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CERTIFICATE OF INSURANCE <br />Th' <br />t <br />E] <br />STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois <br />TYPE OF INSURANCE <br />FARM <br />(at beginning of policy period) <br />® <br />STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois <br />BODILY INJURY AND <br />Business Liability -------- <br />❑ <br />STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario <br />- - -- <br />❑ Products - Completed Operations <br />❑ <br />STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida <br />,s <br />INSURANCE <br />Each Occurrence $1,000,000 <br />❑ <br />STATE FARM LLOYDS, Dallas, Texas <br />insures the following policyholder for the coverages indicated below <br />Name of policyholder <br />Address of policyholder <br />Location of operations <br />Description of operations <br />COMMUNICATIONS SUPPORT GROUP, INC. <br />505 Scenic Ave., Piedmont, CA 94611 <br />ALL LOCATIONS <br />Locat <br />The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is <br />subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid <br />claims. <br />THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY <br />AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. <br />If any of the described policies are canceled before <br />its expiration date, State Farm will try to mail a <br />written notice to the certificate holder 30 days before <br />Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, <br />no obligpatiPn or liability will be imposed on State <br />ADDITIONAL INSURED: FarmntS repr tati s. <br />CITY ATTORNEY'S OFFICE <br />CITY OF SANTA ANA <br />0 CIVIC FLOOR CENTER PLAZA, CITY HALL <br />7TI Signature of Authorized Representative <br />SANTA ANA CA 92702 AGENT 05/18/04 <br />Time Date <br />Agent's Code Stamp <br />;:. <br />AFO_2093 <br />�VM/tTo <br />1d�r <br />558.994 a.3 04-1999 Printed In U.SA. 111 F147 <br />POLICY PERIOD <br />LIMITS OF LIABILITY <br />POLICY NUMBER <br />TYPE OF INSURANCE <br />Effective Date ;Expiration Dabs <br />(at beginning of policy period) <br />97 -NC -1176-4 <br />Comprehensive 10/24/03 10/24/04 <br />BODILY INJURY AND <br />Business Liability -------- <br />PROPERTY DAMAGE <br />This insurance includes: <br />- - -- <br />❑ Products - Completed Operations <br />® Contractual Liability <br />® Underground Hazard Coverage <br />Each Occurrence $1,000,000 <br />❑ Personal injury <br />❑ Advertising Injury <br />General Aggregate $2,000,000 <br />® Explosion Hazard Coverage <br />® Collapse Hazard Coverage <br />Products — Completed $ EXCLUDED <br />❑ <br />Operations Aggregate <br />El <br />POLICY PERIOD <br />BODILY INJURY AND PROPERTY DAMAGE <br />EXCESS LIABILITY <br />Effective Date Expiration Date <br />(Combined Single Limit) <br />❑ Umbrella <br />Each Occurrence $ <br />❑ Other <br />Aggregate $ <br />Part 1 STATUTORY <br />Part 2 BODILY INJURY <br />Workers' Compensation <br />and Employers Liability <br />Each Accident $ <br />Disease Each Employee $ <br />Disease - Policy Limit $ <br />POLICY NUMBER <br />TYPE OF INSURANCE <br />POLICY PERIOD <br />Effective Dabs ; Dab <br />LIMITS OF LIABILITY <br />(at beginning of policy period) <br />THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY <br />AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. <br />If any of the described policies are canceled before <br />its expiration date, State Farm will try to mail a <br />written notice to the certificate holder 30 days before <br />Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, <br />no obligpatiPn or liability will be imposed on State <br />ADDITIONAL INSURED: FarmntS repr tati s. <br />CITY ATTORNEY'S OFFICE <br />CITY OF SANTA ANA <br />0 CIVIC FLOOR CENTER PLAZA, CITY HALL <br />7TI Signature of Authorized Representative <br />SANTA ANA CA 92702 AGENT 05/18/04 <br />Time Date <br />Agent's Code Stamp <br />;:. <br />AFO_2093 <br />�VM/tTo <br />1d�r <br />558.994 a.3 04-1999 Printed In U.SA. 111 F147 <br />