Laserfiche WebLink
Thomas House <br />10/23/2089 11549 7146476680 <br />FEZ <br />714 554 -3879 <br />(lh z, 1('0 a) <br />p.4 <br />PAGE 04/08 <br />asoB, CERTIFICATE OF LIABILITY INSURANCE a DAYEBltlOta7YYT5 <br />o e <br />KbxULLgtou Aao3Fic Ins, Agenvx HQI. II5 C PICA gg pppp , g p p <br />7901 P;cofeesional f}iroio AI.Tt�R�iGOVB G;BA R51RD LIC @S FLOW <br />53antingtotL Soaob OA 92640 <br />Phonar 041 »8288 Wax1714 -842 -2888 IN9URER8'AFFORDINGiCOVERAGE NAIC 0 <br />FsuarnA. ;ft"t A%014%tn v,.meo " Co.�.._ <br />TPhomas H�o2n� Tan{porasy SAelter �L�xAtEnC: .`. ...... •. .. <br />cinz�els$OC3xovi7cA 92842 -2787 <br />THE POWES <br />POY0 <br />OF IVMAN I �iSp7��p BKOW HAYB OMM MUND T�PgiFIl�MURED MVMO ABOVE FORM POLMYgPRMOO V01CAM. Now4r BYMOM <br />AtdOHCR04TI 149 GNMSVWYHATVE�BEMENR�LiCEOBYpNDEbR ¢g{�198U OY70ALLTWOT6RL9HS E 0"Li tI�A; (M0M0 80r8U0N <br />C3'xSAJil1 an° uwANVBpT�cABOYCO+ reoBBteaP °uottfBettallom.taoaAnonatNRmt <br />f <br />OaNBAALUASUTY <br />X COMMIROALOENCWrrIu�-L'4MAWM <br />OL40 Anon I� _0OMM <br />POLM NUMBER <br />B <br />,QOAYdY� <br />ROMSTOMRMTMAYEH ERROMTOMILM,BUTPAUX270pg49awW. <br />We <br />]► <br />X <br />PA06603730 <br />10/08/09 <br />10/03/10 <br />ww+oCCVAR6NCS <br />' oev��i30.O,Q00 <br />.1,000 000 <br />YBONYA(we"Dwo <br />15,000 <br />PaWW%4AC WUAY' <br />$2,000,000 <br />A <br />$p L}Q 2diseo>?duo <br />BBMLAM*WTRLvvAPPLNiSpfia <br />POUOY °� LAO <br />pAO8809738 <br />x0/03/09 <br />b0 /03 /i0 <br />OPMALA66AMOA14 <br />t ' 00 `OQO,• -, <br />PROMMS,COMPlopAGO <br />- <br />02,000.000 <br />AutONOaQTO <br />Brun <br />SALLOKWUPA" <br />30*0 COAUT06 <br />a00RnkuRY <br />P«Pc+,W <br />3 <br />HRBDAW09 <br />nO <br />MN4WNAMa <br />y _. <br />a '� <br />......_..... <br />s <br />Mpg wM4 <br />AUTOONW- EAACdMI <br />i <br />°AmovJJMLWY <br />ANY AM <br />ti <br />i <br />O (�{� EA A06 <br />AV Ly AW <br />i " "••• <br />__ <br />t <br />axDOAtANLaAaLA LU0tLn1r <br />nC'Mau= <br />JN�911RIIBl6 <br />1119MON s <br />Ll A E. <br />Assistant Ci <br />T0i7Ci< <br />Attorney <br />ey <br />` <br />l <br />A°°R°°"'r <br />�'-`•� <br />s <br />RaR4CONPCNSI�t10N AHD <br />WNLWMF 6fA9LM <br />on'".=&WCM9 <br />ILL EACH A091[W <br />i <br />GLDIBEABH -aA0)M <br />i <br />r> M a <br />bffdw <br />a.t OuRA6E- POUOYWX <br />{ ._.. <br />OtHEI! <br />OQ Ra7Hx O 110NBJVBNCLEBJ t7[OORBaYIIttiO ewHs <br />The City oP Manta AnBLI �ir'3 o8fiaero,ampxopeom , ag $ hta , wlwyta ®xa,and <br />Xapaysaentatives are named as additional insured in xoopoots to bile general <br />liabA%A%M.Thi3 immUxanae in lirimaXy and noncaA"ibutory per endoxnamoftt CG <br />82 Q4(W.j2 /01)X5.Whis aoritifteato supeuoeden Any R x11 rvior oaxtsflA Eem <br />410 Day Notice of Canaellatien for non- payaonb 0Z premium <br />n �,nwre un� ern <br />urPoVtiCLL/i I IV IV <br />C3'xSAJil1 an° uwANVBpT�cABOYCO+ reoBBteaP °uottfBettallom.taoaAnonatNRmt <br />o� Ana <br />DATE TH6ACCP , the ommowuRaftf.aNBNIVBRyomkg. MIN <br />con y Dav <br />Community DHernandeat agency <br />HernanlaB <br />,QOAYdY� <br />ROMSTOMRMTMAYEH ERROMTOMILM,BUTPAUX270pg49awW. <br />20 Olvits C <br />20 CiV1.tl Con$avr Plaza <br />WPOa4NOaeLpARaNOHUaautvoPAHYwmuPavtNSwWrBrt .tta/�0artreoR <br />Banta Amu CA M709 <br />R.PNaeeNYATIYis._ - -. <br />