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REQ asaA (REV. 5/97) CALIFORIVEVIDENCE OF LIABILITY INSURA E I�IIIIIIIIIIfiiIIIII�IIIfff�Ill <br /> i DO NOT FOLD OR STAPLE-SUB ORIGINAL D <br /> This insurance complies with CVC §15056 or 916500.5 <br /> SIGNATURE OF. SURANCE REPRESENTATIVE <br /> j NAME VEHICLE IDENTIFICATION NUMBER(VIN) MAKE YEAR MODEL <br /> I. WILLIAMS SANITARY SERVICES 1FVACWAK54HM20525 FREIGHTL 2004 <br /> -TCY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE INSURANCE COMPANY NAME 4 <br /> r <br /> A5501393 01/01/08 01/01/09 Delos Insurance Company <br /> INSURANCE COMPANY STREET ADDRESS CITY .m'�+' STATE 'LIP CODE 'NAIL NUMBER <br /> 35403 <br /> e <br /> FR354D3D1D12DD8010120092004FRE171FVACWAK.54HM205250000D000000000000000036 <br /> } <br /> rY <br />