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SENTRY INSURANCE A MUTUAL COMPANY <br />STEVENS POINT, WISCONSIN <br />LA PARTICIPATING MUTUAL COMPANY) <br />A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES <br />CERTIFICATE OF INSURANCE <br />ACCOUNT NUMBER 49-39070 <br />This certificate is issued as a matter of information only and confers no <br />rights upon the certificate holder. This certificate does not amend, extend <br />or alter the coverage afforded by the policies below. <br />Name and Address of <br />Certificate Holder <br />THE CITY OF SANTA ANA <br />ITS OFFICERS, EMPLOYEES, <br />AGENTS, VOLUNTEERS & <br />RESPRESENTATIVES <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />Name and Address <br />of the Insured <br />K & A ENTERPRISES <br />ALL SIGNS AMERICA <br />15481 REDHILL AVE <br />TUSTIN, CA 92780 <br />INC DBA <br />STE A&B <br />This certificate is issued on 06-13-2003 and is effective until 09-23-2003. <br />It certifies that policies of insurance listed below have been issued to <br />the insured named above. Notwithstanding any requirement, term or <br />condition of any contract or other document with respect to which this <br />certificate may be issued or may pertain, the insurance afforded by the <br />policies described herein is subject to all the terms, exclusions, and <br />conditions of such policies. Limits shown may have been reduced by paid <br />claims. <br />Coverage <br />Provided Policy Number <br />All Limits in Thousands <br />Businessowners <br />Liability 49-39070-01 <br />Each Occurrence <br />4 <br />500 <br />Medical Expense <br />C <br />10 <br />Includes: <br />Bodily Injury <br />Fire Damage <br />$ <br />250 <br />Property Damage <br />General Aggregate <br />$ <br />11500 <br />Personal Injury <br />Products Aggregate <br />S <br />1,500 <br />Advertising Injury <br />Hired and Non -owned Auto <br />Workers' .Compensation and 49-39070-02 <br />Statutory <br />EMplover's <br />Liability <br />Each Accident <br />S <br />500 <br />Each Disease/Employee <br />S <br />500 <br />Each Disease/Policy <br />$ <br />500 <br />Umbrella <br />Liability 49-39070-03 <br />Each Occurrence <br />$ <br />11000 <br />General Aggregate <br />0 <br />11000 <br />Does Not <br />Include: <br />Products Aggregate <br />S <br />11000 <br />-Pers/Adv <br />Injury <br />If any of the listed policies are cancelled prior to their normal <br />expiration date, the insurer will send notice to the certificate <br />holder 30 days in advance. <br />F r <br />I. �t1!r; Sheerly <br />, (v Giro Afir <br />80—C1035 (MECH) <br />ALL 49-39070 31-040406 <br />06-17-2003 <br />PAGE 1 <br />.nnn-7% <br />