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Second Page of Certificate Certificate# 51086 <br /> OTHER ADDITIONAL INSUREDS: <br /> 1 Ann Chau-4759 Lakewood Blvd Lakewood,CA 90712 <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> CANCELLATION: Should the above described policy(s)be canceled before the expiration date thereof,the issuing company will endeavor to mail 30 days written notice to the insured event <br /> holder and additional insureds listed. <br /> AUTHORIZED REPRESENTATIVE: DATE ISSUED: 5/12/2025 <br />