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<br />Jun 03 UH U~:l~p
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<br />! ACORD.
<br />/t"(I)DWt:fi1 (626)584 3Q40 FAX: (626)795-4881
<br />!Hayward Tilton & Rolapp lnaurance A~5oeiate5,
<br />I LJ..censc *0614365
<br />12'100 Ii:. &"'oothj.ll.
<br />I Pa.aadena.
<br />Iti&lJfIED
<br />I TSJ Electrical & C~ioat.ions Inc.
<br />DBA: Masters ElectriQ
<br />74 gO JW.-UPoilo A'VlIi.
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<br />CERTIFICATE OF LIABILITY INSURANCE I ~Tt~'M')
<br />THIS CERTIFICATE IS ISSU!D AS A WITTER QF fflFOR"""l\QN
<br />ONLY AND CONFERS 110 _H'TS UPON lHE CERl1FICATE
<br />HOLDe,.. THIS CEfn1f1'tCA. T" nolS. NO,. ~D. EX'tE:~D OR
<br />ALTER ~~ COVERAOaAfllF.ORDED s.... ~p.oLlCfES BI!:Ldw.
<br />
<br />Blvd. STE :302
<br />CA 911Q7-7100
<br />
<br />CA
<br />
<br />92504
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<br />IHSURERSAF FORDlII(!c() E
<br />INSURERA Intersta"te Fibe ,
<br />'NSURERS. N...ti.cnal un.ion. Fi.rt:2 lruI..
<br />1HSl.JAERC. ~incoln Ge:ner....l Ins. Co.
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<br />THt: PO_IClES a:1 HSURANCE LISTED aElOl\l HA.VE :teEN ISSUED TO THE l"fSURED NI\hEO IoOOJE FORTt-E. FQJCv PERk:XJ INtlOHEQ N01WTHS~'ANoIHGNN
<br />REQl...ItRE.t.'Em. TERMOR o:::f'<<)ITJ:lN OFPNf COfTRACf OR or~R [)::)COMENl MH RESPECT TO'M-/ICI-l THtS CERTrFtCATE IMY BE iSSUED ~ 'tAYPERTAlN.
<br />r THE. INSURANCE AFFaIDEO BY THE POUCfES DESffilBEO ~~~~ICI$ SlEJE.CT TO ALL THE TERMS, e.xctUSIOHS AND CCM:lrT1ONS f::lP SlX-/. POJCLES
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<br />l~ 1YnOf"lNlUftANCE I"OLICYttutwIN!lt ~'r T~l~~ U.'"
<br />~ ~EHER.IIt.LIAIIJWY I ~ s 1,000,00
<br />I iXk'JIIIMERCIAt.OENER'o':LUA8urr "~~""l S 50,00
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<br />vue """ ION OfCl"l!AAlIONY..OCAJ'tot6NEHICl ESlt:IClUSIONSAtlOfDI YDlOO.lllHMEIIJI$PfCl,t,Ll"ROVtJ/ONS
<br />Cert::':i ~Olte Holder iz n~lP'led. ll.~ lloddi.t..1cnal ~n:n.r~ ._ ~e~ct~ .services provided by the n,;amed insured pel: ,;att,;acll""d fOJ::1Il
<br />CG ~u .u ]1 ~~ Gene~~l L1~~l~ty only C,;ancell,;atlon-10 d,;ay~ not~ce tor non-p~y~t of p~u~.
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<br />The Depot of San tLl. Ana
<br />lOCO E., S..-.nt.::l. hn,:;. Bl~....d., 'c.~,
<br />Sui te 1013
<br />Sar.ta Ana, CA 92701
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<br />,/ . /, CANCELLATION
<br />L.L 7 f--!.:l-l_OUlO ANY ('8 nilE" ABOVe DEte1tl8e:t.l "OLlell~S at! C~C&"tU;D .HOttlE '>II!
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<br />GI ACORDCORPORATl QN1 ~66
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