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02/28/2007 00:02 FAX <br />R001 <br />Jsl son! <br />CERTIFICATE OF INSURANCE err pALL� <br />STATF fAYM <br />TT ce L] STATE FAI °IM FIRE AND CASUALTY COMPANY, Bloomington, Illinois _nAOGs <br />® STATE FA:I M GENERAL INSURANCE COMPANY, Bloomington, Illinois T / <br />in: rqA "ng policyholder for the coverages indicated below: <br />policyholder ANII CHRISTOPH <br />Address of policyholder DEP ANN CHRISTOPH LANDSCAPE ARCHITECT <br />31713 PACIFIC COAST HWY <br />Location of operations SOUTH LAGUNA, CA 92677 <br />Descriptionofoperations ALI, OPERATIONS <br />The policies fisted below have been issued to the policyholder for the policy periods shown. The insurance described in these policiet <br />iubject to all the terms exclusions and ax• iitions of those policies. The limits of liabilitv shown may have been reduced by any paid claims <br />POLICY NUMBER <br />TYPE OF INI'sURANCE <br />POLICY PERIOD <br />LIMITS OF LIABILITY <br />_ <br />Effective Date Expinitici Date <br />at begiming of policy <br />Comprehensod . <br />BODILY INJURY AND <br />92 -06- 6495 -7 <br />Business I; <br />03/28/06 <br />03/28/07 <br />PROPERTY DAMAGE <br />this insurance includes: ❑ Prodrxss- 'completed Operations <br />IR Contradtkil Liability <br />❑ Undergmui d Hazard Coverage <br />Each Occurrence $1000000 <br />® Personal Ir ury <br />Advertising Injury <br />General Aggregate s2000000 <br />❑ Explosion h lazard Coverage <br />Products - Completed <br />❑ Collapse I-1 izard Coverage <br />Operations Aggregate $ <br />❑ General Al] ]regale Limit applies to each project <br />POLICY PERIOD <br />BODILY INJURY AND PROPERTY DAMAGE <br />EXCESS LIABILITY <br />Effective Data ration Date <br />(Combined Single Limit) <br />❑ Umbrella <br />Each Occurrence S <br />_ <br />Z30ther <br />Aanreqate $ <br />Part t STATUTORY <br />Part 2 BODILY INJURY <br />Workers' Corn sensation <br />and Employers Liability <br />Each Accident S <br />Disease Each Employee S <br />_ <br />I <br />I <br />Disease - Policv Limit S <br />POLICY NUMBER <br />TYPE OF IN:iIURANCE <br />POLICY PERIOD <br />LIMITS OF LIABILITY <br />Effective Date Expiration Date <br />at beginning of policy period) <br />As me and Address of Certificate Holder <br />HE CITY OF SANTA ANA <br />DUBLIC WORKS AGENCY <br />L0 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />sTATO MO J'SIfES D.AAWLQRr Agent <br />365 N. Coast Hwy. <br />Lacuna Beach, CA 92651 <br />If any of the described policies are canceled before its <br />expiration date. State Farm will try to mail a written notice to <br />the certificate holder 3 0 days before cancellation. If, <br />however, we fail to matt such notice, no obligation or liability <br />will be imposed on State Farm or its agents or <br />representatives. <br />Signatu o Autharited Representative <br />fide <br />/Q / <br />�7 <br />Date <br />