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��. CERTIFICATE OF LIABILITY INSURANCE Rsvzssa1,3, <br />TMIs CERTRWAM N Ila w 91ATTiR OI 7iQ1 <br />OLOZ♦AZ. PRotatAtt tyttApsag <br />1. INBURAMM 23MVIC2g, IUC. ONLY ANO CON�lIrN 921plTTs IKON TI! Ta <br />PONT olslctt lox 7119 Na.oER. Tills q;ItTAcw16 OOEO i1dT > ffT OP <br />CAPIBTWM MUM, CA 92914-7119 <br />19421 219-0860 Ch License N OC64508 <br />taM� ■At19�AFFORam cowwwOt: NAILS <br />Pl[2UMMA INDMXXTY 1905A <br />ORAS C'otlllrit you" 00MISSION Few &- LIFR INStMAUCR CMVAM Or 65690 <br />1930 Z. 17tH STREET, SQITtt 940 Muapee: <br />SANTA, , CA 02703 a <br />TFIE PQI,ICIEi OF wultAars usrr.��.w, au.......�a. ,.�.,�.. � _ _ -� �-- - -- - •.�..--.. -- <br />essm"Whauff <br />A X <br />ilolwm,04=14�1=11 <br />PNP[ 156 696 <br />ANNAM <br />ALL*W D^nM <br />A 6t3MUAmA M P"K 356 606 <br />,woAurae <br />ro.awMeo Aura. <br />AWAAM <br />Occw U 06iMM E <br />oeoucrers <br />orsaarraM.110RAND <br />wraNtsrtwr,m <br />a F�eTOM""ram��e � <br />24 FOR TME POLICY PERIOD WMWATM NOIM "STAl <br />T CT TO M OM THO CER M MATE MAY IIS AM <br />ALL THE , EXCUJORM AM CCNDIT1016;1 OF <br />j +, VVV,VVV <br />i 300,000 <br />10/20/2009 10/20/2006 <br />'1R4*MkAAMOWWWWr 2 1,000,000 <br />OR <br />* It 2,040,000 <br />Accident Medical EuclesaD P Ma Limit $SOO,p00 <br />s Qar►erags TO UAaa203tRp I0/20/2008 10/20/2009 IV Accident Med Exp -4206,000 <br />- <br />$S0,000 <br />tatullr�Iteesertlwnata,weAwa.,v..o�fu Accidental Death ¢is Goo <br />�+rtiew •ee� ar req�R, satr� MG�rrort <br />Certifioate holder as Additional Insured (eee attached policy form PI-HP-003)per Item N - Funding source <br />Added blanket Additional Insured. <br />Additional Insured lndarseeent . Exhibit B Attached <br />COM M'Tf DEVEt.OPt ZMT AaAMCr N-25 <br />CZ'A'R OP YAtTlA PVA <br />P.O. sox 1999 <br />BANTA ANA, CA 92702-1911 <br />IMM"Aara.MAaM, adoamft CAaptyMaWgM"WMMP 1Mroe <br />eAn 11 0/,11N rt�*le /1�� Int KML ,JQ— •ATA MffM <br />wGtrai as �►w atilweAta Iata�e twII98 yo �. uwr. <br />CM86 M XV4 C0:9T 800Z/90/TT <br />10/"o/9oa9 <br />to <br />�► <br />2a��o/2oaa <br />��► ; <br />tr• oo�r�oe • <br />� <br />010 <br />aLr-iAA�T s <br />"fM°bMTM"" BAAOC • _ <br />Accident Medical EuclesaD P Ma Limit $SOO,p00 <br />s Qar►erags TO UAaa203tRp I0/20/2008 10/20/2009 IV Accident Med Exp -4206,000 <br />- <br />$S0,000 <br />tatullr�Iteesertlwnata,weAwa.,v..o�fu Accidental Death ¢is Goo <br />�+rtiew •ee� ar req�R, satr� MG�rrort <br />Certifioate holder as Additional Insured (eee attached policy form PI-HP-003)per Item N - Funding source <br />Added blanket Additional Insured. <br />Additional Insured lndarseeent . Exhibit B Attached <br />COM M'Tf DEVEt.OPt ZMT AaAMCr N-25 <br />CZ'A'R OP YAtTlA PVA <br />P.O. sox 1999 <br />BANTA ANA, CA 92702-1911 <br />IMM"Aara.MAaM, adoamft CAaptyMaWgM"WMMP 1Mroe <br />eAn 11 0/,11N rt�*le /1�� Int KML ,JQ— •ATA MffM <br />wGtrai as �►w atilweAta Iata�e twII98 yo �. uwr. <br />CM86 M XV4 C0:9T 800Z/90/TT <br />