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<br />,IAN, 1 1),20(18 9: 28f'M <br /> <br />STATE ~ARM <br /> <br />NO, 096 <br /> <br />p, 2/4 <br /> <br /> ....--.. . CERTIFICATE OF LIABILITY INSURANCE I DATE I~M/DDIYYYYJ <br />~c~d 01/11/08 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION <br /> ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> TANYA PEARSON A'ZENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 7822 E. CHAPMAN STE. B AL TER THE COV-ERAGI! AFFORDED BY THE POI.ICIES B&LOW. <br />[IJ ORANGE, CA 92889 <br /> (714) 289-1226 INSURERS AFFORDING COVERAGE NAIC fI <br />lllNl1lll ii._ <br />INSURED ...v. INSURER A; StatIO! E"1lrm Mutual Auto In.:;urance Comtlanv 25176 25178 <br />HARTL, =~T~" DR -LA - 0200~ -02 /7] INSURER B; <br />3808 E INSURER C: <br />ORANGE CA 92869-5355 <br /> INSUR!;R D: <br /> INSUFlER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED aELOW HAVE BEEN rSSUE:D TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY Rl:QUIREMENT, TI!RM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH nHS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLlCles DESCRIBED HEREIN IS SUBJECT TO Al.L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGR.EGATE UMITS SHOWN MAY HAVE BEEN RalUCED BY PAlO CLAIMS. <br />l~: r:~ 1.t1LK~Y.EFFECl1V1i PClLlCY EXl'IRA 110N UIIlITS <br /> 'lYPE OF INSURANCE POLICY NUMEIER DATE IIllWDDlVYI DATi IMIIIODlVYI <br /> !mlERAL I.tMlll.lTY :=fl:rR~CE s <br /> - ~ERCfAl GENmAL LIAIlILllY P rOE~~~ncel . <br /> - CLAIMS MAD~ 0 OCCUR MED EXP rAllY one _sanl S <br /> PERSONAL SAOV INJURY S <br /> l!iENERAL AGGR!;;GATE $ <br /> GEM..ACQlEG6.Tl:LMT ~PER; -COMPIOP m3 S <br /> 1114 . n:flO- nl <br /> OllCY .meT LOC <br />A X .!!!!OMOBIU! UABDJTV V54 1083-A15-75F 01/16/08 07/15/08 COMarN~D SINGle LIMIT <br /> (fIl Q<<:ident) $ <br /> - IWf AUTO <br /> X ALL OWNED AUTOIl BODILY INJURY $ 1,000,000 <br /> (P~ (lIIfaon) <br /> - IICHeOULI,D AUTOS <br /> - HIReD AUTOS BODIL V INJURY $ 1,000,000 <br /> NON'()\IYN~D AUTOS (per sockl9l1l) <br /> - <br /> P/ilOpERTY DAMAGe $ 1,000,000 <br /> (Pel' accident) <br /> ~ o\CHl UABlLITY AUTO ONL V - EA ACCIDENT S <br /> - PJfY AUTO OTHER THAN EA ACe S <br /> AUTO ONLY: AGG S <br /> ~~UMElREDBILITV I:ACH OCCURRENCE $ <br /> OCCUlt CI.AlM$ MADE AGGREGATE S <br /> S <br /> 11DEDUCTIBLE S <br /> RETENTION S - )( S <br /> WORKERS COMPENlA11ON AND p~ I,WC STATU-g1 I OJ'~H. <br /> I!MI"LOVl1RS' LIAEIILITY " TORY LIMITS R <br /> ANY PROPflIIITORIPAATNER/ElCECUTIVE E L EACH ACCIDENT Is <br /> OFFICERlMI!MBI:R (;J(CLUOED? <br /> If m deacr1be under i:.L. DISEASE. t:A EMPLOYEE S <br /> S e fAl PROVISIONS belllW I E,L DISEASE - POLICYLIMIT $ <br /> OTHER <br />1I1:$CR1PTrON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADOI'D SY ENDORSEMENT I SPECIAl. PROVISIONS <br />THE FOLLOWING lS LISTED AS AN ADDITIONAL INSURED:CIT~ OF SANTA ANA 20 CIVIC CENTER PLAZA S~TA ANA CA <br />92701 ATTN: crTY CLERK <br /> <br />CERnFICATE HOLDER <br />CITY OF SAN').',. ANA <br />ATTN: CITY CLERK <br />20 CIVIC CENTER F~A <br />SANTA ANA, CA 92701 <br /> <br />18~49 03. 3.2007 <br /> <br /> <br />CANCeLLATION <br /> <br />SHOULD Nl'f 01' THI! ASOVE lllillCRIBED POLICIES 11I1 CAliICEllm BSFORE THE EXPIRA'IlON <br />DATE THEREOF, TttE; I$IlUING INSURER WILL E;NDEAVOIl TO MAIL _ DAVS WRlnEN <br />NO'I1CE to TttE Cl!!It1lFlCATE HOLDER NAMED TO THE LliFT, BUT FAILURE TO DO SO SHALL <br />IMP06E NO OlK.IGATtDN OR LIABILITY OF ANY KIND UPON THE INSlll!t:R, ITS AGENTS OR <br />REPRESI!NTA1'1\IES. <br />AUTHORIZED REPRSsENTAl1VE <br />TANYA I?EARSON' <br /> <br />e ma s y elf l'fISp lYe owners <br /> <br /> <br />