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<br />Au~ 14 2007 23:21 <br /> <br />MIKEBRANDONINSURANCE <br /> <br />9097948193 <br /> <br />p. 1 <br /> <br />Commercial Certificate of Insurance <br />Agency <br />Name <br />& <br />Address <br /> <br />.. FARMERS' <br /> <br />, MIKE S BRANDON <br />, FARMERS INSURANCE <br />, 31583 OlITER HWY 10 S #2 <br />. REDALNDS, CA. 92373 <br /> <br />St. 99 <br /> <br />Dist. 30 <br /> <br />Agent 309 <br /> <br />Issue Date (MMIDOIYY) 108/1512007 <br /> <br />ThIs rertiflcate is is$ued as a rmtter d Ir1bm1tIon only and altlfersllO rights <br />up:dl the cetd8cate 00Ider. 1bIs Clll'tiflc:aUl does rrt anEJd. eam:l<< alter tOO <br />coverage Bfl'orded by the policies shown btlM\'. <br /> <br />Companies Providing Coverage: <br /> <br />+ <br /> <br /> Insured Company A Tru<:k InSut'llMC Excb:mge <br /> . DONALD RHODES l.Illef <br /> Name . I WATER, INC ColnJllZlY B Fanneni Insurance. Exchange <br /> LotW <br /> & . II.A MARCONI ~::p8ny C Mid-century Insurance Co1n~y <br /> Address . IRVINE, CA. 92618 <br /> ~y 0 <br /> 1--....- <br /> I Coverages ' <br /> ! This is to certify that die policies of ill$l1fance listed below have been Issued to the iJlsured named above for tbe polley period IDdkated. Notwithstanding <br /> any requirement. term Of condition of any contra ct llr otbcr document with rcpect towblcb t.h1$ certtilcabl may be Issued or may pertain. the Insurance <br /> afforded by the poUcIes described herein Is subject to all the terms, exclusions and condiliom of SIlchpolldes. Umlu ilh()Wll may have been reduced by <br /> , .p lid claims. . <br /> Co. Type of Insuranc:Po Policy Number PoUcy EffectiV1: PoUcy Expjradon Polky UmJts. <br /> Ln. Date (MMlDDJYlI Date (MMiDOI'lY) <br /> --- <br /> General liability Ceneral Aggregale $ <br /> Olmmercial General Products-ComplOPS <br /> AMegate S <br /> LlebUity Personal & <br />I - Occurrence Version AcMrdS1ng Injul}' S <br /> Conlral:tuil- Incidental Each Octurrence S <br /> Only Fire D~ge <br /> :??3 (Any {OdIN) $ <br /> Owners &. Contractors Prot. Medlcal ~nse <br /> -- WrJ me person) $ <br /> A Automobile liability ComblriedSlngle , <br /> All Owned Commerdal limit $ 1.000.000 I <br /> Autos I Bodll'yln~ury 1 <br /> Scbeduled Au (01 I (ptt~ S <br /> " 094389020 I 09/0412006 0910412007 <br /> " H ired A utli& 094389020 I 0910412006 09104/2007 BotI~p S <br /> (per . t <br /> " NOD.Ol\'n~d Autos 094389020 0910412006 09104/2007 <br /> Garage LIa6i Iity I Proper1)'0 Image S <br /> Garage Asgregate s <br /> Umbrella liability Llmlt S <br /> 1 - <br /> I \Vorkersl C~;r.~::~:;;it;on StittltOl"'J <br /> and Bach Ai:ddent S <br /> Employers' LisDility DbeliSe . Each EqI~ $ <br /> ,- Dbeme ~Policy Limit $ <br /> Description of Operations/Vehlc1es1Restrktions/Special items: <br /> --._._...~-- " -~ <br />I CertifICate Holder Cancellation <br />, <br />I . CITY OF SANTA ANA Should any of the Jbove described poUdes be cancelled befme the expiration date <br />I Name . 20 CIVIC CENTER PLAZA thereof. the IsSuing cDmpany will endeavor t~ maIl 30 day! wrkten notice to the <br />r & . Ross-Annex. (M- ) certlflcate holder named to the left. but failure to mall slJCb notice sbaIllInpose no <br />! Address . SANTA ANA. CA.92701 obligation ()f liability of an)' kind upon the company. its agents or representatives. <br />j -" <br /> / ~~?:~::;~~,. <br />, .&-....-. <br /> Authorized Reprt3entatlve <br /> <br />56, 2~92 4.94 <br /> <br />Copy Distribution: Service Center Copy and Agent's Copy <br /> <br />H<>1 <br />