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06J26/2007 16:43 2413390 PAGE 03/04
<br />06/26/2007 14:08 71u~~5c43566 TIJSTSN P,EDHIL.L LNSJR PAGE 07.!03
<br />ACORD
<br />CLRTIFf~ATE ~~ ~IA~BfL1TY INSURANCE DATEIMMr°D/YfYY,
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<br />PRDn'.ICeR ~ TWI5 CERTIFICATE rS IS$LIS;tl A8 A MATTER OP INRbRMATION
<br />Tustin Redhlll Insurance ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CF.RTIFICAY~ DOER N01 AMENkI, 6XTDND OP
<br />PO g0X 540 ALTER TFtE COVERRAGE APsOROED BY THE PO
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<br />ICIES DELOW.
<br />TL~stln CA 92781 I ~
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<br />INSURERS AFFORDING GOVEP,AGE NAIC {f
<br />rNSVPeD Luis E RivCFa, MD, Inc. ~ wquR=_R A: SEQUOIA INSURANCE
<br />2228 5, Main Street _INRUgen e~ ...
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<br />Santa Ana, Ca 92707 _.._.._._.
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<br />Far.:71aJS1-9050 ~
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<br />INauraERD'. -
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<br />COVERAGES
<br />THE =C'~IGIES CF IV6URANCE LISTEC BELOW NAVE 9BEN ISAUEI7 '0 TtlE IAWURED NAMEC ABOVE- FDR THE RpLR'y REP,IC17 IKpI^.AT6D. NCTWI^IdETANT,'NG
<br />anlY REOUI P,E!AEIJT, TEP.N OR CO>IO~TIOrv OP nNv CbNTRAC OR OTHER DDCVMENT W7;y gESPECT TO WHIG"I THIS CERTI=I :ATE M/,Y ?E ISSUED OR
<br />MAV PER-P'N, 'HE INa1;RANCE AFFGRDEf.' 6V THE PJI--!LIES DEECRIgED N~P.cIAI IS 9UEJECT TO AlL THE TERMS ExCLW^IOMR ^ND GOh'DITIOI~S OF SuC':
<br />70gGIE5. AC PRE6ATE LIMITS SHD'.yry NAY I 10.VE DrcEN REDUCEC 4" PPIO CLAIM1IS.
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<br />Ce$CRIP*ION OP crePhT'OM° 1 LCGATIDN^a rVlEM1E:.AE J EkCLU810n9 RDDE02Y ENIIOR9aHENT 154ECIAL PR01A$YJNS
<br />InteresC will recehrG 0 ten-day cancellation nDClce In the even! of NemPayment bf premiwm
<br />The City Of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92707
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<br />941eu~O ANY DPTME A6W E ^E8CRIPF.R'oLIPEB LIE CANCRLLED9EPDRETHE E%PIF.dnn!I
<br />pARq TNORECE, THE lESU'NG INSURER (MILL ENIDEAVDR TO MAIL 3D ]AYG WRITTEu
<br />NOTICE TC TNP CRR4FICATE M04YcR NAMED ~C 7MI3 LFPT. AUT FAILURE TD CO a0 ^aNA:.L
<br />IMPOSE Ro OBLIGATION OR F.IARILR'Y CM RNY KINE UPCM THE IMEWRk~ I :~ A2ENTa OR
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