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1 <br />sY.ie ru. <br />IM5YlAMC� <br />State Form ' . .... <br />4mcis ft P"Hbicb <br />cxo ; ne=tey. V"vr <br />1 -15 -08 2:05P p_ t of 3 <br />ii:ERTIFICATE OF INSURANCE <br />4 - a OO ( " -� im ISSUE DATE, January 15 2008 <br />Producer <br />James D Lawler <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF <br />JAMES D LAWLER STATE FARM AGENCY <br />INFORMATION ONLY AND CONFERS NO RIGHTS UPON <br />PO Boot 219 <br />THE CERTIFICATE HOLDER THIS CERTIFICATE DOES <br />Laguna Beach. CA 92652-0219 <br />NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW. <br />Producer Code #: 75r,:i N2 <br />INSURER AFFORDING COVERAGE <br />Producer Fax #.: (949) 49481;40 <br />State Farm Fine & Casualty Company <br />Named Insured <br />BLOOMINGTON, IL <br />ANN CHRISTOPH, LANDSCAPE ARCHITECT ASLA <br />31713 Coast Highway <br />Laguna Beach, CA 92651 <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED <br />NAMED ABOVE FOR THE POLb::Y PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR <br />CONDITION OF ANY CONTRA -;'T OR OTHER DOCUMENT WrrH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br />ISSUED OR MAY PERTAIN, THN-z INSURANCE AFFORDED BY THE POLICYOEM DESCRIBED HEREIN IS SUBJECT <br />TO ALL THE TERMS, EXCLUS NS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN <br />REDUCED 13Y PAID CLAIMS, <br />POLICY NUMBER POLICY EFFECTIVE DATE <br />POLICY jZMRATION DATE <br />PS0000003068900 January 14, 2008 <br />January 14, 2009 <br />TYPE Qf.. MRANCE <br />LIMIT OF UAFJIU3X <br />Architects and Engineers Professional Liability Insurance <br />$1,000,000 - Limit of Liability Each Claim <br />I: olicy <br />$1,000,000 - Total Limit of Liability <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE <br />CANCB I BEFORE THE EXPIRATION DATE THEREOF, THE <br />THE CITY OF SANTA ANA <br />0MING INSURER WILL ENDEAVOR TO MAUL 30 DAYS <br />ITS OFFICERS, EMPLOYEE:;y, AGENTS, <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO <br />VOLLNVTERS & REPRESENTATIVES <br />THE LEFT, BLIT FAILURE TO MAIL SUCH NOTICE SHALL <br />20 CIVIC CENTER PLAZA <br />IMPOSE NO OBLIGATION OR L1A BILPTY OF ANY KIND UPON <br />SANTA ANA, CA 92701- 200'i <br />TI-E INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZ REPRESENTATIVE <br />CERT(Rev4) (01/01) <br />i <br />