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tYFit �YMi <br />�MSaa�►MC� •; <br />Std F�fl't1 ' • � . _. <br />�� fl+Oder�C'b <br />,1�ERT1FICATE OF INSURANCE <br />ISSUE DATE: January 15.2WR <br />ProdYC�f <br />odu p L.a <br />•• <br />THIS CO"FiCATE IS AS A MAITM OF <br />.l <br />JAMES D LAVVLER STATE FARM AGENCY <br />JA ES <br />tNFOFVM7 ON ONLY AND CONFERS NO RIGHTS UPON <br />21 <br />THE CERTIFICATE HOLDER. THIS CERTIFICATE OC>E�S <br />LOBO Beach. CA 92652-02'19 <br />NOT ANBVO, ECr64D OR ALTER THE COVERAGE <br />AFFORDED SY THE POLICIES BELOW. <br />Producer Code 0: 757'21;12 <br />INSURER AFFORDING COVERAGE <br />Producer Fax U. (949) 49481:40 <br />State Fame Flm & Casualty Company <br />Na ned fired <br />BLOOMINGTON, IL <br />ANN CHRISTOPH, LANDSC:19E ARCHITECT ASLA <br />31713 Covet , -may <br />Lngurra Beach, CA 92651 <br />COVERAGES <br />THIS IS TO CERTIFY THAT TH1:: POLICIES OF INSURANCE LISTED 9ELIOW HAVE ORN ISSUED TO THE INSURED <br />NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR <br />CONDrTION OF ANY CONTRA :' T OR OTHER DOCUMENT MTN RESPECT TO WHICH THIS CERTIFICATE MAY 8E <br />ISSUED OR MAY PERTAIN, TI•ilz- INSURANCE AFFORDED IVY THE POUCYQSM DESCRIBED HEREIN IS SUBJECT <br />TO ALL THE TERMS, EXCLUSKM AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BF...EN <br />REbUCEU BY PAID CLAIMS. <br />POLICYNUMBER GY EFFECT TE <br />POLICY Tim oATE <br />PSO0000030089M January 14, 2008 <br />Jarwary 14, 2009 <br />TYPE <br />Architects aril EngineersTsNNiCnel L.fWllty Insurance <br />I:: <br />,000,000 - Limit of Liability Each Claim <br />S ,OOO,IX]0 - Total Limit Of Liability <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE PESGR16ED POLICES BE <br />CANCELLED BEFORE THE EMRATION DATE THEREOF, THE <br />THE CITY OF SANTA ANA <br />ISSUING *1SURER WILL ENDEAVOR TO MAIL 30 DAYS <br />ITS OFFICERS. EMPLOYEE .3, AGENTS, <br />WRITTEN NOTICE TO THE CaRTIF1CATE HOLDER NAMED To <br />VOLUNTERS & REPRESENTATIVES <br />THE LEFT, 6111' FAILURE TO MAIL SUCH NOTICE SHALL <br />20 CMC CeWER PLAZA <br />IMPOSE NO OBLIGATION OR WIBRAY OF ANY IOND UPON <br />SANTA ANA, CA 92701 200'i' <br />1M 091UFSK ITS AGENTS OR REPRESENTATIVES. <br />AUTHOR REPRESENTATIVE <br />'Akor 1. v <br />CERT(Rev4) (01101) <br />