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<br />IPRODl..IC~~ Ulldl$h InltarallCII Senlceli nt,S cE:RnFI~Tf IS ISSIJED AS.. MATr'f'Ft OF tllilFOIi"'ATIOfit OltLf AND CO"'fERS NO
<br /> ~IGKTS urm. TtfE CfJimflCATE t'lOLPEfl. TtuS CERTIFICATE DOfS NOT AME'I'IIID
<br /> 598 aro,,"plng Coun I j;.m~D OR ALT~R 1l1E CO...EAAGE .a.fFOAOEO BY THE POLlCIf.S flEL,OW. .
<br /> Mill V.11.y, CA 9i941 COMPAIIIIES AFfMDlNG CovE'ftAGE:
<br />(415) 16Z-21DO Tel IUS) 1H-7169 F.. Lion&< 080811l COMPAN'( A Liberrv Surplus Insurance Corporation
<br />1J\l5uRED aaonao. G'OIIn. flllnl< & Tarzlan. llP COMPANY II
<br /> 555 Soulh flo",o, S""a., 27!11 floo,
<br /> Los ""Roles CA 90071 COMPANY C
<br />~ ., - .,,,',", .." .';._~;~';',:Y,q~~ ,;':f.):!l.i; ,.,', - ';:i.1i'.~y.~;~" "~'.l1"_,- '~h', fl!r,'~.,~': - \ t;;,Jr.~' '~"l "',~':'__.I ,..' h' .'. '-' -"':'" '
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<br />HIS 13 TO CERTIfY TPlAT TWE POUClfS OF I",su~cf USTEP 8l:l-OW ttAV'E ilEac ~EO lO "J1~ iNSUA.~D I\lAM~D A80\l'E FOR TH~ POl-ICY PEAIOP
<br />IN,DICATEO. NOlVf\ll1Sl"",..QIt4G Alt't REQlI~"ENT. TI3it.. OR COI\IPlTIO,. OF Mr COr-TflACT OR arlifR OOCU".l=:ttl wIT", fl~&P'fCT TO MiIC" hilS
<br />CERTlfICATj;; ...~r Be ISSu,ED 011 ..,,"" PERT~. lHE IN'3ul\AftCE -'ffORDEP 8'1 TH~ POLICIES DESCRI8EP HEREIN IS SlJ8JECT ...0 41- THE n.RNlS,
<br />EXCWs,oNS AND CONDtOO\'IS Of :luC,", 'O\..IC:l~S. LJ"1l1 Sr10WN NAy BE BEat R~pucep BY PAlO CLAJMS.
<br />eo POL.ICy PPLlCY
<br />LTR TYPE OF INSLlf;ANCE POI-IC\' I\IUMB$ ~FFECl"'E PAlE r;~PlflATION LIMITS
<br /> lNMIPPIYY\ Pa.1E
<br /> IlInllDDiY'r1
<br /> CEI\IERAL l.lABIUlV GeNERAL. AGGREGATE .
<br /> DCOMMERC,ALGf,hERAL.l..t..'8tL.fT'r PROOuCTS.COMP/a? AGG I
<br /> o C",",,,S MAllE o acCo~ PERSONAl,.. & JlJ)lJlN.1URy I
<br /> DOWNERS" CONTRACrOR:S pAOT fACn QCCUR~ENCE I
<br /> 0 FlfiE QAMAGE S
<br /> -
<br /> 0 IIIIEPExP(An"Qn.~~) S
<br /> AUlOWOBIl.E: UA8IL1T'W' CC)oIIfllll'olED SINGLE 1-1""" .
<br /> 0""""10
<br /> o Au.. OvvNEP AUTOS 8ooll.. f 1P\j.JuRY" I
<br /> o SCNEP<JLEO AuTOS . ~P.r PerSOn)
<br /> o N,~ED AoTOS SOOIL Y 1l\j,.JIJR,y I
<br /> tp.rAcc.oenl)
<br /> o i\lO"".o""NEO AuTOS
<br /> 0 PROPERTY DAMAGE I
<br /> 0
<br /> GARAGE LiABILITY AuTO OI'llL Y . fA ACCIOfNT s
<br /> o ANY IWTO ~~t'I~R 'rl1AN Al.!Tt:) ON!. Y '.' ". '.
<br /> 0 ., ;", \J \.),>'<1 EACn ACCIDENT S
<br /> [J /;_ (7/ . AGGRj::GA TE S
<br /> EXCESS I..JA8ILrTY 7J EAC" OCCvRAENCE
<br /> o u,,~~I'L""FO~" .-_.,-', v,.. 7/ AGGREGAtE .
<br /> ,',' , ,.1-"-
<br /> o OTl1EP THM UMBRELLA, f"O~M . . t- \ " i , .. I
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<br /> wOFt"J:A~' CO~P~SATIOJtil .....D 1 we STATuTORY I.IMllS
<br /> fMPI.O,Eli;- UA8ILtf-r "'"'0
<br /> TI1E PROPRlETORJPARTNERSI O'NCl f:L EAC,., ACCIDENT .
<br /> f,x.ECuTwl:. offtCt;RS ~f OE~q. El. DISEASE - POLle" UM1T s
<br /> ~l.. DISE~E - EA eMPLOyEE
<br />X Ont~R POlIC:Y 9mtl8f N.......blr Pl.-5S31~B4001 81112005 8/112006 $5,000,000/$5,000,000 J50,OOO Ood
<br />L4W)W1':I. Prot....1ONI W~llIl)' In....r..nqt
<br />PE.fiCRIPTIO.. of OPf;RATION'SI\..OCA TIO"SJVE"ICL~PECIAl rre14S
<br /> RMondarinll of Prof...jonallellal SaM ea. by L..aw firm
<br />iC'EmfleA"'E:Uo'UiEft"~';'~~'l,' , '" ,~:,.". '.~.. ,- '1.1' ,.. ,'3ift'~~;'.': .~_. '\,1:;' -\. ~',~e.;, _\~ ~.l>llt:'eLu.; ..' :,,~... "K' ';~::';':;' ';-:': _cr,! '.';C' :
<br /> City of SaOIii Ana .""ULO ~ 1"" AJIOVE OESCR,BfD poue'ES DE e""CELEO ~EfO~E TNE
<br /> AUn: Ma,cella fJCPIRA,TION An 'TntRE ,Tt\f:. l$Su\f'IG C'*PAft"t WILL ~~Dj:A,"OR TO "'Ala..
<br /> S<<l-- ~l: "'RrrTEN Pil ETa lkE CEfO"lFICATE HOLDER ~ED 10 The LJ:FT.
<br /> 20 Civic Cenlll' Plaza, 7th floor r.u~ n 10 ""'fj!fAonCE SHALL ,,,pose '0 OO.,GAl'O, OR LIAl!'"TY Of
<br /> Sanla Ana, CA 92102 ~y POft lt1E.C PAttY. (TS AGEN"S OR PEPRf;SEIfTATrvES
<br /> A1J ljr LPRE y:t:E ^~ 9J
<br /> ~ "PI- '" JII4, 0808131
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<br />FROM-BANNAN .REEN FRANK TERZIAN
<br />A -;) (JOG - !)()7
<br />
<br />213-3BZ-I1BB
<br />
<br />T-BB5 P 02/02 F-210
<br />
<br />03-i4~06 15:09
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