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<br />FRoM ?REBUILDING TOGETHER <br /> <br />FAX NO. :667 8174 ~Dec. 23 2002 09:49AM P2 <br />:--ACORD- -",~''''''..''t~'<~~'~' ".""'"-,...~.~.- .. ',~,_....,...-,.. -. "U~~" .... -. .,.. .... -,.....~. . <br />"'~I; U~ fiiJlJ.' ll.I~ N.$ ".. - ',' "...,....... ~ ' <br />. . !'\" R"'" . L ' . ~I 'BI ". ..11 :. ':':';J'}l,hJ".""~'. '::'<:~-"'''' :JT:(Mt.VClDIY'tJ;1 <br />( . ,~.I:. ..j II .. ,. J.. ..., , . J:'1l;. '" ", -, , <br />~..,.. ..,...._.._.. _ ....... . ..ol:,~~ _._.," ,.. ...I- I..{ .. .' ~ """ . ._ . ........... 1~...,Jj ':1"Of\Iil'_ ;:)4t03102 ~ <br />PIiQCU1211 THIS Clllmfi1CATe III ISGUEa AS A /AATlaR elF INFORM..T10N <br />ADn Aio!< services ,l~. Of Washlr.g\on, D,CJ Homi ON~Y ANe CON~r:l'la..O RlQHT~ UPON niE CERTlFICATlt <br />1'~2Ott\Str...tNW HOl.llfiR. THU; CERTIFIcATE DOES NOT AMEND. EXTEND OF! <br />W..hl"~ DC 2003. .oI.TER'rW1i COVli!'lAGE /U' I'm "t TN PO ICII!a BELOW. <br />OMPANIES ..FFOROING CCl'lEMGE <br /> <br />'-" <br /> <br />PHONE .(1.l551l5'l-41;7 <br />INSURED <br />"Rebuilding Togetherwitil <br />"Oh.'i.s.'ma& in Aprfj..and ft'g Afftl!.Mt.& <br />1SO<01!llll St:...1 NVI <br />W;;.shifigt~n. DC 20016 USA <br /> <br />FAX. (llo$j 407.7M7 <br /> <br /><X)Np""y <br />P. <br /> <br />Columbia CasuallY <br /> <br />eo,..~A..~ <br />Ii <br /> <br />CC"'~-'N\" <br />C <br /> <br />eO\olPAAOY <br />o <br /> <br />"_.eo~." :t~~~~~,.,....? "-~.~ - ~'*~~:~..~~ <br /> <br />'IM"S ~O cEl'lTL"YTMATT~5 FOUCliS' oF INSIJIlA.'JCE ~lST~ saOl', ~VE !lI;EN 1S3UeO TO THE INSUI1ED i-IAil.o fi.'i5itE FoR T~. !'Ol!CY Pii!'lOO <br />INDiCA'TEo,.NOr.'/IThSTANDlNG AAY RE;~Ill..\4e..T, TE;l'N OR cc~'tm'al OF pm CON~IlACT CR 01HEi'\ =....~NT V.1TH _Fecr TO WHl~~ ,;;;$ <br />CEI'liFlCAr. MM 5. lW.IED OR MAY FER'A~. 'IiiE IN......ANCE fJ'f'CROEO BY Tn;! 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"'[' C>,.-."'';?".,.-.......... ......-..:to:: ....... ....., ~.~....,....o "~"',~I I <br />,_ _, .... ... - I <br />ALli,.CRlZSD K;PrtESENT,A'fl"t'i ---::-~ ~ --<II <br />~~ ~..~-- <br />A~RD2s-S(;m~~\t~;~:~-;.=}~~:'rZ-~l.i!..r'j;~tI~k?~'J!1?~~~~;::-:~~~C:~:#~'=';~~.~;:~:h-'f.i~'~:'i\~I~?~'::i':7t.:)' ~;:;..t;.n6!AconDC6~AAtid.t."1~ <br />C2ft!fica~~ !'lo; 570002407475 Hc.:rJO" Iden~11,u: <br /> <br />'wORKa:\S -::or~"'SAj1CS Al'lD <br />e.!PLOYF.~;r 1.IAeI:JrV <br />'l"HliP~~\t!7Or..r R""" <br />P^,~'~};;S::;I.i'TWE <br />or::;IC~.s ,!l.>:l:ti EXO. <br /> <br />APPROVED S TO FO M <br /> <br />~,o./atA <br />Ilimd...Sh'eedy 7 <br />") <br /> <br />r,J",Ddr:.",S!:-I'JOUC!fl.IMI" <br /> <br />Q,O~~-G4~'~ <br /> <br />R~SUIL.D,NG TOGEn4ECi ORANGE COUNTY <br />ATIN; Ll.!KEM"'N C'-Al'I.K <br />P.O. BOX 510SS <br />:FWI!IlG CA S261~.10Sa USA <br />