|
<br />Jan 08 2008 3:57PM
<br />
<br />COMMUNITV#SENIORSERV
<br />
<br />7148167397
<br />
<br />p.2
<br />
<br />A - ~oO'7-IOS 0 \ ~ It" 04'0 P 3
<br />8 "008 11 4"'AM'<' 'v
<br />~Q~fl~J LqiI~tiF'~4Ie ~f: .~~_~'.~JTY.JNSlJRANC.I;. . '. ' :JoA::~H-'"
<br />Mocucf'ft .... ..... Serllllf 1oot34 ~Vc:::g~"='LJI~S)~~~r-&~~mr~l1i
<br />MAGUiRe INSURANCE AGeNCY NOlDER. nca ~RTll'JCAT! 000 NOt MlENDI_~ND OR
<br />UCJI0317U4 ~LT!R THI! COVlRAG! AfFOlDED IV TN! POL~S BnOW.
<br />27101 POERTA REAL, are 200 COIFANE8 AFJ=ORDCNG COVERAGE
<br />MISS'ON VIEJO, CA. 92782 . CtMNrI PHILADELPHIA INDEMtrTV INSURANCE CO,
<br />It.
<br />
<br />ItSUREJ)
<br />
<br />cawNl'f
<br />..
<br />
<br />COMMUNR'Y SENIOMEAV. IN.
<br />DBA: FEEOIACKFOUt.DATION, INC.
<br />1200 N kNOll.ROAD CIR
<br />AHAHElM, CA ~2t01
<br />
<br />llQAIOlUIv
<br />C
<br />
<br />~AIft'
<br />o
<br />. N,-, :~~ .' :1'.:.'" ._~l!' .p:. ;.1l~~~ .:."B>" I/!;' So .~ l' '.:~' 'er~-.:; <nit,' ,..:l!'!t~ri1!:~~r;i'l'
<br />.,....~~.~,::~!'~.': .~~,~ _~~~!rl!.. '.~~_~~_~'~~~" ~-., ~. ~~ .:~" ~ ftlJ-~-. -lil';.t. 'u~:.......: 'to.A'..tiI;', '.
<br />TH18IS'fO Ctl"FY TKA1Ttl( POUCll!S OP INSUIWICI UST!O Dl!l.OW AA\lI! Da!N I8IlJEO TO TH! INWI) N.WEO NItNE PQa TH& POLIC't PEfOOO
<br />INDICATED. ftOlWlrMTANo..G AH't REClUIREMarr. TERMOR CONoUIOtl OF AI'IYCOJlTMCr Oil OTI1EIl DOClJ.4eHT Wtflf I'IE.~ TO WH&CII1H1S
<br />CERTll'ICAiE MAY IE lMUED OR y,.Y PliRTMf, THE NIIJIWICE; AFfORDEO 8 Y THE f'OUClU 0E8CR&D HEIIBH IS SUBJECT' TO All THE rEM&.
<br />en051dNBM'O GONOttlONS OF 8UCH I'OlICE8. l~ 8HOW11 MAY tfAVE 8IiEH RlOUCED8Y PAb aAlMS..
<br />
<br />co
<br />LI1\
<br />
<br />POUCV IIUII8U
<br />
<br />I'OUfW ....1IV1 I'GUO'Y UI"\lV.1IOli LlMl
<br />1lA"~ ..U!~
<br />7/1121:'J11 7f1fA008 GlNSM.JlGI:lIII&ATI .
<br /> I'IIClDUC:T& . COlilI'fOIo lllSilI t
<br /> /'lIiiM1ONi\l. &NN"'~ .
<br /> 1lIIiCIlI~1'lI!1lCI: .
<br /> rll'E 0fllWae MllI1I "" *
<br /> 1llID... CIln!' _....., t
<br />111~ 7/112008 ~ClNQU.\JJlI1T t
<br /> r.r t
<br /> ~ .
<br /> PlIOPCIQY lli\MlG2 .
<br /> NTO CIlll.Y - !Ao\CCIlI!Ifl' .
<br /> OllER 1Kl\JII.wJO MY:
<br /> iAClfACCClNT .
<br /> "..~~ .
<br />7/112W1 711J2OO1 J;JJ;U~ .
<br /> --,. t
<br /> .
<br /> ~I r=-
<br /> B.~1JIItT ..
<br /> 9.'*'Al!E.,.OUCVI,.J",T ,
<br /> II.llIKA.. SA SMIII.OW'a .
<br />
<br />......... ell' IllaUlWlCl
<br />
<br />~uw.l.WIU1"t PHPl<Z46;&6
<br />A A ~G~LIW.lTY
<br />:t]a.AlMI w.Ol! 00 OCCIlA
<br />___ ~.~PRm'
<br />X PROfESSIONAL
<br />
<br />~MOItU!!UAIaLl1Y
<br />A. 1i. ANY AUTO
<br />i-- ALL OWNEOAUTOS
<br />~ SCf1EDULEDAUTOII
<br />i-- ~A\JT08
<br />~ t.IO~OWNED AUTOS
<br />
<br />-i
<br />
<br />PHPK246968
<br />
<br />~oe UAlILITY
<br />_ AMYAUTO
<br />
<br />l--
<br />
<br />EXGESa UAIllUlY
<br />A !xl Ul4ORELlA.."...
<br />11 OTHElnliUt/~I'Oft.,
<br />\IIIOIUdl'a CCMlOiUAnlN MD
<br />EMPUJ't!llr IJIIUn
<br />
<br />'nIEPfICIIlAI!l'Clt R
<br />~-~
<br />--- :.
<br />
<br />PHUBO&9832
<br />
<br />A mf:.RTY
<br />A CRIME
<br />
<br />PHPI<246968
<br />
<br />71112007
<br />
<br />7/1flOCl8 BUU.DINC3; $1.287,100
<br />EMPLOYEE 0I6HONESTY: $200,000
<br />THEFT INlOUT: $2.00(11$2.000
<br />
<br />2.000.000
<br />2,000,000
<br />1,000,000
<br />1,000,000
<br />100,000
<br />6.000
<br />
<br />1.000,000
<br />
<br />1,000.000
<br />1,000,000
<br />
<br />G~ f111'T1O/j :r
<br />THE CITY OF SAHTAANA; I~ OfFICER$. E\tPt..CMi:e$, 4l3EMT$, \IOI...l.I1'll'SEAS AND REPRESENrA.Tl\lES ARE NAMED AS AOOmONAl NSUREDS WITH
<br />REGARDS TO UAllLITV AHO DEFENSE OF 8UJT8 MIllING FROM TEH OPERATIOH8ANO IJlilQ PERFORMED IN OR 0 U BEHALF OF THE NANEO
<br />~e~ .
<br />CANCELl:.ATION excEPTION: to ~y NOTICE FOR NCJH..PI\VMENT OF PRENIUU.
<br />CI!JWII!It'!A'I'I!:'~."!{};i go
<br />--.... ","!..d.':'.""=r-~"..".., h.. CA......TIQII .' , ..
<br />.lkOtlL8M'. ,.. ItIlGVl ~..aUO.. ..e:"~l~ __':;Mi'. . .
<br />THiCITYOFSAHTAANA---".." '. " ..~ ~ Ii!
<br />20 CIVIC CENTER PI.AtA' Ji.' _', ,~, ,. -- - . ", ." .,', J 1lIHEOI', 1M! - ClIIIltlllW *L ~ fD IUIIL
<br />SAIIITA.ANI., CA ~2701 . ~ ~ WlaTIII NDIICC'lI) -ClilllFlClJEIIllUlEIlIMIIiG to ,. LIItT,
<br />
<br />~ lL?:r.- ,,_ :~':"'=:'-:N~~'=.~Rlc:.~
<br />.=:z-=:...;..,I;.~.___~ - - ~ _...., / ~~~', ,.... '. j~~t.~f. ~{:r;..~~1.':'-i~
<br />~~';:':.FI'I ':,; :;...~:;I; :1;.) mllr: .,tiI~ ,..~1i~.-G'E.:u ""-7-.-"7 'i,-:--":', ~~:.;: k lj' ..1"8
<br />
|