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<br />PRODUCrn (94911851-8800 b
<br />GSM Insurance Sarviceo
<br />Lic. 7OD25612
<br />10 Cc•rpo_at* Park #307
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<br />8/21/2009
<br />19) 851 -88']2 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORIVATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Irvinci CA 9263 -. INSJRERS AFFORDING COVERAGE NRIC 4
<br />wsuprr i;f ^rl L :V'311t 11.LS Inn Co
<br />Curbside, Inc. sl ^ R y Great Div -'de 17:3 Co
<br />500 S. Jefferson
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<br />F -aces _ .2 CA 92670
<br />COVERAGES
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<br />.'Lttn: Chr;.rsty Mendip
<br />20 Civ_c Canter Plaza, M -21 �
<br />Santa lula, CA 92702 I{
<br />AWNDRIZEO REPRESENTATIVE _ r
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<br />INS025 fm q)l-, The ACORD name and 'ago are registered marks of ACCORD
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<br />Ity xzLtton contract. "Except 1C days for ncnpaymenz. of pracicn
<br />CERTIFICATE HOLDER CANCELLATION
<br />may! � SHOULD ArJf' 7f Yn?k ADDLE OCEC7_6L_ PGLICk�6 dL CANC$LLBD tleFGR[T!i� E%P;RATij)f.
<br />U> y Of Sbr,*;a Ara DATE Tki :REZF,T-fc 3p_ _ ?aYs wwrrFN
<br />DapartmQnt of Pub1 :1C W;>rka NO "Ctl 101 fCfR1p.'CAT'E IIOLLE14NAMk0 TC'E!!1 LEI T,PW - ___ A is Ww�
<br />.'Lttn: Chr;.rsty Mendip
<br />20 Civ_c Canter Plaza, M -21 �
<br />Santa lula, CA 92702 I{
<br />AWNDRIZEO REPRESENTATIVE _ r
<br />ACORD 25 (2009101> Q 1908.2002 ACORD CORPORATION All rights resorvud.
<br />INS025 fm q)l-, The ACORD name and 'ago are registered marks of ACCORD
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