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<br />San 27 2009 1:07 MIKE BRHIyDOMIt9SllRRNCE 9087948193 <br />p.2 <br />Comrne~cial Certificate of Insurar3ce <br />At3~9 . 11dQCE S BRANDON <br />i~atne 3162'9 OU'ik'dt F~WY 10 5 <br />& SCi1TE ttA <br />Atldres5 REDLANDS, CA. 7,1373 <br />St. ~ Dtst 3© A®eYtt 309 <br />iraurcd <br />. r wwrsx <br />~°~ i8 G04DYEAR <br />~ SLil"fE 100 <br />Addt~s I1tVIIdE,CA.926l8 <br />- ~ARNtERS <br />Issue Data (MM/DCa+YY? 01/27/09 <br />'Ilia aeN9r~ it balled ss a >ertuer dtiionroetiao t~ and ml~rts flu ~a <br />tipott tic aetdBntelroids 17ras oatllltate das rsot attend. mend a alai:lte <br />ctnera~ ~tkd by d+e polutas slfoartr belon- <br />Compattiec PravidmgCoverage; <br />Gr,~y.ny A Tndc 7neosaocc Faehan~e <br />t,.ex <br />c~+r B Famaess Irrsvrance Excttenge <br />~yws ~ Mld-Century Itts~anec Co~npanY <br />r fl <br />Tuts k~m ctrtNy test the pabcfes of ~unyrtoe laced below LaFe beer blued to i>te htaaed nanttd ebovc for ttx P'~cY P~~ 1n~ted l~i~ding <br />n-Y mqu~iocat, eertn yr ooedidon of ~ conttset a ottret Aoor+arme vrlth rtsQect to rrhirL tlta tt~inae rmy be t>oued or mry perGh~. t!rcln~anoe <br />a0'orded 5y the politates desc'bes! bereict is subJoct b all the setts. aarJus~ and conditN>'ns of tut4 poltaes l3mlls sbouu grey have Gem reduced by <br />~~ <br />~; 'I~rpe aF Imur~race Po!!cy Nnrnber Date 9.avr1am0 paml Pdky Llntirs <br />Gdlerell~abtli[y <br />Comn+erdal t.,enera! <br />Llebget) <br />Ooomatce Vetsboa <br />~ t;oetraatte! - Incidetttat <br />Owner ai: con~+aas ?rat <br />A i x Auraaobik tiabikty <br /> ,~ o~nedCod~ <br />~ Ancos <br />I~ a ScEeQakd ~tetos <br /> x Hind Aaros <br />{ <br />1 x Non•Q~oed Aeoos <br />~ i ~ <br />494369020 I 49i04J08 <br />'~ r t'RO~ED AS ~' <br />lJmbrepa LisMIRy r f--E ~+I .T <br />Wtntcers' Ca~pettsation , - .-~~ _.,, <br />~~~ ~~ <br />Desetiptfon of Operstivau'V'ehlcles/Resisictiorn/5peceal foema: <br />Gereal Ap~saxe = <br />FradaCb~gtnplOPS <br />S <br />Persowl & <br />Advettititta lajury ! <br />Paclt Omatdxe i <br />~, ~ { : <br />o~/oaro9 c~h$tea~ <br />~ ~ <br />s l von vac <br /> $odlty !n <br />(~ P~~ <br /> t <br /> ~~ tlJory = <br /> Pm~etry patt~ge S <br />FORM ~~ s <br /> limit f <br />~! ~ au s <br />ey Dtsetee . Fad- t~,vrn>e~e j <br /> Dtspst - Pdky lit S <br />CatiScate Holder is alma! as Additional ItLSUted D~ the tttta~lr~ed Sndoz~xmerst from RRIC~GLEb <br />Certfir,~be fblde~ <br />. CTI"Y OF SANtA ANA <br />tVame WATER R85013RC1-'.S DIVISION <br />& 220 S. AAISY AVENUE BU11-DF.tiG A <br />Address SATIFA TINA. CA. 92703 <br />5b•2i1L 494 ""YJ <br />C811G0118tion <br />ShotdA a[ry of the aDave desethed po{k'Joa be otttdltd before tare errpiratlon dgte <br />tltee~eof, flee i~ut[eg ~Y vr'9[ a>deavoe to rttafl 30 days +vrkten notiot to the <br />certi~te holder naaoed to the LeR. but tathert to rrrai soclt nettoe shall papox no <br />obbgrJao at dabflitr d aay ktta3 upon dte cotnpretr. lts t;~+xs a re~tesaitattva. <br />riat <br />600/Z00 d ELSOp OI dl 6002/0£/l0 <br />