SKYLINE REAL ESTATE SERVICES 1 - 2009

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CERTIFICATE OF AUTOMOBILE INSURANCE Mtririal- THIS TS TO CERTIFY THAT the named insured is at the date of this certificate insured by the company with respect to the automobiles hereinafter described for the types of insurance and respective coverages hereinafter designated by entry of the limits of liability or a statement that the covuage is in effect and in accordance with the provisions of the Automobile Policy in use by said company. This Certificate of Insurance neither affirmatively or negatively amends, extends or alters the coverage afforded by the policy. Named Insured HANNE INMAN Address PO BOX 181333 CORONADO CA, 92178-1333 _ ~ «• . .... .. _ :c _E."~r~ess~_C!r.-_ .............__._._~._._...._ ..... ~~. . mn .,,_ .- .. .-..: .. ,:. - -_- - -t~~..'~c`~'C_71NIF policy Number A02-268-004958-40 Effective Date 03/25/2009 Expiration Date 03/25/2010 PART A PART B PART D - DAMAGE TO YOUR AUTO COVERAGE Coverages: LIABILITY MEDICAL COVERAGE FOR "`~- _ --•°-°•~• ~--~ COVERAGE PAYMENTS COVERAGE LOSS CAUSED SY COLUStON INCLUDED Loss Caused Collision ~ a u by Collision Limits of •ncv ma;..~.. s<mu c..n vm. •ecv mas~.e.. ncsa.~ c..n vul. Liability 250/500/100 ACV ~... 1,000 ~d~~~. ACV ~~ 500 ~uoe'~w +Includes Accidental Death Benefit: S Protection Against Uninsured Motorists: Each Named Insured Each Per. S Each Acc. Medical Expense 250/500 POLICY INCLUDES: ~ BASIC NO-FAULT COVERAGE OPTIONAL NO-FAULT COVERAGE ~., ..~C4Ga[j;a~~ _ '.CSC-4;CC~~ ^_.__. .. __ - _ _ _ _ xS.,NW.~ Cr°e .7110 J~~C>:..,, _ ~~ _ v. 8' `:im;~m-y~>"~w ":s.~~~isc: au ~g~s~w "y,,,3 , '"~:_:_..__. _ , ,.,:..:.._ ~,;"::;!=i,;y-~•• 2n ~.;;~: mvv~i.w -- ~- --.. r.. ~;~ .--n:c. s.,... e:~ewurw r 1~-:._:-=~:____P~LINimeaa - - - -_-` - -- -- .....-.-.- .1 i .... :. .ti.^_ -. .. ~.~. y '°9!:.^. WA:.:i::~.~.:..L. _; ~'IJI4Uf N:~::l _--._~u:r. ?S"' -"~ Year of Model Trade Name Body Type Identification or Serial Numbcr 2005 CHEVY SILVERADO 1GCEC14X45Z206046 - 1 ,y7 z r>r r. ~ (.~ e .: . ~ .a 1 ~ ' Such insurance as is afforded under the Liability Coverage of the policy shall also apply, with respect to covere autos, to each interest herinafter named, as an insured; but such inclusion of additional interest or interests shall not operate to increase the limit of the company's liability. Name CITY OF SANTA ANA Street Address 20 CMC CENTER PLAZA City SANTA ANA State CA Zip 92702 ._. A.n J. " . y , Such insurance as is afforded by the policy for loss of or damage to the automobile is payable, as interest may appear, to the named insured and the Loss Payee indicated below in accordance with terms of the Loss Payabl Clause on the reverse side hereof: Term of Loan: From: To: ~_ The insurance described herein is in effect on the date of this certificate and shall remain in force until canceled in accordance with the terms of the policy. ® Liberty Mutual Fire Insurance Company ^ Liberty Insurance Corporation ^ Liberty Mutual Insurance Company ^ The First Liberty Insurance Corporation ^ LM Insurance Corporation ~ ~t ~ - x.. Loss PAYEE and ADDRESS ~~.~~ . „ . ~~`. 1 1:..e: SECRET P'Ft BT~Elif'1'. Dated 06/082009 At S:15PM ~ ~ -, r, ~ ~,~Cz{ttersigned Signature of Authorized Representative a £OZO T6Z 5TT XV3 TT~9T 600Z/60/90 PRU 485 ~ i ~? , ~1 11/1/03 Cill~~ 515.~.ttr .r~ 't:,~{Fy £00/Z00 fi3]