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0 <br />0 <br />0 <br />0 <br />a <br />0 <br />0 <br />0 <br />0 <br />GOVERNMENT EMPLOYEES INSURANCE COMPANY <br />Certificate of Insurance <br />P.O. BOX 509090 <br />Sall Diego, CA 92150 -9090 <br />Named Insured and Address: <br />ANN E CHRISTOPH <br />31713 COAST HWY <br />LAG(JNA BEACH CA 92651 -6981 <br />Name and Address: <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA M -36 <br />SANTA ANA CA 92701 <br />4- -a6og-050 <br />A - 2-0y'-:;' -ate <br />Date of Certificate: 08 -15 -09 <br />Policy Number:0378- 35 -49 -06 <br />Policy Period: 09 -18 -09 to 03 -18 -10 <br />(12:01 A.M. Local Time) (12:01 A.M. Local Time) <br />(This Certificate of Insurance does not amend, extend, or alter the coverage afforded by this policy.) <br />During the terns of coverages provided, the Company and the insured shall be bound by the provisions of the policy (or policies) of insurance in <br />current use by the Company in tale state. <br />This is to certify that the captioned policy includes the limits specified herein for each person and 1'or each occurrence <br />under the Bodily Injury Liability Coverage; the limits specified herein for each occurrence tinder the Property Damage <br />Liability Coverage; and limits specifier] herein fior each person and for each occurrence for Bodily Injury under the <br />Uninsured Motorists Coverage. <br />Description of Vehicle: 84 BMW WBADK7309E9203811 <br />Description of Vehicle: <br />COVERAGE LIMITS OF COVERAGE <br />Bodily Injury Liability <br />Property Damage Liability <br />Uninsured Motorists <br />(Bodily Injury) <br />$ 1MM M and $ 1MM M <br />(Each Person) (Each Occurrence) <br />$100M <br />(Each Occurrence) <br />$ M and $ M <br />(Each Person) (Each Occurrence) <br />INTERESTED PARTY <br />LIMITS OF COVERAGE <br />$ M and $ M <br />(Each Person) (Each Occurrence) <br />(Each Occurrence) <br />$ M and $ M <br />(Each Person) (Fach Occurrence) <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 (10) days, but not less than ten (10) days. <br />U99 (9 -07) <br />APPROVED AS TO FOR %,j <br />Laura Stitt Shec.i-, <br />Assistant City Attornev <br />