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<br />Commercial Certificate of Insurance . FAR ME R S' <br />Agency . ALLINSON INSURANCE AGENCY <br />Name . 14151 NEWPORT AVE #101 Issue Date (MM/DD/YY) 104/19/1 0 I <br />& . TUSTIN, CA 92780 <br />Address . 7148382860 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 <br />St. 97 Dist. 66 Agent -323 coverage afforded by the policies shown below. <br /> Companies Providing Coverage: <br />Insured Company A Truck Insurance Exchange <br /> . THE PETERSON GROUP Letter <br />Name . #2 CORPORATE PLAZA DR. 150 Company B Farmers Insurance Exchange <br />& . NEWPORT BEACH, CA. 92660 Letter <br /> Company C Mid-Century Insurance Company <br />Address . Letter <br /> Company D <br /> - Letter <br />Coverages <br /> This is to certify that the policies of insurance 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 terms, exclusions and conditions of such policies. Limits shown may have been reduced by <br />"paid claims. <br />Co. Type of Insurance Policy Number Policy Effective Policy Expiration Policy Limits <br />Ltr. Date (MMIDDIYY) Date (MM/DDIYY) <br />- General liability General Aggregate $ <br /> Commercial General Products-Comp/OPS <br /> Liability Aggregate $ <br /> Personal & <br /> - Occurrence Version Advertising Injury $ <br /> Contractual - Incidental Each Occurrence $ <br /> Only Fire Damage <br /> (Anyone fife) $ <br /> Owners & Contractors Prot. ~ Medical Expense <br /> - ,c::. 'TO FOR (Anyone person) $ <br /> Automobile liability A.PPKU'l.LJ....... Combined Single <br /> All Owned Commercial f.<~/ )( k/ Limit $ <br /> Autos ~-- .- - '\.iiA2Q Bodily In~ury <br /> Scheduled Autos - ' . " r~ S tt Sheedy (per person - $ <br /> 'Jau (' Attorney <br /> Hired Autos ASslstant Ity Bodily Injury <br /> I (per accident) $ <br /> Non-Owned Autos <br /> Garage Liability Property Damage $ <br /> Garage Aggregate $ <br /> Umbrella liability Limit $ <br />A Workers' Compensation AO 1097222 04/11/10 04/11/11 Statutory <br /> and Each Accident $ 1,000,000 <br /> Employers' Liability Disease. Each Employee $ 1,000,000 <br /> Disease - Policy Limit $ 1,000,000 <br />Description of OperationsNehic1es/Restrictions/Speciai items: <br />Certificate Holder Cancellation <br /> . CITY OF SANTA ANA Should any of the above described policies be cancelled before the expiration date <br />Name . 20 CIVIC CENTER PLAZA thereof, the issuing company will endeavor to mail 30 days written notice to the <br /> & . SANTA ANA, CA. 92701 certificate holder named to the left, but failure to mail such notice shall impose no <br />Address . obligation or liability orany kind upon the company, its agents or representatives. <br /> Patty Allinson <br /> Authorized Representative <br /> <br />56-2492 4-94 <br /> <br />A . 2 Od ~ ~ 30 ~ <br /> <br />Copy Distribution: SeIVice Center Copy and Agent's Copy <br /> <br />H-G! <br />