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<br />.bettl in~ <br /> <br />7146473345 <br />714 957.....f99 <br /> <br />p.2 <br /> <br />Nov 30 01 10:41a <br />!'lev 29 01 04:24p <br /> <br />Public Works <br />~"C'-'C co~st <br /> <br />p.2 <br /> <br />ACORD. <br /> <br />CERTIFIC <br /> <br />ATE OF LIABILITY INSURANCI;Acrl~1"t) I "~';;;';,~'1 <br /> <br />TNilfCuo">lIlATE 19 IS9U!D AS A MATT!R OFINFOftMA'!lOll <br />ONl. v AND C_ NO IUGNlS UI'ON THE CERTIFICATE <br />HULlJf.'A. THIS ceRTIFICATE. DOES NOT AMl!Nfl, EXUMO OR <br />~:A 't'HE. COVEJlAGE AFFOFIDEO BY HtE POlICIES BElOW,.._ <br /> <br />INSUIlERS ~FORDlNG coveRAGE <br /> <br />""""..... <br /> <br />TH.JI.I)I)'GUS w. SMITH .. usoe_ <br />201~1 5.". S:IRC'R S'l', S'tJrTE .~50 <br />NZWPOR~ BEACH CA ,Zi,g ~12l <br />.bono",'-6~2-20gs F.x",,-,'6-016. <br /> <br />~""'D <br /> <br />'J'IIA1I1:~l:llS PROPIlM'Y .. CASU"","" <br /> <br />P.ei fiC' Coast J:tott.l::. <br />_h"hll..l Cw.n.iZl.!1 <br />, ,ut 'Parkr.ourt. p1;Ulf <br />Banta Ana. C" 9:2701 <br /> <br />nliJ Co'rP <br />, '200 <br /> <br />1'I91Jf1t. A <br />INIliIo'fEFS. <br />lPiil.l"EFC <br />r;:-~ 0- <br />~, <br /> <br />- <br /> <br />COVliRA~iS <br /> <br />THE; PQlIClE.S Q11~ Jtl~. '-ISTiC IlalJ'l\lI""''lli' ,aN GIlil60 to T~ 1""$UP'leo~y!O aloycro" lHf: "a.-'CY PIi!Hl0lJ 1~'OIC"f'!;'\}. ~1J'EWll>-Ili IA"OING <br />MY AlOlJ\II.fNeNT, 11!~""Ol'COI'CIrrl(lClll)I""""Y':;(Nn'lAtro...l)1'iot!.'" OOC\JlrIIilil,.WI1''' .1I;SII;CI T;)W...'a4 'lG6,~lJ!lC.nl! IM.V e~ I!.W&lO'" <br />t,lAVpt;.J\t"'f'II.1hf.l~31J1'l~ .tJ:FQAQin~T"'.Lrl.lUOIl:.SotSC"lefDHE,,(I"1S IULilCTl:OAL~ Tltl TitlU'.UCLUIlI~II&""C COl\'CJl'Il"lNSOPSlJe14 <br />POlICIES AGClUCA11L LIMlTS !loICw/lI MU "'''VI! lIE :N "R1UCIiO QV P~UCLA'tll$ <br />Ltlil fYPfDfltdUftJINC(. ... -4== lIULlUNurd6I <br />QArI!;RAlu....rv I <br />A fxl~oMW~I,,".""E"EA"'~IJ.9tLlT"'181'l.):9.I!i""017"Tlt.-Ol <br /> <br />~".~'~ ~-~~ <br /> <br />'tJ[/IIl. fIIQCI'le.QATl!: lMl'l' HlflLI!S PE!'l: <br />'-l POLICY i ~li't9r LOC <br />fj..UTOM\lIllL~ UlUlM.llr <br />\. ...",...",'1"0 <br />.l:\\.\.OW.'IEO,lUrOli <br />~5CtoteO\.l."O'lUrt'5 <br />D~'IAmAIJTc.:; <br />L~ NON.QWNWAUmS <br /> <br />I ro~"H <br />D IMIWC If <br /> <br />10J2!-,JOl <br /> <br />0.. <br /> <br /> <br />L,Mlre <br /> <br /> <br />i <br />-I <br /> <br />iACMOCCURFIf:~ I.~,OOO~OOO <br />10/25/0.2: !j!lIl"I!UAM&OE{fIIl'J_~nll {.50,O~O <br />lw=nl"llPl/w;O.'O.~;1I'I1 ! 5, DOO <br />!1l'!II\'OfII.~a"'OV!'C,jl.lflv 'l,OOOrOOO <br />~ <br />IOt:"NE""'-.A(JQfIl"GArr a. .2 ~ 000.000 <br />-.aD\Jl:l$'~lOjlM;G 'S:i!,.OOO ODD <br /> <br />I co..... '''''~<llEU.'' [' <br />~~~~~a~~ .. <br />'I!ICOlc'fli'iJUIl" , <br />tP.plll\ll"1 1 <br /> <br />~~~~~~'r , ~ <br /> <br /> <br />t- <br /> <br />i <br />~- <br /> <br />: "-ilPHtTY ()A""AG.€ <br />(Pt.,c:t"'I"1l <br /> <br />i <br />:" <br /> <br />ace,," <br /> <br /> <br />...lJTOOI\IL.... Ul....CC,oa.'T s <br /> <br />OTMeRTIoINt Ell"eC l:i: <br />I Au'TODI'lLY' ~o ~ I <br /> <br />''''C"wO'C\ll'I\ENCF ; t <br /> <br />~~JE- <br /> <br />. <br /> <br />:)I;nl)(:':"MIiLl; <br />!JfI!."II!"l"IO"< I <br />I wo""'os OOMf'r I'l!IJIITION ,I\ND <br /> <br />1,:~:""'L'"L''' ---L- Laura Sheedy <br /> <br />L Deputy City Alte ney <br /> <br /> <br /> <br />05$~C~ OrQllfllhflUN!IILOCATlor.:iI\'EMO.I!ii-ltC\.\Ii1Qt.lS#IOUta BY fMUOilliUllflt~~I'OM <br />C.I'~ific,ate Ilg14.~' 11: ine:11Jtle4 .... additional lB.Cu.red a. re!l:plll(!t:t the <br /> <br />in:!ll.u:;ed's p:rodu-ct.. ttlott:l.,l w4.te~). 10 ~Y' nOIC.1ee 01. aana.l1at.i.on <br /> <br />non paymsnt of prumi WIt. <br /> <br />i_l~"W <br />~"(;C:'Of"\:r $ <br />I EL C/I5eA5( E.A ElAflI.O'l'li' 1 <br /> <br />" <br /> <br />, fL.gr!';!:AS' POi.lCYl!MlT.L~ <br /> <br />if tor <br /> <br />~r: AU' <br />l1':ha&ku. <br /> <br /> <br /> <br />CBftTlFfC"'T~ 110l,,-;)EIII <br /> <br />I y ! ""Ul"ONA:.;"SU".D.~...-a'" ~li.nu., <br /> <br />CT'l'Y 0Ji" <br /> <br />CDlClu..aT1ON <br />8tI0Ul.IlIM otr TMi' AII0'wt Dliilic:ftlltCg f1"LIi;18 at c.u.rluUl.aeJtORfl'lf UPlftATIOfl <br />QAn:l.'I!!Iti1...ltolll$.$UlN$INWIl(AWlI.I. ......" ..a.. O"'rIW~ <br />NOTiC!! rnnUiGPIr1lllCA1.E!I'tOLMII NIl.MUJ TO l"t' LE'fT. <br /> <br />City gt Santa Ana <br />At.tn: TmP COllgbr...r: <br />W.to,," llaulllft'lZ' <br />220".l SO'\Ith z:l8.;\BY Aven\le <br />$8)1,,",& Ana ~ 9'-7U <br /> <br /> <br />>COIlO 2S-S (71)7J <br /> <br />r,r,ACORD COAPOflATIQN 1_ <br /> <br />~"n''''''''''''''''''' .".,..." ."-""Lll_'III'l~J <br /> <br />I/,jJ."'" 11\1\1~.,._~m.. <br />