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EVANSTONINSURANCECOMPANY <br />C-,,-111VICATE NO.: - <br />CERTIFICATE OF INSURANCE <br />E:CCLUDfiSCOVERAGE FOR NOI���EVENT�� y���MRATE ATIONSFOR NOMINEEEVENM <br />,"IODUCER. _ <br />f <br />PUJi11C BNId1 Y(Auvilav <br />City Of Salta Ana <br />J)nv Allind LUMOM Savica iu coujtmetion with <br />Ar,x isauanomServices <br />20 Civk Cemw Placa, M-28 <br />Seager Ana, CA 92701 <br />F. O. Bat 28323 <br />Ass. CA 927994323 <br />"n 14FA1ED IN`3Ulcbu lJsvw. a nva.ai.>.y. TYPE" <br />FttiiR ilhee8la /j/_o2OW-/8,2-03 DATE(S): Jaaaarvl-n«w+ i1 -mob <br />3436 STamm Lane LOCATION: <br />EE c, -7 AnR CA 927M <br />Ttia is to aatify that the policies of immaaoe listed below have been issued to the imumd mord abovc fm the policy period <br />iJrMeated. Norxithshnding any [eAuicemm4. faun a conditions of any coubwA or other docwoent with respect to which this <br />camfiew my be issued or MY pertain, the imllraate afftlyded by the pohcia de cubed hemi. is subject to all the terms, <br />exebmas and con&bom of such Wfim& L6uits shown may lova been reduced by paid chl= <br />BvSURAr4M CARRIER: Evanstm Insurance Company <br />31IAS7ER POLICY NUMBER: 04SEP100000I <br />MASTER POUCYDATES' EFFECTIVE: JANUARY 1, 2006 EXPIRATION: JANUARY 1, 2007 <br />COMWERCIALGENERAL 14ABlUTY OCCURRENCEPORM DEDUCTW E: NONE <br />3_�d A{�eprelmit S3AOO,OW <br />OpetaUats 1AO%w <br />-iCAA,:+et+nabOmY 1.000.000 <br />Each utmk gaapbc) 50.000 <br />Maxdfkr� (AAYOMPenon) 5.000 <br />��!! rvn ,e is attended m imld0. a m lamed, the Pin" maadaUon ahtwa MMia sebdWe, but only -i6 rmpretmliab[UtY tt <br />tl ornmldp, msittamatte m ua oftm pmisa used by On ntued im.d(-�t bolder). TM, ie� does na wNr a: am"��^+K'"vnicn mtes pJ.oe <br />1P a1r nu meat holder oaw m Ix a leant ie dun 'sn._ . _ ..vormrrta¢ <br />CaNMJATMD ShmMerz ahornda bdpakymramalld berme,M apindnn dam ewm4 am imine conpmy wall mi 30 days w,Stkn notice m the <br />lf!� ie <br />AJTBORIZED REPRESENTATIVE: <br />o 13SL'ED: <br />