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SKYLINE REAL ESTATE SERVICES 1 - 2009
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SKYLINE REAL ESTATE SERVICES 1 - 2009
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Entry Properties
Last modified
1/3/2012 2:08:37 PM
Creation date
7/30/2009 9:39:50 AM
Metadata
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Template:
Contracts
Company Name
SKYLINE REAL ESTATE SERVICES
Contract #
N-2009-092
Agency
COMMUNITY DEVELOPMENT
Insurance Exp Date
3/13/2010
Destruction Year
0
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CERTIFICATE OF AUTOMOBILE INSURANCE <br />Mtririal- <br />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 <br />described for the types of insurance and respective coverages hereinafter designated by entry of the limits of liability or a statement that the covuage <br />is in effect and in accordance with the provisions of the Automobile Policy in use by said company. <br />This Certificate of Insurance neither affirmatively or negatively amends, extends or alters the coverage afforded by the policy. <br />Named Insured HANNE INMAN <br />Address PO BOX 181333 CORONADO CA, 92178-1333 <br />_ ~ «• . <br /> <br />.... .. _ <br />:c <br />_E."~r~ess~_C!r.-_ .............__._._~._._...._ ..... ~~. . mn .,,_ .- .. .-..: .. ,:. - -_- - -t~~..'~c`~'C_71NIF <br />policy Number A02-268-004958-40 Effective Date 03/25/2009 Expiration Date 03/25/2010 <br /> PART A PART B PART D - DAMAGE TO YOUR AUTO COVERAGE <br /> <br />Coverages: <br />LIABILITY MEDICAL COVERAGE FOR "`~- _ <br />--•°-°•~• ~--~ <br /> <br />COVERAGE PAYMENTS <br />COVERAGE LOSS CAUSED SY <br />COLUStON INCLUDED Loss Caused Collision <br />~ a u <br />by Collision <br />Limits of •ncv ma;..~.. s<mu c..n vm. •ecv mas~.e.. ncsa.~ c..n vul. <br />Liability 250/500/100 ACV ~... 1,000 ~d~~~. ACV ~~ 500 ~uoe'~w <br />+Includes Accidental Death Benefit: S Protection Against Uninsured Motorists: Each Named Insured Each Per. S Each Acc. <br />Medical Expense 250/500 <br />POLICY INCLUDES: ~ BASIC NO-FAULT COVERAGE OPTIONAL NO-FAULT COVERAGE <br />~., ..~C4Ga[j;a~~ _ '.CSC-4;CC~~ ^_.__. .. __ - _ _ _ _ <br />xS.,NW.~ Cr°e .7110 J~~C>:..,, _ <br /> <br />~~ _ <br />v. 8' `:im;~m-y~>"~w ":s.~~~isc: au ~g~s~w "y,,,3 , '"~:_:_..__. _ , ,.,:..:.._ ~,;"::;!=i,;y-~•• 2n <br />~.;;~: mvv~i.w -- ~- <br />--.. <br />r.. ~;~ <br />.--n:c. s.,... e:~ewurw r 1~-:._:-=~:____P~LINimeaa - - - -_-` - -- -- <br />.....-.-.- .1 i .... :. .ti.^_ -. .. ~.~. y '°9!:.^. WA:.:i::~.~.:..L. _; ~'IJI4Uf N:~::l _--._~u:r. ?S"' -"~ <br />Year of Model Trade Name Body Type Identification or Serial Numbcr <br />2005 CHEVY SILVERADO 1GCEC14X45Z206046 <br />- 1 <br />,y7 <br /> <br />z r>r r. ~ (.~ <br />e .: . ~ .a <br />1 ~ <br />' <br />Such insurance as is afforded under the Liability Coverage of the policy shall also apply, with respect to covere <br />autos, to each interest herinafter named, as an insured; but such inclusion of additional interest or interests <br />shall not operate to increase the limit of the company's liability. <br />Name CITY OF SANTA ANA <br />Street Address 20 CMC CENTER PLAZA <br />City SANTA ANA State CA Zip 92702 <br />._. A.n <br />J. " . <br />y , <br /> <br />Such insurance as is afforded by the policy for loss of or damage to the automobile is payable, as interest may <br />appear, to the named insured and the Loss Payee indicated below in accordance with terms of the Loss Payabl <br />Clause on the reverse side hereof: <br />Term of Loan: From: To: ~_ <br />The insurance described herein is in effect on the date of this certificate and shall remain in force until <br />canceled in accordance with the terms of the policy. <br />® Liberty Mutual Fire Insurance Company ^ Liberty Insurance Corporation <br />^ Liberty Mutual Insurance Company ^ The First Liberty Insurance Corporation <br />^ LM Insurance Corporation ~ ~t ~ - <br />x.. <br />Loss PAYEE and ADDRESS ~~.~~ . „ . ~~`. <br />1 <br />1:..e: <br />SECRET P'Ft BT~Elif'1'. <br />Dated 06/082009 At S:15PM <br />~ ~ -, r, ~ ~,~Cz{ttersigned <br />Signature of Authorized Representative <br />a <br />£OZO T6Z 5TT XV3 TT~9T 600Z/60/90 <br />PRU 485 ~ i ~? , ~1 11/1/03 <br />Cill~~ 515.~.ttr .r~ 't:,~{Fy <br />£00/Z00 fi3] <br />
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