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<br />-.. <br /> <br />ACORD,. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />.4 Joe? 227 <br /> <br />?tli;lnCfR <br /> <br />('71<1) 836~99.15 <br /> <br />(714)836-9946 <br /> <br />:JAr[ :MM'~)D,iYn' <br />9/16/20C8 <br /> <br />THIS CERTiFICATE IS ISSUED AS A MATTER OF INFOHMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, E.XTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POliCIES BELOW <br /> <br />Fl...X: <br /> <br />:'I"1B Em]:nr~ Company <br />5:::,0 Parkcent>2L DL"l'1'2 <br /> <br />Sll:' t~ 2=i~ <br /> <br />... _,~JNSUREB~~~!fO~~Q_~9Y~RAE:~~ <br /> <br />L;'~'~~::::'!!?:~-~~:~~ T~SUranCGmC:~' <br />,-' -~---.-.- --- <br />1 !f',;~. :;..;:tR C <br />i ir,SUHER::1 <br />r- -- ---- - _____u <br />i i"i~.iJ,<:rY J.:. <br /> <br />SeinLl k:a <br /> <br />,;A <br /> <br />05 <br /> <br />3"21 <br /> <br />iN5JRf[\ <br /> <br />Tr.ar.spl.,r:t:.!. L<)n Stud,:u~s 11';(1 <br /> <br />2680 Walnut Avenue <br /> <br />Un:lt. C <br /> <br />; Tus tin <br /> <br />CA 92'180 <br /> <br />~J.f# <br />~37418 <br />___~-+._ .'*_.W <br /> <br />i <br />i <br />I <br />I <br />-I <br />j <br />! <br /> <br />;--- <br />, <br /> <br />1-- <br /> <br />COVERAGES <br />1; ~C PC;LICI:;::S (:' IM:i-UR,\NCE LI~,Til) BEL':"!':; iL......;[ 8a::C:N l-SSJED TO TiW iNSURED NAMED A80VE FCi{ 1Ht' FeLlCY PE'.HiOL I~,[W <\f _L ti;}t\VlT,i~;.i\~D;NG "\Nv ~ <br />,LU,. ,RnENT, r[w,.1 OR CGM..iIJ!uh_:r' ,',1..\ CljtHi<ACT l)ri: vn'i;J~ OOCUMEtH wiTH R:E~)PECT TO Vv'Hle"'! ThiS CERT',fiG\lL MA I dr ,'.sl;Eu 11,{ ',lAY PERT/,I', 1 <br />fhe IN::;UHANCc l\nor~DED bY TH2" POU;IU DESCRBED ,jEj~Ei'" IS SU8JECT TO /ilL THE TFRMS, eXCLU5iGr./;,; ANU LONOIlI{)"'S C'I SJ'::~ r 1/...:( r,) ) <br />~_:,;~:?";l~';; rr Ut'.m~i ",hi lWN!,E:.Y .lJ.6j'f,W:.:.E~i..E~U\ rM) G!.blM.~..____"w,.__,~, _. _._,.._ _~__...~"--'_'_'. "..._~ <br />I~SH :AD5:"~: TYPE OF INSUk?>NCt: ! f.'fJUCY NUMBER IP~~f~Y ~~8g~l~g~JfEV E;~WOW~~N: <br /> <br />/, <br /> <br /> <br />.'f'< <br /> <br />10/1/2009 <br /> <br />10/112008 <br /> <br />'i;~ 72$HARR()~Hl:~ <br /> <br />~.\![: f:'Y .." <br />-~--~. <br /> <br /> <br />,X i '( <br />ALTOMCUlLE t1Al:lll.llY <br />, <br />l--XJ;'i" ,\tT:J <br /> <br />(;i)IA~;hl' ::;I;;(~~, L.'i',.Lr <br /> <br /> <br />10/1/2008 <br /> <br />10/1/2009 <br /> <br />A <br /> <br />7~lJi:LA;LW4i <br /> <br />~"., <br /> <br />U\\'Nf ':-", L,<:", <br /> <br />",;;1:\.[:.,,[,"1(-":, <br /> <br />1'o;H~i' <br /> <br />;n-'h.()'.';;1'i.i4., u, <br /> <br />i <br />rl <br /> <br />i <br />I GAHAGi: LiAP.lllTY <br /> <br />"f<,:;>r'E!. ~, <br />'POI ~~VJ,,'i <br /> <br />i',,-' <br /> <br />:J71',;.1,T' <br />,A~"0 I, <br />i <br /> <br />CXCES$iUMBli:HL,\ lIAUli..1 rY <br /> <br />;'oA",,' <br /> <br />::,.,;;.< <br /> <br />.":t,',, <br /> <br />,,--,to <br /> <br />:1" ~ _J'~ <br /> <br />,eLl <br /> <br />'.L~; N <br /> <br />"".; <br /> <br />A <br /> <br />'1.0RKERS U::'JMFENSAnCN Il.NC' <br />~l.1rLOYlfC;' UABlUTY <br /> <br />;~,"';,RTN~ 1<'l ~L' <br /> <br />-':1 <br /> <br />'>'Wi'D,C.! <br /> <br />10/1/2008 <br /> <br />10/1/2009 <br /> <br />""''''''''''/1 <br /> <br />12'itECRR"" 60 ':1 <br /> <br />i'f' <br /> <br />., . ~ f:;' ,,' <br /> <br />:iTI,fR <br /> <br /> <br />".,,'11\'..," <br /> <br /> <br />d2..-t <br />.':~ <br />11_':.....,"" .' <br />.~..... ' <br /> <br />I;. <br /> <br />d!: <br /> <br />UfS':R<rTIO~; Qr OPF.RA110N$}LC'C."T;n',s.vEHICLE5.'(X'~LU~IOm, ACOED BY l.NDORSEM€NTi5PEC,AL PROVI::>IONS <br />c~,U..fi\.;",L.. H".Lter is ~ddltl,-.n,l} .:..nsul:ad as raspacLs to qanaral liability & aut.Co l.i..ab1.1ity but c,r.ly ~lru':{':l;:-e,~ b:, <br />1I>:;:;.:..;::t:bn '-':;'.J',tl.<tct; w.llh the.! nam",d ins'.l.t'u.1 p.:.:iO)l;' to an ;:l<~cU'rl""ncn Gove.t'b;;JioI subJe.ct 'tJ a.ll F,)li,..:~ '~<l-1.J11S and <br />.,;".-.;\il';:.",:,5 ,",E' '._'n-C",-, ~ 'r:,ftl~ ,;:)llllt~l,''1 .s;,n,iJ:::t, *1(;' day n;"Jt~cc of cancellat~o~ .:It-:t.'.:.ias C.;r !IG:1;'il'.1''1:;cnL ot rn:;:naum <br /> <br />..;<1"_'1: ..:.1 TV;}"""':' "p"'~.I~t.~'-":l <br /> <br />CERTIFlCA1 E Hot (JER <br />I <br /> <br />CANCELLAtiON <br /> <br />SHOULD ANY 0; T'lt ABOv'( OCSCRIBH' POLl(;U,:::> at CANCLlLfO efrORt 11'( <br /> <br />C1. ty vi:' San ta Ana <br />Attn: Shahir Gobran <br />20 C~vic Conter Plaza, M-43 <br />Sanca Ana, CA 92702 <br /> <br />AUTHORIZED REPRESENTATIVE <br />L, ,I:'!;" ;P,~':ji <br /> <br />ACORD 25 (2001108) <br /> <br />...,......." <br /> <br />,,~t\.. L. <br />-{- <. '..' .'~ (" _'t....(.~ . ;~.. :. <br /> <br />':,ACORD CORPORATION 1988 <br />