Laserfiche WebLink
05/12/2008 13:02 8183850730 BELLBMC PAGE 02/02 <br />DATE(MMIOOIYYYY) <br />ACQRQ„ CERTIFiCR�TE OF UABfLITV IS cc goiE® AS A MA'F11!R OF INFORMATION <br />ONLY AND GONFS lS ►JD RID14TS U MFICATI <br />HtaeuelP TIME CERTIFICATE DOES NOT AMEND EXTEND a <br />7D�FBOL F1ppTAr. E NAEEETIN6 7NFILTHATTCE A`LD7lRY'NE C <br />GC AFFO gY THi O CIES BELOW <br />3325 TlilEhl.PF Alva NAIC4 <br />1310 CA 90010 INSuR @RS IAFFORDMIG COVERAGBi - _ _.__ <br />_._ <br />LOS ANOEL88 ...__ ___.. ___ ..- ........_. <br />CEO REM TANG <br />OpA : BELL B131%.01912 �DJMTMED`wc6. CO. <br />SURt?_D� --.. <br />5170 gSDPLVEDA nyw IN <br />, sTB. 100 � 91403 <br />BBERIIAN OAXB <br />MERCIAI.OENERAL LUIIILITY <br />CLAIMS MADE F.- I OCCUP <br />104 -14 -OB �04 -14 -09 <br />04317391 -H <br />f <br />ANY AUTO <br />_ <br />ALL ONMLD ALTO$ <br />SCHIOULEb AUTOS <br />n H ✓ <br />HIRFI, AUTOS <br />N,,QWNf_O AUTOS <br />ANYAUTO <br />OCG1R l._. CLAIMS mADF. <br />DIDUCTFLE <br />RETFNTq S <br />RO RKIRF OOMPE?MVOH ANb <br />EMPLDYMWLIASN I� <br />OYI' ICEMRF•MFSRMgt'UDCORIOf7CVfP? <br />IdPLY INJURY <br />(Pm pereonl <br />G 0O CA AC <br />C <br />WLYI AOe <br />I 1,Daa,DOD <br />S <br />X n X.xXbe un f <br />A pR 9 1' olerzr D9D: <br />tSIMDI IVIM, JTJpT20%8400S0H97 <br />a 2004 LEXUB Ox 470 L <br />DESORIP'TIONOP OpIItATGNII LOCM1YIONE, YDMJJIR 1 ESCLUSXDNI A09LRJ fdY ENOORSIMEIR IYECNL PROYMRNIS <br />TER CERTITICAT£ BOLDER IS vM7,; AB ACC=XCIAL INBOAED 11711E2% THE ASO" BOIDFAIT OF CMRUE(S), eOBJECT TO <br />ACTtrL POLICY TEREIS APO COBO34Ir396. <br />pST,L BOTLDINg M7NTE14ANCF, CO <br />5170 SRVPLVEDA BLVD, STE, 190 <br />SEEP -%w OAXS CA 91403 <br />Fax from : 81838SO730 <br />$1,000 <br />INOUID ANY OF IIA ABOVE OISCPIIPf POUCIE6 RE CANCEfJ.$b IE 30RE 7NE e! Y6 PWmR <br />GATE TNIREOP� TNI NIBUIJI N IMIR WKL INOEAVOA TO W16 <br />NOTrc£ TO IW f. FMRCATE MOLDER ARMS, TD TIII LEFT, BUT PARU" TD bD W WALL <br />N1POSp N0 0&UQATW OR UAPNLTY Op ANY KMD IIPON THE INSBRIR, rtA AGENTS O0. <br />05/12/08 13:00 Pg: 2 <br />1988 <br />