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STAIN FARM CERTIFICATE OF INSURANCE 4. <br />T ❑ STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois <br />® STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois <br />in 099 �`#� ng policyholder for the coverages indicated below: <br />Name of policyhoker ANN CHRISTOPH <br />Address of policyholder DBA ANN CHRISTOPH LANDSCAPE ARCHITECT <br />31713 PACIFIC COAST HWY <br />Location of operations SOUTH LAGUNA, CA 92 677 <br />Description ofoperations ALL OPERATIONS <br />The policies listed below have been issued to the policyholder for the <br />subiect to all the berms exclusions. and conditions of those Dolicies. The <br />ueriods shown. The insurance described in these policies <br />iabft shown may have been reduced by any Paid Bairns. <br />POLICY NUMBER <br />TYPE OF INSURANCE <br />POLICY PERIOD <br />Efkative Date Expiration Date <br />LIMITS OF LIABILITY <br />at i of rlod <br />Comprehensive <br />BODILY INJURY AND <br />92 -06- 6495 -7 <br />Business Liability <br />03/28/08 <br />03/28/09 <br />PROPERTY DAMAGE <br />This insurance includes: ❑ Products - Completed Operations <br />® Contractual Liability <br />❑ Underground Hazard Coverage <br />Each Occurrence $1000000 <br />® Personal Injury <br />® Advertising Injury <br />General Aggregate $ 2 0 0 0 0 0 0 <br />❑ Explosion Hazard Coverage <br />Products - Completed <br />❑ Collapse Hazard Coverage <br />Operations Aggregate $ <br />❑ General Aggregate Limit applies to each project <br />POLICY PERIOD <br />BODILY INJURY AND PROPERTY DAMAGE <br />EXCESS LIABILITY <br />Effective Date Expiration Date <br />(Combined Single Limit) <br />❑ Umbreb <br />Each Occurrence $ <br />Other <br />Aggregate <br />Part 1 STATUTORY <br />Part 2 BODILY INJURY <br />Workers' Compensation <br />and Employers Liability <br />Each Accident $ <br />Disease Each Employee $ <br />Disease - P Limit $ <br />POLICY NUMBER <br />TYPE OF INSURANCE <br />POLICY PERIOD <br />Effective Date Ex 'ration Data <br />LIMITS OF LIABILITY <br />at beginning of policy pedod) <br />Name and Address of Certificate Holder <br />THE CITY OF SANTA ANA, ITS <br />OFFICERS, EMPLOYEES, AGENTS, <br />VOLUNTEERS & REPRESENTATIVES <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA 92701 <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 30 days before cancellation. If, <br />however, we fail to mail such notice, no obligation or liability <br />will be imposed on State Farm or its agents or <br />representatives. <br />I <br />rift 3f S�D S <br />Date <br />STAIN FARM JAMES D. LAWLERr Agent <br />Lie. #Coast H <br />385 N. Coast Hwy. <br />tNRURANt� Laguna Beach, CA 92651 <br />Phone: 949 494 -1309 <br />