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Rug 24 2010 3:52 MIKEBRi1NiDOMINtSURPNCE <br />9087348193 P.3 <br />Commercial Certificate of Insurance <br />>F A R M F. R-S <br />A —WKY "S. <br />.. - <br />1-1 ve Faitu= AgCmy <br />Issue Date WrM(MFo� o <br />& 31629 Outer Flvty 10 S. #A <br />Address RBdlmdrs,Ca.92313 <br />This xitifteate3shs��d$sannpter��omtyaudton6r�sr►osl <br />vpoet the oat a ho�de� Tlia +� mtarnend, eueatd or alter ft <br />SL 99 MUL 34 .... SeMy 309 . <br />novemp afForded by the puticfes shocro belaR. <br />Compwd sProvid-trig Coverage" <br />Insured <br />comp y A kvmm a Evahtt <br />. Donald Ittodes <br />Nil= . iQv er iuc. <br />Loa <br />compmyr B Farmers buurance <br />z� <br />I Good <br />Mid-Cen�a7 a..=ce Cdr�ny <br />Addstss ' 618� <br />Q <br />CO <br />Coverages <br />11ft is o certfiy that the policies of 1rlSttrA m bated below have been issued to the fatime I named above for the policy period #1ditzed. NotwUistan" <br />atty r qultecnant. term or condition of any omma or other doowneot with teapeat to wbid ft owt flcate nmy he tMW or may putmbL the ksmawe <br />afforded by the polkits detrtibed heron b subject to all the tesmt, miusiasu sad cmoditlestu of such poAde L Limits shown nay have been "duped by <br />paid clattns. <br />Ur. <br />Type of Irrareiance <br />Foley Number <br />Dahe <br />iMsd1D>kl <br />Pg11Cq s <br />leitisbaty <br />�a] te <br />_ <br />Cammerdd Genesai <br />q 1e <br />Permoat de <br />- Occtrstence verdon <br />Mvrtuaitzg I*ay <br />s <br />Ca- <br />Eacb 00CAUNX2 <br />$ <br />Viny am &Ws <br />Owrtcts 4E Coutractots PML <br />d <br />nse <br />$ <br />.A <br />9 <br />ktEornobite l lalARY <br />0!;43&9020 <br />09rZ4110 <br />09104ti 1 <br />Combined Singh <br />� <br />S 1,000,00D <br />AR Qzvte>,d Caamn <br />Autz <br />P,odily injur3' <br />x <br />Scheduled Auto$PE <br />3 <br />X <br />Hired Autos <br />i <br />Bodily " <br />s <br />X <br />N an-Ceaed Aims <br />CAPP 9 <br />ptoF�!De <br />Gatag�e <br />S <br />S <br />Umbrela Iiawty <br />i <br />S <br />Markers' Compaisation <br />tM4 <br />6.uii Aesaderst <br />Dttxese• _ iad, <br />s <br />i <br />Employers' Liabilky <br />Dhem - Po" Limit <br />= <br />Z)e=,p4 s of OperaUma(i/e.hi pedal iteYm <br />10 Toyota # IS$ 05 Chevrolet #209 00 Toyota #M <br />97 Weds Caslso Traitor <br />10 'Toyota 6947 0t Toyo>$ #169 08 i s= 9992 <br />00 Ford # I28 00 chavrolat W2 08 rm= #209 <br />Cer ftcate Holder - T — CattW121M <br />0V of Saner Ana Should arty of the Am desafbed pohciec be c=xRed before the upnd m chat <br />Name Water R,csoutrns Diviaion thmear the bwLR&anrnpany va eoeieavor no nwl 30 days vnittem soots to the <br />Qc . 22.0 S. Daisy Ave, Bldg ##A esr0cate holder named to the left but faiime to m—fiatQose o <br />dress Saatx Ana, Ca. 92703 °" at lY of upon the eoarparny, h9ar tatives <br />�t}radaed Rapseaetlbe� "� � t <br />56-z4az 4-94 copy Dl <br />Z00/300'd 9ZLZ# <br />Copy and Agent's <br />F:: = <br />