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Certificate of Insuroace <br />P.O. Banc Boom � � b <br />sn i3iego. CA ozlso -WOo <br />'Named Insured and Address: <br />ANN E CHRISTOPii Date of Certificate: 02 -12 -09 <br />31713 COAST HWY Policy Number.0378 -35 -49-06 <br />LAGUNA BEACH CA 92651 -6981 Policy Period-.03-16-09 to 09 -18-09 <br />(12:01 M& Local Time) (12:01 A.M. Lld Time) <br />Name and Address: MKn <br />CITY OF 5ANTA ANA <br />20 CIVIC CENTER PLAZA M -36 <br />SANTA ANA CA 92701 <br />(This Certificate of insurance does not amend, extend, or alter the coverage afforded by this policy) <br />Duitus the term of ooveragee provided, the Company and the lnauted shill be bound by the provisSons of the policy (or Polkas) of Wm mce m <br />cottent nee by the Co®epany to ties state. <br />This is to certify that the captioned policy included the limits specified herein for each person and for each occurrence <br />wiaer�Fie�odily ]n jnrY Liab t3� erage, #Lie 7imifs specs edTieretn or sac occttirrertc under the�uryper ge <br />Liability Govezage; and limits specified her <br />for each person and for each occurrence for Bodily Injury under the <br />Uninsured Motorists Goverage. <br />• Description of Vehicle: 84 BMW WBADK7309E9203811 <br />Description of Vehicle, <br />COVERAGE LIMITS OF COVERAGE <br />Bodily InWy yty $ 1MM M and $ 1MM M <br />(Each Person) (Each ooaorrence) <br />property Damage Liability $100M <br />(Each omurtence) <br />Uffi>umd Motorist M and $ M <br />(may by) Mach Person) (se& ocmwence) <br />INTERESTED PARTY <br />IMAM OF COVERAGE <br />$ M and $ M <br />(Each Person) (Each oocnnonae) <br />(Each oaamenw) <br />$ M and $ M <br />(Each Person) (tads Oxvrre m) <br />We agree to provide you with written notice of termination in the event this policy becomes cancelled. Notice provided <br />may be more than ten (1o) days, but not less than ten (10) days. <br />AS YO FORM <br />*e� .,y A <br />U99 (9-07) A <br />