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<br />. <br /> <br />Progress'l ve _ C.NJalty lnsuran ce Co. <br />PO Box 94739 <br />Oeveland, OH 44101 <br />800-444.4487 <br /> <br />PROGREJ.J/VE" <br /> <br />COMMERCIAL AurO INSURANCE <br /> <br />Policy number: 04476549-5 <br />De<:ember 2, 2005 <br />Page 1 of 1 <br /> <br />Certificate of Insurance <br /> <br />CartificatetloUer <br />CllY OF SANTA ANA <br />305 E 4TH ST <br />STE 201 <br />SANTA ANA, CA 92701 <br /> <br />Insured <br />..... DENNis TRAUTH <br />GOLDEN STATE ELECTRI <br />21342 CONRADI AVE <br />TORRANCE, CA 90502 <br /> <br />Agen' <br />PROGRESSIVE <br />PO BOX 94739 <br />CLEVELAND, OH 44101 <br /> <br />This document certifies that insurance policies identmed below have been issued by the designated insurer to the <br />insured named above lor the peliod(s} indicated. This Celtmcate is issued lor information purposes only. It confers no <br />rights upon the certificate holder and does not change, alter, modify, Of extend the coverages afforded by the policies <br />listed below. The coverages afforded by the policies listed below are subjed to all the terms, exclusions, lim~ations, <br />endorsements, and conditions of these policies. <br /> <br />Policy Effedive Date: Feb 24,2005 <br /> <br />Policy ExpiratiOl'l Date: Feb 24, 2006 <br /> <br />Units <br />$1,000,000 Combined Single Limit <br /> <br />Insurance coverage(s) <br />Bodily Injury/Property Damage <br /> <br />Description of LocationNehicles/Specialltems <br />ScheduledaU1Dsonly. . <br />1999 CHEVROLET FLATBED TRUCK lGBGC34R1XF099018 <br /> <br />Certifica1l! number <br />336051T'/549 <br /> <br />Please be advised that the certificate holder will not be notified in the event of a mid-term cancellation. <br /> <br />2)-fA) ~ <br /> <br /> <br />,I " ~.J <br /> <br />f'._' <br /> <br />C' ". :,.':(.)Rtv1 <br />,'J <br /> <br />Form 5241 (10/02) <br /> <br />7(J. <br />'7""<) > <br />v :<,~:_. <br />-.---.--. . <br />',l.',".., <br /> <br />--~-- <br /> <br />-,.':"y <br /> <br />',": ' <br />, ~. <br />