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ALLI4NT <br />Lkeoae Numhrr OC36861 <br />Phone (949) 756 0271 I Fat (949)156�1113 <br />Cetlifieare Numbs : I7 Dale, 61190011 <br />VENDOR I CONTRA( 'TOR LIABILITY PROGRAM <br />Named histum Sand' a Pala Samueom <br />Address. 910 East Gam Street <br />CilylSlalei2ip' Sauta AnaCA P:NI <br />Addiiionallnttued. City af Sum Aua <br />CmuramTeno. Franc 0 811 6111 10 1 213111 1 <br />D¢a¢tiplion of Coniroec DireeiurlPR kni¢zs for the ?011 Fiegas Nlm Test; al, emwie lid seenr¢asaries <br />o(6-9 filws,ae¢oiinte and baoq mteen(ugcmn¢s,prodnceercwiggala. <br />e r Cal ehllatnbmepmolionMtnataial ,uwiwgerollahorntiousxithmba <br />otpaui:ntiom, , <br />Conuaei au000c $6.ip0.00 ' <br />COMMERCIAL GENERAL LABILITY—NEW O('CIRREN('EFORN <br />General Agvepate: SL0W.000, <br />ProdueldCompleied pPeretiona Umic SI,G(p.000. <br />Personal Advgiisuig: SL(W,000, <br />Each Ocennmee. SL000.000, <br />Fire Datuage: S 90.000. <br />Medleal Paymnus °, S 3,OW, <br />IMPORTANP <br />Covaagsare Luuited to deaetibed emimm. <br />DEDUCT ®LE, SL000, Eae hClwnlndnduielz :alaud3djosunetuEnpaiaea <br />PREMIUM. S6S0.00 hilly EMled ai Imepiion <br />SURPLUS LINESTAV, S SIJ3Fu0y Eam¢d nlMaePtion <br />POLICY FEE. $ 60.00 Fitlly Eamml nl lrseptioo <br />TOTAL £131,13 TOTAL <br />COMPANY, CATLW SPECIALTY INSURANCE COMPANY <br />THIS COMIPANY BINDS THFRMD(S10F hS'UMNCESTIPULATED HEREON THIS <br />MSURANCE IS SUBJECT TO Tf?ETERMS. CONDITfONS,AND LMITATfONS OTT1iEPOLICY <br />OFMAS' TERPOLICY30d003P34261SSUE0TOVENDORSICONTRACTORSLNBUTYCROUP, <br />ACOPYOFTHISPOLICI 'LSAVAILABLEOKREQ,D'EST <br />iH6SCER71fICAlE11AYBECAA ('EW.EUBYiHEL�SL'P,F➢BY SUP3�.NBEROFiHISBACERORBY WNIIEN <br />VOIICE70 THE COMP, laYSTpiMGIVNE .V CAY('ELLAiIOR'h46BEEFFEC➢V'E. imS CERIIFlCAIEMAYBE <br />C,, INCELIfDBY THfCOMPAAYBYNOTICEPOTHE N4LRED ItiACCOP,OAYCE �ITHtHEPOLICYCA9CtnONS. <br />r <br />f � <br />,AUTHORIZED SYGN ICOUIv SIGiv1IDRE <br />RF. CHAI %R AS'SOC 'MSUPANCEBRORFAS.LVC <br />L��N�n,, mlmu <br />71 Coipmep Puk, Sw¢ 710, N wa, Cd 91676 <br />PNOA'E(9a9)1 ?1 -0171 FpA (9i9N78➢173 <br />