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15-2012 09:19 From: <br />Commercial Certificate of Insurance <br />Agcy . Kirk Miller <br />Aft FARMERS <br />Name . 5910 Pacific Co1w Blvd Sit 300 W <br />& ie DD/1FY} I651i4f20t2 _? <br />• Snit !)icgur CA 92121-6303 ?I <br />Addrexc • ASR-240-2393 <br />1111.cu Ntrat?1s 11• dt nt.infnruuticu?gnlyauwLWpftlarasttyptar <br />r,;' upon the arrNm?te (4itd s cwWIM19 duo nul WOW. estend or alter the <br />St. 99 DIU. 36. Agent 372. - coverage afforded by wlW shun below. <br />Dnured' <br />. CAVAN, UC'UR(iE <br />Name GAFU EXPRESS <br />R 1000 B SANTA ANA BLVD <br />Address • SANTA ANA, ('A 92701 <br />- 0: a, oo <br />To:17145652693 P.213 <br />Comp2nie6 Providing Coverage <br />t'.nmlwny A Tit" 1s urruae F.nclwst!e <br />I*W <br />tnmplny B FBtxttetx lststrtalttat.Etu hairier. <br />i C Mid-Century itaninnre Cnmpany <br />r?.,ery 0 <br />1% I.e in rmify that the wAcin of ivow nce Baud below have beta hwW to llw unwed orated abave for the poltay period Indicated. Notwitlntantlim <br />stgtrtgtikentent. term o ttamNtl»torangrmuatt or mhrr.Mrutwnl.wUh.rc?taA lutivb4lt.Utbc?i0cvbe.malr bt:ispiodar•mf<y.ikc[tdn..the.latupoce . <br />alrortkd by Ore PUWW dmedibed heroin h strhiea to all Tice tears. exchushms and Cord 16W of such potlckL I.1miti shwwu uuy have beat rW=W by <br />sad darns. <br />Ca Policy E0'ective FWWy Fxplixino <br />7ypr ur I+eurartaa 1°nlkNuwfx r <br />l tc _ y Date w wnm) Date plwnTYM Policy Utnlts <br />A GeTTaTaI Liability 604734217 04/29/2012 04/29/2013 Geserel'ARArepste $4,000.000 <br />x commerew Gntrrsl 1'rodnets4:omplors <br />Liability .AWtIpte.. S 2,(M OM <br />x 0murratce version Personal & <br />AAwr 1. t Iv!jury S 2, t <br />ctmtnaual - Incidental Eah Ocrwrewr t 2.000.000 <br />. only Ftrtrc flvnwge . <br />(Aar one foieI f 150+000 <br />Onmr+s tL Cwn1actws Prot Medical Expense <br />9 1A 540a <br />I1ut0M*le Liability C-Umburledd'•Sa't?g1Y e <br />AU*Owned A.u' (:warvial / .. LwN r. <br />5cbedukd AtrttR (bodil In ry <br />p S.. <br />Hired Autos Rudil Inju <br />Nem&UwnrdAnks- (Pawlry <br />S <br />Garw Lbd>aity Pnq-ty Damage S <br />Gamy-AWgW.. S.. <br />Umbrella Liability Limit <br />WWkws' Wilipt' Utim Statutory <br />and Eitch.Accideat i. <br />EfffWyers' Liability Ulsew xav. Eniysry<e f <br />_ f)I.vrxu - PIOU I AM" S <br />?Orwriprion of Operations NehicWRestrictio s/Special Menu: <br />1000 E SANTA ANA BLVr). SAN"1'A ANA, CA 92701 <br />CertiPme Holder Cancellation <br />. CITY OF SANTA ANA Sluadd any +d thr alxovc deur>'Ixul policies be amceprd berme Tbr expbadon date <br />Ni mr ATTN: CAROLYN FI 1f .T.FRTON dmw . Ore <br />i>,trirtg a>taperry will eruiovr+r rn mall 11 dsyc written native to the <br />a 1000 E. SANTA AlgA*BCVI):;" verwieawhnhMr nsntetltalhe"; hop failmt!trnutnl wttreMike lw&hapaw no. <br />Addrem SANTA ANA.. CA 92701 nbliiptiiae w- ho " of m n( upon the , ib agents or reprtsenadaa. <br />Audi <br />orked tarp<aatwrrr <br />564492 1 p;.. Cagy-MWibuiTo Service E enter Copy and Apt 's Copy y.w <br />J