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' 4 2 A X <br />r I+ e` f i Y JI 4 <br />002/0021 <br />wn nnuoomr.�.,. <br />CERTIFICATE OF LIABILITY INSURANCE 06125@00! <br />i Ferraro Jr Iris Aay Tyle, S1 ]Farm Insurance <br />Carl For . Agent Lic #0 178097 <br />17011 Reach Blvd, Suite I H Dunt Sch, CA 92647" <br />Office # 714-840-6366 Fax # 7144B48,2632 <br />PYRITE <br />[/}y <br />Y qw H STA G m 928884516 <br />�4n P,l .& GLDM M" i i7RyY+ 1 - t _ <br />THIS ERTIF TE I SUED AS A MATTER F INFORMATION i <br />ONLY AND ISE RIGHTS UPON THE ERTIF ATS <br />LMURo THI ERS' �4T <br />ALDOES NOT AMEND, EXTEND ::1 <br />T COVERAGE AFF R 6 BY THR POL CIGS ffLOW. <br />r <br />INSURERS AFFORDING COVERAGIR <br />INMER A; Udd IfefM Gworal Iln■urinem Compowi 2M 51 <br />F <br />Irk D4 <br />1 } <br />j 4 <br />"s. •' 1W a- B t M161t #i.F aiiM ter. �,1.5i�iiir�rir - - - - - - - - - INSURERX1 <br /># <br />�ry}i <br />_ [!7 #[y� FF `` /�..y T ii■■ ABOVE +�11�r ■fir' i* }y�F.r�•i+Ala+�,r�•�#nan.�:y Y7k:ri <br />• LVE OF II � LIST D SEL V ! HAVE Firm 133USD 1 THE INSURED AMED FOR THE P PERIOD INDICATED! 1 f 7+1*I SiR7 T A,i-.jk7.-" <br />-'`t: `; FQti:I F ENT., TSR l R CONDITION ) ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT T WHICH THISCERTIFICATE <br />MAY 6L- I :SUL— Q,•. <br />M)LY PE T I N. THE INSURANCE AFFORDED s .Y THO POLICIES DESCINJOft HEREIN IS SV13JECTTOALL, THE TERMS. EXQLQ3fQN3 AND C N I T IONS OF tJ t•; � <br />i;k%1 I 1 AGOREGATHLIMITS SHOWN MAY 4AV8 BEEN AEDU E�D BY PAID CI.,AW15. <br />PCY NUMB:■ <br />Pou Cy fiGTNE <br />I' LHO ■ ■o.l <br />• X 0 ` Ia <br />ILMf <br />+ <br />F 9243N450634 <br />0412412M <br />0412412010 <br />" <br />11A <br />ENTM <br />e' <br />} I • ❑17' ME IAL GENERAL L'AOI LI 1 <br />OCCUR <br />i EC Iii` <br />A&2. & ADV INJUR <br />3 ' <br />q 'L Ofl l e.ir4�iT I'PLIEB PER. <br />� 7xlp. M <br />PRODVOTS i Ompw AD01, <br />11i _ _.. t 1_OLCLC <br />i +m-. <br />AUTOR1 MLI!•LABILITY <br /># <br />FF <br />I <br />COMBINED II E LlM� <br />f i A AUTO <br />AW <br />' ALL DIVINED AJTQ1 I <br />E <br />MIA-wb-o h44'Y*#.-i%a owf, FF W. 1.'. <br />} <br />1 IIty <br />+ ` Cr'-lw MED jAkJIA!PROVE <br />' I <br />FOR <br />I <br />I <br />i <br />r l ;+ IF <br />i + <br />IRtoAUTO&I <br />1 I <br />BWLY INJU <br />1 <br />yfi_ <br />*N <br />F N-QVINEYII� MIT Q <br />��-iii-�.___rr��--.++�...�..iilll <br />(I�bf acodd t) <br />r <br />F � <br />I `LE <br />• � <br />}(Pat <br />T ER <br />a !1i! <br />' <br />! <br />A�fit <br />O O # ACCIDENT 5 <br />\ ► <br />AUTO <br />1 <br />' ts•r+� ,n ltirC'll.�#�#�+i'rQr <br />TES 1 ! . <br />AUTO UNLY! i''� <br />V <br />rrr �i . +■ <br />■ <br />���r�aV a.w4ai ..a,.• i~4 <br />{ F I <br />EACH OCCURRENCE <br />I <br />F <br />�r�a�� <br />I <br />; <br />� ''y� y f� `TT <br />+0 UQTt OLE. I <br />, I <br />ii17wF <br />1 <br />T <br />1 W.OR+K■R COMFI�� +�i NAND <br />I�•� PUbYi!Ft81 1-1 +'1JIF I. <br />E.L. EACH ACCONNY <br />a !!�f • .. -.. .._- - + <br />AW PROPRIETOWPARTNErJEXEGUIM <br />Li#'FA;E ��MIN i QH <br />EX:LO7 j <br />�J!�4;'FId <br />9.01GUBE - EA 19MPLOY <br />L! <br />i4 1, II <br />.. 4.i.§P.JL9K TJRRUVF t S heinw <br />E -L! 13ISEASE - PL]LICY LIMIU <br />.. or+. -race,. .,,. • ' <br />ON _-- <br />L&io RLPTION QF opt!14411ONS I IMOA'>�'I� � V��1I 4 L I�$IOI+i$ADDED BY E�r0ORa�lIrri I OF COIAL F I�� I <br />$ <br />� <br />ADDITIONAL INSUREM CITY OF t ATA ANA, ITS OFFICIRS, AGENTS, EMPLOYEES, REPRESENTATIVES, AND <br />r '0. LU N T <br />t!-1 IF1 Tr- H #. DIER CANCRUATION <br />4.'#Y 0 F SANTA ANA ISI i, t REATI <br />YYI l MUNITY SERVICES AGENCY <br />AlMs: ATHENA MARTINEZ <br />! V i A T ANA, 7 92702 <br />SHOULD OF THEABOVE 6C RISED PC LICI1111 11 ~ANCMED 2EF0RE T#lf MXA1 Rik 0f - <br />D TO THURE & THF. 4111UM0 1 NO U RER WILL INOFEAVOPt TO hWL DAY$ UWRi `r ` <br />N0"02 TO TM OEi PgCik E HOLDER NAME TO THE LIi rp OUT P111%tiAre 70 C1!. A. F: <br />IMPM NO ON"WON Olt L ANY JaND UPON THE INSUN' Rr IT2 ACOhNT6 A)F, <br />AUI WTA L <br />AUTH OR= MPOMU <br />Carl Fero, <br />ma <br />4k <br />*itrs ily �.laMir,y'�ti.,. � F <br />I <br />AGORD CORPORATION 1 ., <br />