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09/29/2010 22:14 FAX <br />CERTIFICATE OF INSURANCE <br />fZ1 -001 <br />this certifies that ❑ STATE FAR N FIRE AND CASUALTY COMPANY, Bloomington, Illinois ^ „ — <br />® STATE FAR N GENERAL INSURANCE COMPANY, Bloomington, Illinois <br />inf ores the following policyholder for the ar terages indicated below: <br />Name of policyholder ANIv CHRISTOPH <br />Address of policyholder 013A. ANN CHRI STOPH LANDSCAPE ARCHITECT <br />31713 PACIFIC COAST HWY <br />Location of operations SOti :PH LAGUNA, CA 92677 <br />Description of operations ALI OPERATIONS <br />The policies listed below have been issue i to the policyholder for the policy periods shown. The insurance described in these policies is <br />!,ubiect to all the terms exclusions, and corWitions of those policies. The Emits of liability shown may have been reduced by any paid claims. <br />POLICY NUMBER <br />TYPE OF IN:: URANCE <br />POLICY PERIOD <br />LIMITS OF LIABILITY <br />u <br />Effective Date Expiration Date <br />at beginning of policy period) <br />i <br />Comprehenshr- <br />103/28/11 <br />BODILY INJURY AND <br />9 ;? -06- 6495 -7 <br />Business Liability <br />03/28/10 <br />PROPERTY DAMAGE <br />Phis insurance includes: ❑ Products - r :ampleted Operations <br />® Contractua i Liability <br />❑ Underground Hazard Coverage <br />Each Occurrence $1000000 <br />® Personal Injury <br />AdverHsinGI Injury <br />General Aggregate $2000000 <br />❑ Exploslon !-! azard Coverage <br />Products - Completed <br />❑ Collapse k acrd Coverage <br />Operations Aggregate $ <br />General Aggregate Limit applies to each project <br />T <br />EXCESS LIABILITY <br />POLICY <br />PERIOD <br />'ration <br />BODILY INJURY AND PROPERTY DAMAGE <br />Effective Date <br />Ex Date <br />(Combined Single Limit) <br />C] Umbrella <br />Each Occurrence $ <br />_ <br />0 Other <br />A r e <br />Part 1 STATUTORY <br />Pan 2 BODILY INJURY <br />Workers' Con• .wmation <br />and Employers, Liability <br />Each Accident $ <br />Disease Each Employee $ <br />_ <br />Disease - Pol' Limit $ <br />POLICY NUMBER <br />TYPE OF IN! URANCE <br />POLICY PERIOD <br />LIWTS OF LIABILITY <br />_ <br />Effective Date Eorawn Data <br />at bM rining of policy period) <br />_X PPRo\' - Z <br />Laura St' t Siieedy <br />Name and Address of Certificate Holder <br />THE CITY OF SANTA ANA, :ITS OFFICERS, <br />EIPLOYEES, AGENTS, VOLUNTEERS, & <br />REPRESEN'T'ATIVES <br />2J CIVIC CENTER PLZ <br />SANTA AMA, CA 92701 <br />5 N1894 a 2 -90 Printed in U.-%& <br />If any of the described policies are canceled before its <br />expiration date, State Farm will try to mail a written notice to <br />the certificate holder 30 days before cancellation. If, <br />however, we fail to mail such notice, no obligation or liability <br />will be imposed on State Farm or its agents or <br />representatives_ <br />Signatu f authorized Reprwritabn <br />.Alt' - �— — <br />ritle <br />/ ,3o/ <br />D8" Jim 1.awler,Agent Lie. # 02SM <br />nor r�\r <br />385 N Coast Highway <br />Laguna Beach. CA smi -a911 N \Y \�NCS <br />Bus 909 4941308 <br />PMJ9w1er b5wa@sLdafamLC0M <br />