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<br />08/04/2004 WED 09:06 <br /> <br />FAX 714+565 4020 CITY OF SANTA ANA <br /> <br />!4J 002/005 <br /> <br />This cenities that <br /> <br />CERTIFICATE OF INSURANCE <br /> <br />0 STATE FARM FIRE AND CASUALlY COMPANY, Bloomington, Illinois <br />~ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois <br />0 STATE FARM FIRE AND CASUALlY COMPANY, Scarborough, Ontario <br />0 STATE FARM FL.ORIDA INSURANCE COMPANY, Winter Haven. Florida <br />0 STATE FARM LL.OYDS, Dallas, Texas <br />¡n:sures the following policyholder for the coverages indicated below: <br />Name of policyholder JAMES H: RUSSELL &. SON INC- <br /> <br />Address of policyholder 2122 S WRIGHT STREET SANTA ANA, C)\ 92705 <br /> <br />Location of operations ALL OPERATIONS <br />Description of operations PLUMBING <br /> <br />The policies lisled below have been issued to the policyholder for the policy perIods shown, The insurance described in these policies is <br />subject to an the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims, <br /> <br /> POLICY PERIOD liMITS OF LIABILITY <br />POLICY NUMBER TYpE OF INSURANCE Effective Date: Expiration Date (at beginning of policy period) <br /> Comprehensive ' BODILY INJURY AND <br /> , <br /> . PROPERTY DAMAGE <br /> Business Liability : <br />. This ¡ñsu'räñëèi ¡"ëiüdeš:-' - -Li- Prodüëïs. ~ Cõmpleted ofjåiåt¡ciñš..".""'."".'" - -- - no - <br /> 0 Contractual Liebiliiy <br /> 0 Underground Hazard Coverage Each Occurrence $ <br /> 0 Personal Injury ¡/f./ <br /> 0 Advertising InJury ~ General Aggregate $ <br /> 0 Explosion Hazard Coverage <br /> 0 Collapse Hazard Coverage Products - Completed $ <br /> 0 Operations Aggregaie <br /> [j <br /> POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE <br /> EXCESS LIABILITY Effective Date: ExpllBtJon Date (Combined Single Umit) <br /> 0 Umbrella ' Each Occurrence S <br /> . <br /> 0 Other ' Aggregate $ <br /> , <br /> , Part' STATUTORY <br /> . <br /> , <br /> , Part 2 BODIL. Y INJURY <br /> , <br /> , <br /> Workers' Compensation I <br /> , <br /> , <br /> and Employers Liability . Each AccIdent S <br /> , <br /> . Disease Each Employee $ <br /> . <br /> , <br /> , Disease - Policy Limil <br /> ' $ <br /> , <br /> POLICY PERIOD LIMITS OF LIABILITY <br />POUCY NUMBER TYPE OF INSURANCE Effective Date ¡ Expiration Date (at beginning of policy period) <br />F20-074l-AOl-7SC "'FLEET POLICY 07/0J/04 . 07/01/05 1 MILLION <br />. <br />, <br /> , *STATE FARM MUTUAL AUTOMOBILE <br /> , <br /> T'IIIS. COMPANY <br /> , +HIRED,NON-OWNED, SCHEDULED AUTOS <br /> ' <br /> , <br /> <br />CERTIFICA'l'E HOLDER IS NAMED ADDITIONAL Ir>lSURED. <br />ADDITIONAL INSURED ENDORSEMENT ATTACHED. <br /> <br />THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVEL. Y <br />AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. <br />If any of the described policies are canceled belore <br />Its expiration date, State Farm will ~ mail a written <br />notice to the certificate holder 30 days before <br />cancellation. If ~e\l\,'8\"8f. ore fa;1 te ""ail el:l8A l'1etiee, <br />"'I; I;ltliaSli81'! Sf lIee:lit) ~:JI ~e :1'l"I !5e.,ed ðP'l Oiaið <br /> <br />Name and Address of Certi1icate Holder <br /> <br /> <br />e <br /> <br />THE DEPOT AT SANTA ANA <br />ATTN: CAROLYN FULLEB.TON <br />1000 E SANTA ANA BLVD, STE lOB <br />SANTA ANA, CA 92701 <br /> <br />07/19/04 <br /> <br />QQS.994 Q,3 04-1999 Printed in U.S.A. <br /> <br />SToIITE JAIN <br /> <br />A <br /> <br />KELLY DAVII. Agent <br />Uc. #0671405 <br />2677 North Main Street, Suite 150 <br />Santa Ana, CA 92705 <br /> <br />Title <br />I Age",'. Code Siam, <br /> <br /> <br />AFO Code KELLY DAVIS <br />SANTA ANA <br /> <br />Dare <br /> <br />8602 <br />F418 <br /> <br />¡vW}- <br /> <br />-.......-. ...-- <br />