevtiC Art Cent <br />201.North Broadway <br />11mmRR Chai stern Heritage IMS, CO <br />WMNJReR& <br />Santa Ana. CA 92701- <br />A R <br />rI am E. <br />THE POLICM <br />'ANY RL�Ia1�ENT, <br />WYFWAEK <br />POLIM. <br />OF MviRANCi LWrW EE7.OW <br />TiRM OR CONOEIION <br />IMWASURANLEAirOROOD <br />AOOREOATE LAM gm" AYLY <br />HAVE REM ISSUE D TO THE 1NSURm NAMED'ABONE FOR TM POLICY RE91100 AYOECAMAY NOTNRTTISTANDNMa <br />OF ANY CONTRACTOR OTHER OOPUMM VA" R6CPPFaCCtIV VA" TIES OERTW CA7E LMYaE 116URD OR <br />6Y THE POLEC/FE OGECRE96DlaER&EE6Sun1tCTM i1El8rAa.i3GLV610N6AW CONgigN50F SUCH <br />NAVE ROOM REDUCED RY►AID CLAMS. , <br />racorpsuaAmCE <br />/OLICYNNAMEN <br />EStp40AnON <br />UMEA <br />A <br />! <br />BEaniaLUAML <br />X amsea W. O&EHAL tn&LRY4J <br />0N045 MADE �X ocan <br />571131 <br />Q1/02/ZOOS <br />01 2 <br />EACHO60� <br />a 1 000 <br />pAEUGa7o RanED <br />NFD E%I prw.i <br />1 <br />a S <br />PEASOrrLaADVTHEIAEY <br />a 1 <br />aBFAALAO�R66UE <br />s 210099 <br />s DKI <br />ENroF <br />pR00LV"-00Aw <br />OEMlAe6A4y�epupEoprwluCsreA: <br />n Lee <br />AvrOECAan <br />EEA <br />AENA <br />ALLGE1t®NIIGE <br />SCf*EAFDAUTGN <br />HAM MVMS <br />NDI/-01MlDAVTDE <br />urAr <br />S <br />.ri <br />tOCAIY <br />1 <br />/ <br />PROPERTY OW"GE <br />rAraoarq <br />E <br />_... <br />fYIA(6UAB{IiY <br />NrfAUYO <br />AUTGGHLY-SAACCmEKT <br />I <br />TEUH EAADD <br />"GK.Y: <br />1 <br />GGGLR [Dawwwol <br />r�ccrmLe <br />Ta!EanTaTN s <br />AS <br />O Fo" <br />EACH GCCLIIRNTOE <br />S <br />AGGAE:GATE <br />1 _ <br />s ^ <br />L <br />L <br />WRF61MdONANE <br />RAAEAYEM'WAaErY <br />OFAGkTUM�EEnRmajimD4 <br />r��, <br />Laura Sti 5 <br />GedY <br />ATLL 0..+ <br />EI EAtrAOCK9VYAW <br />L + <br />i <br />E.L OBFA9E-FA <br />ELEE�E-PGLECY UEnr <br />1 <br />oTxei <br />- p <br />STstan <br />BFERAmHeiis named EvowEaE aoomnrwe per oYw aLt Original tY o �� ana ,s vaned as ieiolEal TRsrr Signed form attaciEnd <br />Subject to 10 days notice of cancellotion for Ror-payMent of prerim. <br />00"ANY Grt MM aVn ift aE GAHCftI 000NE THE <br />louwA•noN sM� *xaEEOF, nE rwnc EMi11RT91 wu.l®BOBOi06 iM0. <br />THE CITY OF SANTA AM 30 DAYOWNT NROn{a: TO TEEWMFOATQ HOLDER NA6EDT0 nn LEFT, <br />Commity Devel0PWeRT AgeRCY <br />Attu: 9raak HarnarAU <br />PO !Ox 191E <br />Santa Ana, CA 92702 'p `Q <br />AfY1OR as E2GD41]1n <br />