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<br />14117 D. PAS 38657388 17381445
<br />BRANCH Z8 ZURICH GROUP-SD
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<br />M01D389298-OD1-ODDDI NONE
<br />ANNIVERSARY EFF D8/13/2OD2
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<br />ZURICH
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<br />ASSURANCE COMPANY OF AMERICA
<br />PRECISION PORTFOLIO POLICY - COMMON DECLARATIONS
<br />PRECISION AMERICA
<br />SERVICE PROGRAM
<br />
<br />This policy consists of the declarations as well as the coverage forms and endorsements
<br />listed on the Forms and Endorsements Applicable List
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<br />SCOTT STANFORD
<br />DBA: DIAGllOSTlC VmRlNARY LABS. INC.
<br />1401 SOUlN STREET
<br />LONG BEAal CA 90805-04338
<br />
<br />lJlA Y-STONE & C\M'ANY
<br />275 E HILLCREST III m 250
<br />THlUSAIIl OAKS CA 9136lHl236
<br />(805) 494-4440
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<br />ZlIIlal GROII'-SOUlNERN CA-NlIlTH
<br />3231l E. III'ERIAL HllJfIAY-SUITE 307
<br />BREA CA 92821
<br />(714) 579-2542
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<br />08/13/2002
<br />12:01 am
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<br />TO
<br />lI'ITL CANCELLEDI
<br />NON-RENEWED
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<br />I BUSINESS ENTITY: III>IVIDlIAl
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<br />POlICY PREMIlNS
<br />
<br />In return for the payment of the premium, and subject to all the terms of this policy,
<br />we agree with you to provide the insurance as stated in this policy.
<br />
<br />This policy consists of the following coverage parts. This premium may be subject to
<br />adjustment
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<br />ClIIIERCI AL PIllfERTY All> GEl4ERAL 1I ASllI TV
<br />
<br />~.~ TO FORM
<br />
<br />CR NE LEE SHAW
<br />Deputy City Attorney
<br />
<br />TOTAL AN'IJAL PREMIUM
<br />YOlll PRECISION POliCY RENEWAL PREIIllII INCUDES A LOss-fREECIlEDIT.
<br />
<br />Countersigned by
<br />
<br />
<br />----AUG.ll.1OOL
<br />Date
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<br />COMMON
<br />
<br />Inelu6n npyright.<l mal"i.' 01 In,."uclI S.rvice. Offic.. Inc., with it. p.rmiuioll.
<br />Copyri!lhl, Insur.nn S.rvicn OffiCe', Inc., 1984.
<br />Copyright, Mlryland C"\lalty CClm,lny, 19.82..
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