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<br />ACORD,. CERTIFICATE OF LIABILITY INSU <br /> <br />PROOIK:llft <br />LUCCHESE INSURANCE AGENCY. INC. <br />9795 CABRINI DRIVE. SUITE 206 <br />BURBANK. CA 91504 <br /> <br />THIS CERTIF <br />ONLY AND C <br />HOLDER. TH <br />Al Tl!R THE C <br /> <br /> <br />0... n: (MMIOOM') <br />05/04/200 <br />TE IS ISSUED AS A MATTER OF INFORMATION <br />FERS NO RIGHTS UPON THE CERTifiCATE <br />CERTIFICATE DOES NOT AMEND, EXTEND OR <br />VERAGE AFFORDED BY THE POI.ICIES BELOW, <br /> <br />,"~o" <br /> <br />GBDGraphics, Inc <br />dba: Gold Graphics Manufacturing Company, Inc. <br />12450 MO'lague St. <br />Pacoima. CA 91331 <br /> <br />SURERS AFFOROrNG COVERAGE <br /> <br />COVERAGES I <br /> <br />THE POLICIES OF INSURANCE 'ISTSDOOl."'" HAVE BEEN lSSUEOTO THE INSUREO NA".OABOVE ~OR THE POLICY PERIOD INOICATEO. NOTWITHSTANDING <br />ANY REOUIRE"ENT. TER" OR CONDITION OF ^" CONTRACT OR OTHER DOcU"ENT WITH RI~PEor TO WHICH THIS CERTIFICATE MAY BE 'SSUED OR <br />MAY PERTAIN. THE INSURANCF AFFOROEO DTTHE "DUc/ES OESCRIDEO HFRFlN 'S SUllJECTTO fll THE TERMS. ""CLUSIONS ANO CONDITIONS OF SUCH <br />,,!,<'CI~OREG'Tf'IM,n;SHOWNMAYH"EBSENREOUCEOBYPAlDelAlMS .ii MltA"",,,, , _ <br /> <br />'ll< T'lPfOl'llISlIIWICC .OUC...""..... ATE. DA ....,.. <br /> <br />A......."..""'" 57UUN UL 6500 07/0112005 107 1/2006 "ACHOCC","""c, I. 1.000,000 <br /> <br />X co_"""""".."",-,...,u", ! ""DA"'G":;",_.~) 300.000 <br /> <br />'l Cl-'''''''''''0 OCCUR "",OEXP,...,."""",,,,,, '10.000 <br /> <br />' ~RSO_'AOV"""",,, 1.0000Qil. <br /> <br />--I """""'AOG.'GATE . 2 <br /> <br />GENUGO""TE lM' APPUES."" ~"",,"CTS. C...."P AGO . .000000 <br /> <br />I P!;ty flLOC <br /> <br />A ~lIrOMOBllf: llABlUTY <br /> <br />~j "'N'r'AUTO <br /> <br />C I ^lJ..O~OAUTOS <br /> <br />j I 9CHEOULEQ ^Ums <br /> <br />)( tlllil'EOAUTOS <br /> <br />X I'IIOfll..oWNlmAUTos <br /> <br />I. ...._ <br />11i.rlfDrl! C_:!1lI IUSlJranoe ComDany <br />~tate ~mDAn <ltjon,IMYrancs FuO;rl <br />! <br />1'~l1~EJ~O._ I <br />PNSU~RE <br /> <br />tNSURfA: A' <br />lNStJReR.~: <br />INGU~~ c: <br /> <br />0710112005 <br /> <br />107/(11120OG <br />I <br />, <br /> <br />I <br />I co.....~os""''''"..rr+' s 1000000 <br />1(.UOl;O;j',,~~ ._ " <br />I 800J1. Y INJURY I $ <br />iP"'"'.o" 1=- <br />I . <br />COOllY lNJUR\' <br />I~P~:tcOdtlllll _ _~ $ <br /> <br />i ~~~IfN'"GIi , S <br /> <br /> <br />-'-- <br /> <br />"'N'I'AI.,ITO <br /> <br />EXCE:1r8 lIABIlITY ! <br /> <br />f-J OCCUR 0 CWNs "'.. I <br /> <br /> <br />II CfDVCTI(tt,f <br /> <br />RETiNnON :Ii <br /> <br />~COflMlNSAnoH~NO <br />BtPLOV!f\t$' LtAOIUlY <br /> <br />. A.~!O ONt Y - EA A.CCtOENT, . j ,$ <br />OrHEIl: THAN ~CC.l <br />AUTOONlv -'00 S <br /> <br />onl.l:rt <br /> <br />I <br /> <br />, <br />, <br />I <br />I <br />J <br /> <br />I <br />, <br />! <br />! i <br />/'/ ) <br />I -c <br />, <br /> <br />~"CH OCCURRI!NCe <br /> <br />FGG~GA" <br /> <br />I <br />~ I wt..:::;M,TU-, <br />TO"YllMITS <br />f'l~CHACCIOENT <br /> <br />/: <br />. <br />.,,--. <br />" <br />, <br /> <br />J <br />i~" <br />/~4 \--".::> <br />'j/ <br /> <br />o ' <br />, F:"a, <br />I, <br /> <br />E.l DISEASE. r;Il.EMPtOYE :5 <br />e.!.. DISf:ASE. POlicY llt.1IT $ <br /> <br />j <br />, <br />Df5mIPTlON OF 0#'ERA,1lONSIt.ocA....~ftCLf.!llEXcWSlON$ Aoot.O BY EtoIDMSSWNTISII"IlCw. PROVISl0H8 <br />It Is undersloce and agreed that certificate holder is named as AddltiOnallnsu'ed 'With respect to liability arising out of the <br />Operations Of the named Insured. Endorsement attached. I <br />I <br />i <br />, <br />I <br /> <br />. 10 day notice of cancellation for non,payment Of premium <br /> <br />ClI!ftnFtCATE HOlDfl:R <br /> <br />AODmotw.. No/;VIQ;O: INSlJRl:R U;m't <br /> <br />CANC~LlA.rION I <br /> <br />The Depot at Santa Ana <br />1000 East Santa Ana Blvd. Suite 108 <br />Santa Ana, CA 92701 <br />Fax (714) 565-2693 <br /> <br />SHQUlDANY Of THE A~ D(se~IBED POUcu::sa, C"~Cl'lLfOlt.r:~oRE ~1"l!,'("'R.\TfON <br />OA1E17HeRl:0f. TltI; 'rUING INSUftUWlLl MAlL .30 _ OAY5 'Mtl~N <br />""nee TO "" C"""lOATE HOlD.. ""'0 m THE lEn, _ ". _ = =:~ '.... <br />~~ ~!lL~.'/, Ir ,.. - _ -....$h <br /> <br />AlIrHOJu~c "a>Rr3fNtA1M <br />~L . <br />I <br />, <br /> <br />"'" <br />olhhr <br />Ii ACORD COIlPOllA TlON 1911 <br />.:. C" (\ T "" ~ _. _ <br />dSv'vO SO vO <br /> <br />F;,,1oJ <br /> <br />ACORD 2S.S (7117) <br />GOOl 100'<3: nzu <br /> <br />2'd <br /> <br />1:l"1 LL <br />