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O CERTIFICATE OF INSURANCE <br />t <br />CANCELEDRORCOTHERWISE TERMINA EDR W THOUT G VENG F10ADAYS PR OR WRITTENL NOT CIELTO THE <br />CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM <br />THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY <br />ANY POLICY DESCRIBED BELOW. <br />This certifies that: ~ STATE FARM FIRE AND CASUALBTY COMPANY oP Bloom ngton,olllBloismington, Illinois <br />^ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas <br />^ STATE FARM INDEMNITY COMPANY of Bloomington, Illinois, or <br />^ STATE FARM GUARANTY INSURANCE COMPANY of Bloomington, Illinois <br />has coverage in force for the following Named Insured as shown below: <br />1799 S. LA <br />POLICY NUMBER <br />EFFECTIVE DATE <br />OF POLICY <br />DESCRIPTION OF <br />VEHICLE (Including VIN) <br />LIABILITY COVERAGE <br />LIMITS OF LIABILITY <br />a. Bodily Injury <br />Each Accident <br />b. Prope <br />c. Bodily Injury & <br />Property Damage <br />Single Limit <br />PHYSICAL DP <br />COVERAGES <br />065-0693-7 <br />ENOL <br />® YES <br />1,000,000 <br />1 MILL. <br />^ YES <br />^ YES <br />6-75 <br />CA 90015-9601 <br />^ NO ^ YES ^ NO ^ YES ^ NO ^ YES ^ NO <br />NO ^ YES ^ NO ^ YES ^ NO ^ YES ^ NO <br />ctib <br />d <br />®ductible $ Deductible $ <br />^ YES Deductible <br />^ <br />N0 $ <br />^ YES u <br />pe <br />^ NO <br />® NO ^ YES ^ NO d <br />~ <br />b. Collision <br />EMPLOYERS NON-OWNED ~ <br /> <br />®YES "°"""""" <br />YES ^ NO ^ YES ^ NO ^ YES ^ NO <br />^ NO ^ <br />CAR LIABILITY COVERAGE <br />HIRED CAR LIABILITY <br />^ YES YES ^ NO ^ YES ^ NO <br />®NO ^ YES ^ NO ^ <br />COVERAGE <br />FLEET - COVERAU~~D <br />ALL WVNE~hl61<-., <br /> <br />DI YES ~ <br /> <br />®NO ^ YES ^ NO ^ YES ^ NO ^ YES NO <br />AGENT <br />75-1289 03/01/2007 <br />TRIe Agenc s wa° ,."~, •--. <br />Signa u o A rize Rep septa Name and Address of A ent <br />Name and Address of Certificate Holder WILLIAM HAMMONDS, AGENT <br />THE CITY OF SANTA ANA STATE FARM INSORANCE COMPANIES <br />60 CIVI CENTER DRIVE 11090 SANTA MONICA BLVD. STE. 920 <br />SANTA ANA, CA 92702 LOS ANGELES, CA 90025-7515 <br />RTT:LINDA FLORES <br />INTERNAL STATE FARM USE ONLY: OR quest Certf atetH Ider totbe addedaaanoAddR Onal Insured. <br />122428.3 Rev. 07-26-2005 <br />