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12/10/2007 14:06 7145443566 <br />TUSTIN REDHILL INSUR <br />ACORD CERTIFICATE OF LIA>~ILITY INSURANCE <br />..,~,..ae le Ic¢I <br />ROOUCER <br />Tustin Redhifl Insurance ~ -~~"1 ~'~ 1 ~ 1 <br />e0 Box 540 <br />Luis E Rivera, MD, Inc. <br />2222 S. Main Street <br />Santa Ana, Ca 92707 <br />Fax: 714 751-9050 <br />217 QEC <br />c~TY r~ .~ ~~~,~ <br />C~ERa iJ° C(i <br />AFFORDING <br />J Y GMV~v <br />THE PDLICIES OF INSURANCE LISTED BELOW NAVE BEEN <br />ANY REDUIREMENT, TERM OR CONDITION OF ANV CON <br />MAV PERTAIN. THE INSURANCE AFFORDED ~ BEENREDI <br />__.._.__... r,~..nTCiin~,rA FHOWN MAY FIA <br />A X i,!~ ,i COMMERCIAL OEN6Rn~C LIA81lITY `SBP2D461 s2 <br />i CLAIMS MADE L-OCCUR' <br />I <br />GEN'L AGGREDATE LIMIT APRCIE6 P6R: <br />PRO- LOC <br />PDLIDY <br />AuTpmOBE.ELwBILrrv SBP2048162 <br />A ~ x ~ ANr Auro <br />' I nu. DWNEO AUTOS <br />SCrfiouLEO AUTOS <br />% HIRED AUTO$ <br />% NON-OWNED nUTO$ <br />AGE LIABRJTY <br />ANY AUTD <br />OCCUR ~ GCAIM$ MADE <br />gEDUCTISLfi <br />Ill. RETENTION f <br />WORKER$ COMPEN$A710N AND <br />6MPLOYER$' LIABILITY <br />OFFICEP MRE OEfl+E%CL'JDEDT ECUTIME <br />711912D07 7/1912008 <br />0711912007 107/1912008 <br />COMa1NED 61NGLE LIMIT g7,DDD,DDD <br />aoDlLr INJURY E <br />IPPr peren) <br />(PeOaWdM1)RY y <br />PROPERTY DAMAGE ~f <br />OTHER THAN <br />AUfO ONLY: <br />g6sCRIPnON DP OPERATIONS r LOCATONS r V6HR)lE8 ! ExcLUSIDRB ADDED er ENggREEAENT r SPELMPL PROVIaIURa <br />Interest will receive aten-day cancellation notica in the event of Non-Payment of premium <br />The City Of Santa Ana <br />20 Civic Cenier Plaza <br />Santa Ana, CA 92701 <br />PAGE 02/03 <br />gATE(MMIDWYYYrI <br />1 211 012 0 0 7 <br />OF INFORMATION <br />TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />SGRIBRDEHER~E NU bESUBJECT TOSA BOTTLE TERMIS~E%CLUSION6 AND CONDITIONS OF $U~H <br />PAID OLAIMS. <br />ENDUED ANY OF THE ABDV! DW GRIEED ppLICB'R eE cANC6LL80 eeFORE THE 6XPmnnON <br />DATE THEREOF, THE IBBNNG R!$URER VALE ENDEAVOR TO MAIL 30 DAYS WRRTEN <br />NOTICE TO 7HE CERTIFICATE NOL06R NAMED TD TRfi LEFT, BUT PAILVRE TO D080 SHAH <br />IMPOSfi NO OBLIGATION OR LIABILITY OF ANY RING YPON TXE INSURER, 1T9 AGENTS OR <br /> <br />