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<br />r# _ .. From:GRIFFITHS IN~URANCE NOVA TO <br /> <br />]4]58883838 <br /> <br />o 1/0812002 11: 59 #523 P. 00] <br /> <br />At:ORI)_ <br /> <br />CERTIFICATE OF LIABILITY INSURANCe,.8~_1If 8 01/08 <br />I A MAlTER OF INFO MATlON <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDIlR. THill CERTIFICATE ODES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />IN'U~8 AFFORDING COVERAGE <br /> <br /> <br />PRODUC <br />8101,,", lbk S...",........ <br />Ifovat::.o Bz:anc;:.b. <br />7049 loIc1wood Blvd. <br />Il'ov.t;", CA 11494S <br />Phone, 415-192-1680 <br /> <br />11204 <br /> <br />INSUlllifl <br /> <br />Fax:41S-898-3838 <br /> <br />"obs.fO~.Ca11rornia Gradua~es <br />Jack.... GI.&fti.ii <br />~.g. ~"'D~m <br /> <br />INS""...>: Non ~ofiu Ins. AJ.11ano. oE CA <br />lNIUf\Eft1; <br />IHSLA!RC: <br />INILmRD: <br />IN8URfRE: <br /> <br />COVER.oOGES <br /> <br />tHE~, LC'l!8 0' IHSUfW<<;r; l.I8TEO HLOW HAW I!!M t&1UI!o 1'0 THEINSURfD NMteo AIOVE FOR THE POLICy f"ifCIOD INDlCATEiO. ~OM'lTHIT,&JoIQINQ <br />A)t( R! OJ-'NNT, TERM OR COHOl'tION OF IH'f CONlTAACY CR OTHIliR DOCUMlNT lMTH RESP~T TO """CH THIS CERTIFICATE MAV be ISSUED OR <br />M....y PE RrAJN, TW(: 'fr4SUAAHCE; AFFOADED BYTHE!: POt..tcEs DESCAIBED HIRE... IUlJECfTO AlL 'rloII! TERMS, exa.U8IONSAAD CONDITIONS O~ SUCH <br />POLIC1S1. AOGf\eQATE UMrr9 $HQWN MA,Y M.4.VlIlEEN REDUCED.... PAlD eLAIMS. m~~ <br />~ TVPe Of'INlUAAHCI POUC"l" HUNtm U"'ITl <br />GINIIW. i.IQvyy E.ICH OCOUMEHtl! '1,000 000 <br />t- 10/20/01 10/20/02 FIRE DNdl\GI! (Any tlMh) . 50 000 <br />A X COMM.OCIAl.ClOIIEAALlJAoICrrv 2000-7863 <br /> leLA'" w.o. ~ OCCUR MiDiXJiI(AtlyOl'\4l~) III 000 <br />- PiRSOHAL.IADVINJU"Y tl 000,000 <br />- GENERAL AQGR:EQA'fE .1 000,000 <br />~\.l,GQAE!Q.\TELM!n'I~~ "AOOuCT$. Cf;lHaJO,lI AGO 11 000 000 <br /> '0l.1Q"{ lQC <br />~GI08ILE UU".ITY COMIINlO SINGl! lIMIT '1,000,000 <br />A ""'I\IJTO 2000-7863 10/20/01 10/20/02 (EI -..., <br />= "'l.l. OWNED .wTos BOoll y INJU~V . <br /> SCHEDUlED AlIrOS f~INpt('tOl'l) <br />I- <br />~ Hf;lED AVTOS IIOQIlYI~'" <br /> (Pllf~t) . <br />r! f'lQNoQIMtEt> AA'Os <br />- PA:OPI!ATV ONMGE I <br /> (p.,-~~ <br />~"'. UA81UT'l AUTOONL"t.EAACCIDENT . <br /> NiY AUTO OTM~ THAN EAACC . <br /> AUTO C1Nl.Y; AGQ . <br />::J1ih UABllnv EACH OCCURRENce . <br /> OCCUR 0 CLAIMS UAO& AGCREGATE: . <br /> . <br />H IlEnUCTllLE API'ROVEL AS ro I lRM . <br /> RE:rE~ION I ItOKY~ . <br />WOJiUEUCOM'IiN9ATION AND -:2l.AA ",2 ~ c1..< i/4. 7 <br />E1IlPLO'f!AI' LlAltLlTV <br /> -- / E.L iACH ACCtOiNT . <br /> LiULl Sheedy S.L,. DISEASI_ EA EMP1.0VE! . <br /> n.> )111 V C;I\ ^ lorlJCY E,L DISEASE. POLICy LlMIT . <br />""'SI <br />DESCRJPnOH ~ OPriRAlIONM..OCAT10 _Oq ADDIib IVINDOMlttllNTIIPlClAL PRO\IJ8fONI <br />C.rti:t'1.oa~. holder is ......ad adcU.to:i.ona1 ins=eod par the atouched o..c1orsement <br />wi~h rag.rds to 1iabil1.ty aris:i.ng out or the n...d insu%ecIs opera.Uona .nd <br />aubject to p0110y to.nos, co"dlUons Ii .xQl1,1e:~onll. <br />*10 day notice of canoellation Eo>: non-payment or p"Am.i"",. <br />CEATIFlCA TE HOLDER /1' I Al>GCTlONAL ..."".... 'NIlI". Lnml: L CANCELLATION <br /> CITY-30 IHOULOJHV OP THIi ~VIi DIESCRlBI!D ~I II CANCELLED DUORI THE UPIIt1\TION <br /> C.;.t:y of S....ta Ana D-.l1i T'HEREOfl. THe IaUING tNSUReR lMl.L ENDEAVOR TO IIWl ..3..0..!.. DAYS WRlmN <br /> ofEic=erl!ll, employeaa, ag.n't.8 NO'nCI TO 'nil ClImPlCAlE HOLDQ NAMED TO ~ L.UT,IIJT 'An.URE TO C/O to tHAU <br /> ' volunteers tMPOIE NO OIUCIAllOH OR lIABlUT'V Oil A~ laND u.aoN THE INlURiR, I" AG"",TS OR <br /> 20 Civio Canter ~l.s. <br /> SlInta AAa CA 92702 .ta:PR6IENTAltVEI. <br /> AU ....."!."I"'~. <br /> r"1V" 0- -- <br />ACORD 21-5 (7"7) - CACOAD CO~ORAT1DIl19ea <br /> <br />