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II ,~ i 'i - __ C i~r F~:+ I ~ -'~ IJ F4~ ? C.I P II I_L~~~II, <br />f-I_'1=-_I_-i'.IQ i .T'` 'r I. , . ~ ~,F- II"I='J~ '_>-i~_- gP'ICb _~ ~ -- <br />~- < <br />OATEIMtMIUr)lYYYY; i <br />I~C~R>a CERTIFICATE C?F ~.~A~ILITY INSUkfA~IVC~ <br />_n, 8!3012 0"l <br />PaoDUCEa TFfIS CER7'IFIGATE IS ISSUfrn as A RIIATTEI~ OF 1NFORMA710N ff <br />ONLY AND CONFERS NO RIGHTS UPON THE GERTIFICATE 1 <br />RFP INSURANCE AGENCY THIS CERTIFICATE DOES Nc?T AMSNd, EXTEND OR <br />HC~LDER <br />56A1 W6ST 3LAtJ30N AVE., 5U3TE 250 . <br />~/ <br />~~ AL7E14 THE COVERAGE AFFORDED BY Tl~E PQLICIE3 BELOW. <br />~ 2(~ <br />-'~~ <br />C13LVER CITY, CA 9U23~ / <br />r <br />1 <br />Phnn6 (310) 642.1933 Fi'tx (310) dd5-315tl I <br />I <br />~ IN5URERS AFFORDING GOVERAG)= _ NA)C k <br />."-'°_. <br />~ <br />IN9yRC-D <br />I <br />' ~ BUR! INGTON INSURANCE t~©MF?ANY <br />INsrr+ERA - <br />1t7N CORPO <br />L`IViC COL.LECT <br />` <br />~- <br />F2ES pi21VEr <br />E RATION . <br />INSURER B <br />~ <br />- <br />l __ <br />--- <br />R, <br />1565 ELD <br />ATTN: DC~UGI_4S SHAW _ _ .~._.-.__._~- - <br />~ <br />{ INSVHeA c t <br />C~iAMC3ND BAI{, CA 91785 INSURER 0. ~ _.__ <br />._.~ ~_ <br />I - _., ~~ <br />IN5UFtEP E I <br />COVERAGES <br />TWE POLIOIES OP INSURANCE L,I$TED BELOW HAVE SEEN ISSUED TQ THE INSURED NAMEil A6OVC FOR THE rOLICY PERIOD INOIGATtR. nv+~vl I n3lnrvu~nu <br />NY CONTRACT OR OTWER 06CUMENT YVlTH RESPECT TU WMICM TMIS C~RTR=ICATE MAY B!: ISSUED OR <br />OF <br />IT <br />C <br />U <br />I <br />A <br />OPIU <br />N <br />ANY REQUIREMENT, 'ERI'~l (~R <br />b?AY PER7P,IN. THa' !NSURAN~.E A~FORpE[S BY TWE PbliC1ES GESCRISED WEREIN 15 SUBJECT ?TJ tiLL TriE TEid <br />POLICIES AyGF~E3AZ'~ L!1N1T5 SI'iCJWN MAY' MAVE SEEN RE6UCEi7 BY PAID C!.A!M5, MS. EXCLUSIONS AND OONpITIONS dK ~Urti <br />~ .- <br />_ <br />' ~7'~PgI <br />IC~Y EFP~x~GTiYP ' POUCY EXPiFtATiON <br />.... <br />- <br />-' UTArTB <br />, <br />iM$H AL7C <br />PQUCYNUMdf.R ! ~ <br />~ ,_...----- <br />~ <br />7VPEOFINS"I a~u <br />~ <br />r <br />~ <br />. <br />I EACH GCCUNPF'r;Cc S 1.000,000_-___- <br />I gENERAL LIABIL~Tf <br />1 ! LSx~T,~T6RL-'RTE6'-""- <br />QOQ <br />s iQO <br />' <br />, 7(! CCMMERCIALOENEAaLIJASIL~TY i 1SOE006420 6/912007 61'JF2000 ~ <br />' __. <br />, <br />,P'REMiB~$jEacccurencdt~, <br />1 ~ ~ CLAMS ntADE ~I OL4UR ~ ~ <br />~ rdCG CxP fAry nna PaZan) S 5,000 _ - <br />A <br />I <br />a PERSONAL 8 AON RNJURY ,I 5 1,000,000_ <br />f <br />J I ALAGGREOATE ! 3 i~OQO,OOO.~-y,_ <br />GENER <br />' _ <br />i a WNG.LUOED .~~ <br />PRODUCTS • COMRroP Ac~o <br />il <br />GCN <br />L AGGRC(G~ATE LiMrTAPPLI£9 Pf;R; <br />PI]L~~C'? I A PA^~ i~ lQC ~, I <br />-- _ <br />...' 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PR^J'VIS OIJS z~tav <br />. <br />y <br />_ _ _ <br />~ <br />. eaiJ ~..i. ~. .. .. <br />UTHER <br />{ <br />I _ _ <br />OE5CRIPTiON OF OPERATIONS! t,.pCATTtlNR i VE.NICLES f EXCLLiSIONS ADDED qY ENOCRSENEHT /SPECIAL PRLV{SIGNS <br />..-...-'_ <br /> <br />I <br />,'+Cd'TI CIPATC VI~i e1CEC 11 Nfie*innai Inclrr'r~A C:aNCFLt11TION <br />~' <br />„yrV"Y~~^ 9M4^ULO ANY OF THE ABOVE OESCRI@ED pQIJClt:B BE CANCELLED BEF00.8 THH EXAIRA.TICN <br />~ <br />r..lTl" OF SANTA ANA <br />3C4 <br />WRITTEIJ <br />pTTN• SGT. 9VlARTY SHIREY DAYS <br />UArE THkftEOE, THE rfiSVING INSURER YAi_l ENDEAVOR 70 MAIL <br />60 CIVIC CENTER Pt,.A7„A, RM 97 ubTICc ?O 7HE CEriTIPICATE NOLCER kAN1ED Tc iME LEFT, FIU7 rAILURE TO o0 SO SI,ALL <br />P.O. BOR 1981 IM'PASE 40 QBLIGATIOH Oft LIA@ILIT1' pP ANY KIND UPON YHc itJ5UR8R, fT8 AC:ENTS DR <br />S.hNTA ANA, CA 92702- _~ <br />r~EPRESENraslvfs- <br />~.~ <br />I _ <br />AUTNgR12ED 0.EYRESE1uTATIVE ~ <br />~. <br />AeoRO z5 (zoalrae) CIVIC Gert# 1 IiQIQe1711 Qa~RCVKU riVttT"~AIVrv ~avp <br />