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<br />FROM : ST~rE FRRM INS. MIKE M\..cR <br />~ <br /> <br />PHONE NO. : 714 831 9811 <br /> <br />..." <br /> <br />Rpr, 182001 02:19PM P2 <br /> <br />CERTIFICATE OF INSURANCE <br /> <br />This Cffilfies that 0 STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois <br />~ STATE FARM GENERAL INSURANCE COMPANY, Bloominglon, 11I;"'>;$ <br />o STATE FARM FIRE: AND CASUALTY COMPANY, iOoarborough, Ontario <br />o STATE FARM FLORIDA INiOlJRANCE COMPANY, Winter Haven, Florida <br />o STATE FARM LlOYDS, Dalll>5, T"xas <br />insur.. the following policyholder for too wverages indicated below: <br /> <br />NaMe of policyholder QUINN. S:JSAN . GERALD DBA THE OUINll COMl>ANY <br /> <br />Address of policyhok:lOf <br /> <br />246 VIA PRF.SA, SAN CT"EMENTE, CA 92672-9161 <br /> <br />Location o1opGtation$ .20 Civic; Center Plaza, S.nt~ Ana, Ca 92701 <br />DescrIption of operations <br /> <br />The policies listed below h....e ~n issued 10 the policyholder for the policy pomods shown. Th8 insurance d"soribed in !helle PGlicies is <br />.u~\>Ot to alllhe terms ""clusions. and condnlons of those policies, The limits of liabili!'f shown may have been reduced by any paid <br />claims. <br /> <br />THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFlRMATlVEL Y NOR NEGATIVELY <br />AMENDS EXTENDS OR ALTERS THE COVERAGE APPROVED BY AWl POLICY DESCRIBED HEREIN. <br />, If any of the described policies are canceled before <br />n. expiration date. Stall> Farm will try to mail a <br />written notice to the certificate holder 30 days bafore <br />canootlation. If however. we fail to mail such notice, <br />rib obligAtiM O~ li~~ility wi" t;,. iMj)l)t+c:t (u'l $\;at. <br />Farm or it. age~ntaliv"", <br /> <br />7JJ p./~ <br />slg"",,," 01 """'or1Dd R......._... <br />:l.~en.t. <br />Tille <br />AGent'. COde s6lrIJIj Nlele, . lie. Nil. 0300139 <br />Sla~2 (;8mlnn ClIlIUtrallO, #1058 <br />I AFO c.... S8~ Juan Capistrano, CA 92675 <br />1l/49) 4!13-3888 (949) 831-9811 <br /> <br />POLICY NUMBER <br />92-S6 8207-2 <br /> <br />POLICY PERIOD <br />TYPE OF IN$IJRANCE EffRCtlve Ollie : ElQlIraIIoI'lllale <br />Comprehensive 01/16/01 , 01/16/02 <br />Bu$ll'lfts liability , <br />- -jj-PrOd~-~ cQirii)'CtC"d "Openiiionsn n_...... - -- -- __'m - n.. <br />o Contractual lIabilny <br />o Und...ground Hazard Coverage <br />o PersonallnJ\lry <br />o Advertising Injury <br />o Explosion Ha:zard coverage <br />o Collapse Hazard Coverage <br />o <br />o <br /> <br />This insurance includes; <br /> <br />D;CESS lIABllIn' <br />o Umbrella <br />o Other <br /> <br />POLICY PERIOD <br />Etfeclive D_ : Expirlllion D.... <br /> <br />Workers' ComP9l1s4ltion <br />and Employers Liability <br /> <br />POLICY NUMBER <br /> <br />POLICY PERIOD <br />TYPE OF INSURANCE Eilin:IiV8 0_ : l::XpI_ Oale <br /> <br />Name and Address 01 Certificate Holder <br /> <br />addl in!!: <br />THE CITY OF SANTA ANA <br />ITS OFFIC~RS, EMPLOYEES, <br />. VOLUNTBERS <br />20 Civic Center P1.a <br />Santa Ana, Ca 92701 <br /> <br />AGENTS <br /> <br />APPROVED AS TO FORM <br /> <br /> <br />J..,.f <br />Laura Sheedy <br />Deputy City Attorney <br /> <br />~a.3 04.1999 PrUdt."CI in U.s.A. <br /> <br />UMITlj OF LIABILITY <br />fat beginning of policy periOd) <br />aODll Y INJURY AND <br />PROPERTY DAMAGe <br /> <br />Eeeh Oecu....n~ S <br /> <br />~eral Aggregate $ <br /> <br />Pradu"", - Completed $ <br />OperatIons ....ggregate <br /> <br />ilOOJl Y INJURY ANrl "ROPERTY DAMA~e <br />(Combined Single Um~) <br />Eaoh Occurrence $ 1000000 <br />Ailgregllle $ 2000000 <br />Part 1 STATUTORY <br />Part 2 BODilY INJURY <br /> <br />Each Accident $ <br />Disease Each Employ.... $ <br />Disease - PoliO)' Lim it $ <br /> <br />LIMITS OF LIABILITY <br />(at beginning of policy period) <br /> <br />4/1U/01 <br />Date <br />