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<br /> P�6nuea TH19'CERTIFICATE t3 ISSLIEfl ASA 1VIATTEIi ©F INFORMItATTgN Qjlt Y ANp
<br /> CONFERS NO RiGt•1TS UPON THE CERTIFICATE HOLQ�eH, THIS CERTIFICATE
<br /> Andreinl & Co racenSe 0208825 pQES NOT AIMEND, EXTEoU
<br /> ND OIR AI THE COVERAGE AFFpROEA t3Y THE
<br /> 224 West 20th Avc. P......CIFS BELOW. ......................................
<br /> San Mateo, CA 94403 COMPANIES AFFORDING COVERAGE
<br /> (650) 573-1111 Fax (650) 378-4361
<br /> coM�ANY A FA LAM INS. COMPANIES
<br /> ........... ,
<br /> COM"' 13 STATE FUND '
<br /> IETTE.4
<br /> @iSIIRED _ ..,.,..
<br /> GEORGE W. LOWRZ, INC COMPANY C
<br /> LETTER
<br /> xT�y LEft H .
<br /> P.O.++ BOX
<br /> �s7�.�I n i CC3MAANY
<br /> sALIDAr CA. 95368
<br /> .,,COMPANY11. .
<br /> LETTTA
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<br /> THis IS To CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO lH'HE INSURED NAMED ABOVE FOR THE POLICY Kplot)
<br /> INDiCAJEO, NOTWITH$TANDINO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TT<IE POLICIES be$CRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REAUC41) BY PAID GLAIMIS.
<br /> .............................. ............................................................................„.,.. ... _._..._...
<br /> G0 ? TYPE OF INSURANCE POL CY MUMAER 'POLICY A CTIVA? iPOLICY E7WlRATKNW LIMBS
<br /> LTR'. DATE (MMfDDfM QATE(MM,+OOn
<br /> A qE2 MAL L miurY [IENEfiAL AGGREGATE ............2,000, 000
<br /> ,....................�0 0 0
<br /> ;.. ..;
<br /> ...
<br /> COMM6RCIPL GENERAL LIABILITY CMGII7485 ' i PRO( Tg CpMP1pP AGG a 0 0 O 0 0
<br /> aalMs MADE X `oocus�, a 2/a 1/Q 3 Q 2/01/ 0 4 P's..........
<br /> NAL a AD`1i ivar,.... :s 1, 000, 000" '
<br /> ow EDS&CON�ucr6a:s PROT. EACH OCCURRENCE „s 1'„0 0 0'007 0
<br /> ;,...,..
<br /> ; FIRE DAMAGE(AI>) one Ilre} # 50,000
<br /> .. .._............
<br /> MCD.; N%WIyonePersm)iS 5,040
<br /> ...............................................................:................................................_. .. .......,., ................,.
<br /> ;.... ... ...
<br /> ;AUTOMOSILU L9ABLITY ;COM6RJE6 3RJG '
<br /> °.......„. [ 000,000
<br /> ANY Auro GA117465 ;LIMIT $ 1,
<br /> ........_.........s. .... ... ...... ...
<br /> X ALL OWNEiO AUTO$ :02/0-1/03 0 2/a 1�0 4;Bog”INJURY
<br /> r
<br /> (Pw own)
<br /> SCHEDULED AUTOS i
<br /> .........................................
<br /> HIR66 AUTOS ;BODILY INJURY ;#
<br /> ;.. i '(Per accklenV
<br /> ;NDN-OWNED AUTOS ' I ...........
<br /> i X ©APACE LIABILRY
<br /> PRCFERTY DAMAGE #
<br /> x 'MCP-90 _...... ..................... ...............
<br /> pfCffiE LlABll1T f / :EACH OCCURRENCE ,S 2,000, 000
<br /> •'UM6RFIIAFORM CUL.11746.5 ,-02/01/03 1: 02/ 01 0I A(iMOATS �S 2, 0'00, 000
<br /> MER THAN UMBRELLA FOIRM i is
<br /> ..... .........
<br /> LIPArM
<br /> i WOHI[�Ii'e C0(APBFiSAT1QN ..X....STATUTORY
<br /> B: AND : 41640000-01 .10/01/02 10/01/ 0 3, AccIQENT s 11000, 000
<br /> „ ,........o-
<br /> VA” I DiSEASE-POLICY LIMIT $ it Q Q Q y
<br /> ...... ...I",....�.. .........I..........
<br /> DISEASE-EACHQVPLOYEF S 3,000, 000
<br /> ..................................' .,..._......,...,,,,.„,., ,
<br /> ......,,..OTHER i
<br /> gE9CfI1Pr10k OF OPt3ik..................................:.................................................................. ................................
<br /> 710N&ILACATTQN*%jXICLEW®P£GUAL ME
<br /> 30 DAYS CANCELLATION EXCEPT FOR NON-PAY WHICH IS 10 DAYS.
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<br /> # SHOULD ANY OF THE ABOVE DESCRIBED POLICIES $F CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 70
<br /> l 3 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
<br /> SAN JOAQUIN COUNTY L-NVIRONMENTALLEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
<br /> HEALTH DIVISION'—ATTN: DOUG WILSON LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
<br /> 304 E. WEBER AVENUE 3RD FLOOR �AUTH40fil= R
<br /> STOgKTON CA 95202 .12 ,[j�,�fam
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