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1 <br />Jan 27 2009 1s07 NIKEBRRNDONINSURRNCE 9097948193 F.2 <br />Commercial Certificate of Insurance FARMERS <br />Agency MIKE S BRANDON <br />Nam 316" OUTPR HWY 10 S <br />lane Daem OrB,{/aD/YY) 01/YIA19 <br />& SUM NA <br />Address R,EDLANDS.CA. 97373 <br />Tlds tiwgd don <br />wide oardBore holder ThbtaraRr>@ aloaraxaatteai esemdcraleaft <br />9t 99 Daft. 30 Agent 309 <br />cmm p allinded by de poNcles shown bAw- <br />CompaclahwitlingCocvaRc <br />Insured <br />cc oem w A Truce Inece Fadsnp <br />i WATER <br />woe • 18 OOODYEAR <br />ccmwvry 6 Faamere Ineuraece Earchaw <br />& • SU[I'b 100 <br />F.:sr C mw-CentusY Inwnnce Con""Y <br />Address• iRVDat; CA. 9261 s <br />O <br />t r <br />cww <br />TM is m canafy that as poems of ina anx bated blow have bean Inued to the imaed nweed above for the po➢ey Perm Indicated No"Ithmnang <br />whkb ofsucb �u <br />rapectmdmm <br />band a>� <br />miNOMPIWORmau <br />Awd�ed bey the pottlade& d h hbe�to all the a g, cwjast�ose we cadown lweehemmsed�d by <br />paid dahaa. <br />Co. <br />Type of baaurassce <br />Polley Number <br />poky <br />y <br />Date bpkvuw <br />Peaq L[mft <br />GtttefebLte6lNly <br />CennotAgwalele <br />f <br />PmdaaConepaOPS <br />Camas addGerral <br />Wbdhy <br />A&V= <br />S <br />.Oammmce Verahn <br />A"Oft I"" <br />i <br />Contractual! - Incldmw <br />lath OmorenaFire <br />f <br />Oofy <br />(Ady�� <br />f <br />I <br />OwaersB:Cenarrtmaprt <br />' <br />Mtr �� <br />f <br />A <br />% <br />Avtweobiktlability <br />094389020 <br />09rUdr08 <br />09104l09 <br />Cambarod SlopJe <br />SJaJt <br />f 3,080,000 <br />AMOwradComcomdel <br />Aauos <br />BoM <br />x <br />Scbedakd Astos <br />f <br />1 % <br />i Hhed Arias <br />% <br />I NwO,ened Alms <br />Gw4e LM'dy <br />Pmperty 0mage <br />S <br />irPRO*ED <br />AST <br />FORM <br />GarwAmelilft <br />f <br />ufflb Nat nwi ty <br />Lkwt <br />f <br />wwxers tanpaasatlan <br />> _._., <br />.__.. <br />titt She <br />9 <br />EichAaddaat <br />f <br />City <br />rney <br />1]losee •EW r..po,ne <br />i <br />Fitplasyafs'tSabBaty <br />Dbeae-Pdky t,lmd <br />f <br />Dewdptfma of OperationsiVdiMovRest"ctton$/Special Man. <br />Cerufieate Holder is mmed as AddidozW I %NW Sam the attaehed badm i ment form BRIO CGI.E6 <br />CtxtiTtt* HoWCr <br />Cale mmtion <br />CITY OF SANTA ANA <br />Sbmld any of the above dm tbed padlcks be ea K dkd brloee the mplr m date <br />. <br />Name WATER RESOURCES DMISION <br />d,,,wr, aM btda8 coapany aft endeavor to team 30 drys n *1w mace to the <br />orrhRo a holder named to the left. bat fdhm to and ends mticeftall fmpme no <br />& 220 S. DAISY AVENIM, SURDINO A <br />oMpdmorbabYbyofany)JMupalhecoup",tt;4"*OrxpOMIt m <br />Addttss SANFAANACA. 92703 <br />Autl� e <br />asaeaz e19e Cagy DwHbufim SerV Cow Copy andApt •f CaW I'm <br />000/Z00-d CL90# oL zt 60OVOC/LO <br />