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2007 - 067 <br />Commercial Certificate of Insurance FARMER 5 j <br />Agency . Mike Brandon - <br />Name . 31629OUTER HWY 10 kA issue bate (MM1DDNY) Ij12/1912009 <br />& • Redlands, CA 92373-7590 `----- <br />Address 909-7948191 This certificate is issued as a matter of information only and confers no rights <br />upon the certificate holder. This certificate does not amend, extend or alter the i <br />49 Dist. 30 Agent 314 coverage afforded by the policies shown below. <br />St. <br />Companies Providing Coverage: <br />Insured Company A Truck Insutmrce Exchange <br />Lew <br />B Farmers Insurance Exchange <br />Name . 1 WATER INC. LCtuimpany <br />& 18 GOODYEAR STE#100 company C Mid -Century Insurance Company <br />Address IRVINE, CA 92618 d <br />comp ny <br />] err <br />Coverages — — -- This is to certify that the policies of assurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding <br />any requirement, term or condition of any contract or other document with respect to which this certificate may be Issued or may pertain, the Insurance <br />afforded by the policies described herein is subject to all the tern. exclusions and conditions of such polfcies.lindts shown may have been reduced by <br />paid claims. _- —_-------------- <br />C, Policy F1fecUve Pnas:y Fxpirahon Polic Limits <br />Type of Insurance Policy Nutnber Date (xauronm) Date {tantmnrcvl __ y rs - <br />( General Aggregate s <br />rteral Liability Products-Comp/OPS <br />Commercial General Aggregate e9 <br />iability Personal & <br />I <br />i-rsen , 4'ersio I Advertising Injury S <br />Contractual - Incidental i Each Occurrence S <br />Fire Damage <br />Only (Fury cane in) E <br />owners & contractors Prot. Medical Expense <br />(Anyone person) S _ <br />-- <br />C <br />Automobile Liability <br />0943g9020 <br />09104l2oO9 <br />09/04/2010 <br />Combined Single <br />Limit <br />I <br />$1,000,000 ` <br />All Owned Commercial <br />Autos <br />wily l�njury <br />st <br />Scheduled Autos <br />l <br />Badly injury <br />j <br />s <br />K <br />>< <br />Hired Autos <br />Non -Owned Autos <br />FOR <br />,M <br />ft a&dese! <br />$ <br />Garage Liability <br />S TO <br />Property Damage <br />$ 1,000,000 <br />APFIRQVF'-�v <br />Garage Aggregate <br />z g <br />- <br />----- <br />- <br />LiabilRy <br />i <br />Limit <br />$ <br />_ <br />Workers' Compensation <br />Laud <br />ity A ttorneY <br />Statutory <br />Each Accidenty <br />and <br />1 Employers' Liability <br />Assistant <br />Disease -earn ErrtpMyreI <br />Disease - Policy Limit <br />r- <br />Description of Opemilons/Vehfcles/Restrictions/Special items: <br />Vehicle(s): 2000 FORD F350 SUPER IFDSX34F7YEB52128; 2000 CHEVROLET C3500 IGCGC33R6YF514042; 1999 TOYOTA <br />XTR.4TAVL52N5XZ504628; 2004 TOYOTA TACOMA XTR 5TEVL52N64Z338169; 2004 CHEVROLET EXPRESS GI <br />TACOMA <br />1997 WELLS CARG TRA I WC200D 19V4029506, 2005 CHEVROLET C1500 SILV 1GCEC 19T85Z 171209; <br />1 GCFG 15X441162716; <br />Certificate Holder Cancellation <br />Should any of the above described policies be cancelled before the expiration date <br />• City of Santa Arta <br />thereof, the issuing company will endeavor to mad 30 days written notice to the <br />Name Water Resotuces Division <br />Wa certificate holder named to the left, but faiture to mail such notice shaft impose no <br />& • S. Daisy Avenue, Building A <br />22 obligation or liatrili renyirind a coon the company, its agents or representatives. <br />• of Santa <br />Address 6' <br />Au an epreseistative 'F4 'v •-_.. _ .__ 1 .l <br />56-2492 4-a4 GOpy u1sulattaull: Delvice s.eutet s Vpy runs n6cuc o wP <br />h :8 W £G JAL ou16 <br />