GENERAL54166

• Permit No: C1981019
• IBM Index Class Name: General Documents
• Doc Date: 6/6/2005
• Doc Name: Certificate of Insurance
• From: AON
• To: DMG
• Permit Index Doc Type: Insurance
• Media Type: D
• Archive: No

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of
SAN FRANCISCO
1 ss.
On MAY 31, 2005 before me, KATHERINE G. ZEROUNIAN. NOTARY PUBLIC
Date Name ant Tgl9 of OXear (e.g.,'Jane Doe, Notary Public')
personally appeared WARD R.H. " CHING ,
Name(s) of agnegs)
impersonally known to me
^ 7mroed-tozrre~oRihetins~gttf-s8fisfaete>Fy-
etlldeR00
KATFfERINE G. ZEKOUNtlU4
Commisaton @7 3p8t34~
Notary Public - Calitomla
San Maffio County
rAy Comm F~tn~ Jw 29,
to be the person(,) whose named is/~
subscribed to the within instrument and
acknowledged to me that he/sL®tthay executed
the same in his/¢$~t$Rk authorized
capacity~~, and that by his/h~q{~~
signature( on the instrument the person), or
the entity upon behalf of which the persor>~
acted, executed the instrument.
W~TNESS my h nd and official seal.
ignaWre of Noary Publk
OPTIONAL
Though the in/ormation below is not required by law, it may prove valuable fo persons relying on the document and could prevent
Iraudulent removal and reattachment o/this form to another document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer
Signer's Name:
^ Individual Top onnumD Here
^ Corporate Officer-Title(s):
^ Partner - ^ Limited ^ General
^ Attorney-in-Fact
^ Trustee
^ Guardian or Conservator
^ Other:
Signer Is Representing:
®1999 National Newry Psexiaiion • 9360 De Soto Ave., P.O. eoz 2402 • Cba6wonq CA 91313 2402 • wmv.Na4onalNOlary.org Prot. No. 590] ReoNer: Call Toll-Free 1-800"896"682]