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11 108/2000' 03: 08 'FAX <br />Z001 <br />CERTIFICATE OF INSURANCE <br />rhis certifies that ❑ STATE FAF,M FIRE AND CASUALTY COMPANY, Bloomington, Plinois <br />N STATE FAF M GENERAL INSURANCE COMPANY, Bloomington Illinois <br />insures the following policyholder for the a: rerages indicated below. <br />Nome of policyholder ANtl, CHRISTOPH <br />Address ofpolleyholder DSA ANN CHRISTOPH LANQSCAPE ARCHITECT <br />317,13 PACIFIC COAST HWY <br />Location of operations SOU ".'H LAGUNA, CA 92 67 7 <br />Descrlptlonofoperatiorts ALI OPERATIONS <br />' h; policies III below have bee issmi, M tfre Polcylmlder lbr the PWI Periods shown. The insurance described in these police& is <br />t,•ulrled to all the terms mmiusions. and carr.NdQa of those doFeae_ The irrdlc d kahiifv ctrrwn mt v huw Mm rwk,rwr r.v vnv ndA �m:.�. <br />POLICY NUMBER <br />TYPE OF INB URANCE <br />POLICY PERIOD <br />LIMIT LIABILITY <br />E1bd tm Daft ration Dltm <br />at eni of a period) <br />Comprehensive <br />BODILY INJURY AND <br />4 9 5— 7 <br />Bushes Llabll l <br />2 8/ 0 6 1 03/20/07 <br />PROPERTY DAMAGE <br />Ibis insurance includes' ❑ Products - �:: omploW Operations <br />® Contractual liability <br />❑ Underground Hazard Coverage <br />Each Occurrence $1000000 <br />® Personal Injury <br />® Aduertisin9 injury <br />General Aggregate $ 2000000 <br />❑ Evlosion I I.arard Coverage <br />Produofs - Completed <br />❑ Collapse Ri tard Coverage <br />Operations Aggregate $ <br />❑ General Agg regale Limit appims to each Project <br />N PRIMAR'i & NON— CONTRIBUTORY <br />W HOLD W RNA.ESS CLAUSE <br />EXCESS LLIIJ ILITY <br />POI'ICY PERIOD <br />BODILY INJURY AND PROPERTY DAMAGE <br />E4III Da* Expiration Dam <br />(Combined Single Limit) <br />❑ Urrrbrahe <br />Each Occurrence i <br />— <br />❑ Other <br />Aggregate <br />Pert t STATUTORY <br />Part 2 BODILY INJURY <br />Workers' Corryl� .-nsetlon <br />and Employers Uabllly <br />Each Accident $ <br />Disease Each Employee $ <br />—• <br />Disease - 1I Limit 6 <br />POLICY NUMBER <br />TYPE OF INSURANCE <br />POLICY PERIOD <br />LIMITS OF LIABILITY <br />,. <br />EQec Date E II Date <br />at beginning of polky period) <br />N sme end Address of Certificate Holder <br />THE CITY OF SANTA ANA <br />173 OFFICERS, EMPLOYEES, AGENTS <br />VOLUNTEERS AND REPRESENT,,,TIVES <br />20 CIVIC CENTER PLAZA <br />SkII ANA, CA 92701 <br />�<y <br />if any Or me described Polk*% are owx*ed before its <br />eiiiwahon date, State Farm will try to mad a written ndlce to <br />the certificate troller 30 days before cancellation. If, <br />hows"r, we fall to marl such nouns. no Obligation or liability <br />will be imposed on Stale Farm or its agents or <br />represeMattves. <br />WW Repeeentathm / <br />9 ■tart rata JANE D. fJ1YLf3� Me111 <br />lib /0257757 <br />385 N. Chest Hwy. — <br />rRwwM�ns Laguna Beach, CA 92%1 <br />Phan 9 494.1309 <br />