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08/04/2004 WED 09:06 FAX 714 +565 4020 CITY OF SANTA ANA CERTIFICATE OF INSURANCE= This certifies that ❑ STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ® STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Name of policyholder JAMES H RUSSELL & SON INC - Address of policyholder 2122 S WRIGHT STREET SANTA ANA, CA 92705 Z 002/005 Location of operations ALL OPERATIONS Description of operations PLUMBING The policies listed below have been issued to the policyholder for the policy periods shown, The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before CERTIFIC:A7.T2 HOLDER IS NAMED ADDITIONAL INSURED. Its expiration date, State Farm will ADDITIONAL INSURED ENDORSEMENT ATTACHED. t9 mail a written notice to the certificate holder 30 days before cancellation_ Re @6Ii§f1fi@19 -M eiftlie Name and Address of Certificate Holder THE DEPOT AT SANTA ANA Signature of A orized e�e ATTN: CAROLYN FULLERTON AGENT 07/19/04 1000 E SANTA ANA BLVD, STE 108 SANTA ANA, CA 92701 STATE FARM fSanta AM Agee! 0671405 558.394 a.3 04-19% Printed in U.S.A. 2677 n Street, Suite 150 _._.._...__ a, CA 92705 Title Dare Agerit's Code Stamp AFO code KELLY DAVIS 8602 SANTA ANA F418 tW — POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date ; Expiration Date (at beginning of policy period) Comprehensive , BODILY INJURY AND Business Liability ; PROPERTY DAMAGE .. ;........ -• - This insurance includes: ---- - - - - -- ---- - - - - -- _ ❑ Products - Completed Operations ❑ Contractual Liability ❑ Underground Hazard Coverage Each Occurrence S ❑ Personal Injury ❑ Advertising Injury General Aggregate $ ❑ Explosion Hazard Coverage ❑ Collapse Hazard Coverage Products - Completed S ❑ Operations Aggregate EXCESS LIABILITY POLICY PERIOD Effective Date ; Em Iratlon Date BODILY INJURY AND PROPERTY DAMAGE (Combined Single Limit) ❑ Umbrella Each Occurrence S ❑ Other Aggregate $ Part 1 STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employers Liability Each Accident $ Disease Each Employee S Disease - Policy Limit $ POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date ; Expiration Date LIMITS OF LIABILITY (at beginning of policy period) F20- 0741- A01 -75C *FLEET POLICY 07/01/04 07/01/05 1 MILLION "STATE FARM MUTUAL AUTOMOBILE 5. COMPANY *HIRED,NON— OWNED,SCHEDULED AUTOS THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before CERTIFIC:A7.T2 HOLDER IS NAMED ADDITIONAL INSURED. Its expiration date, State Farm will ADDITIONAL INSURED ENDORSEMENT ATTACHED. t9 mail a written notice to the certificate holder 30 days before cancellation_ Re @6Ii§f1fi@19 -M eiftlie Name and Address of Certificate Holder THE DEPOT AT SANTA ANA Signature of A orized e�e ATTN: CAROLYN FULLERTON AGENT 07/19/04 1000 E SANTA ANA BLVD, STE 108 SANTA ANA, CA 92701 STATE FARM fSanta AM Agee! 0671405 558.394 a.3 04-19% Printed in U.S.A. 2677 n Street, Suite 150 _._.._...__ a, CA 92705 Title Dare Agerit's Code Stamp AFO code KELLY DAVIS 8602 SANTA ANA F418 tW —