acorq- certificate of liability insurance

acorq- certificate of liability insurance

Fronr: FA)ftnaker
T o : (-5 5 9 ) 441-1512 P a g e :1 i2
01 AlvI
10.0-5
Date:11/112010
DATE (MM,/DDA/YYY)
ACORQ- CERTIFICATEOF LIABILITYINSURANCE
T S S U E DA S A M A T T E Ro F I N F O R M A T I o N
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ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
H O L D E R . T H I S C E R T I F I C A T ED O E S N O T A M E N D , E X T E N D O R
A L T E R T H E C O V E R A G EA F F O R D E DB Y T H E P O L I C I E SB E L O W '
PRoDUCER
(510\ 452-4600 FAII: (510\ 452-4603
T.INKS INSURANCE SERVTCES , rNC.
1155 THIRD ST # 220
CA
oAIG,AI{D
94607
INSURED
TRIUS TRUCI{ING,
P. O. BOX 2700
NAIC#
I N S U R E R SA F F O R D I N G C O V E R A G E
& GEN
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937 45-2700
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R E O U I R E M E N TT, E R I \ ,O] R C O N O I T I O N
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T H E I N S U R A N C EA F F O R D E DB Y T H E P O L I C I E SD E S C R I B E DH E R E I N I S S U B J E C TT O A L L T H E T E R M S , E X C L U S I O N SA N D C O N D I T I O N S
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