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<br />Commercial Certificate of Insurance FARMER 5 <br />Agency . Byron Erstad <br />Name . 2947 E Magic View Dr Ste 1 Issue Date (MM/DD/YY) 11/19/2010 <br />& • Meridian, ID 83642-3562 <br />Address • 208-884-5400 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. 75 Dist. 33 Agent 552 coverage afforded by the policies shown below. <br /> Companies Providing Coverage: <br />Insured Company A Truck insurance Exchange <br />. PACIFIC TRAFFIC DATA SERVICE Lets <br />Name . 6568 S FEDERAL WAY STE 334 pww B Farmers Insurance Exchange <br />& : BOISE, ID 83716 Company C Mid-Century Insurance Company <br />Address <br />D <br /> c <br />omp?y <br /> teaer <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 terns, exclusions and conditions of such policies. Limits shown may have been reduced by <br />paid claims. <br />Co. <br />Ltr. Type of Insurance <br />?'pe Policy Number Policy Effective <br />Date (MM/DD/YY) Policy Expiration <br />Date Nm/DD/m Policy Limits <br />B General Liability 604774386 10/27/2010 10/27/2011 General Aggregate $2,000,000 <br /> K Commercial General Products-Comp/OPS <br />Aggregate <br />$1 <br />000 <br />000 <br /> Liability , <br />, <br /> Personal <br />& <br /> }C <br />Version <br />- <br />Advertising Injury <br />$1,000,000 <br /> Contractual - Incidental Each Occurrence $1 <br />000 <br />000 <br /> Only Fire Damage , <br />, <br /> (Any one fire) $ 75,000 <br /> Owners & Contractors Prot. Medical Expense <br /> (Any one person) $ 5,000 <br /> Automobile Liability Combined Single <br /> <br />All Owned Commercial Limit <br />$1,000,000 <br /> Autos / Bodily In ury <br />(Per <br />ersm <br /> Scheduled Autos ) <br />p $ <br /> Hired Autos -. <br />In <br />? <br />j <br /> <br />$ <br /> K Non-Owned Autos . (Per acdde <br />nt <br /> Garage Liability ( . Property Damage $ <br /> Garage Aggregate $ <br /> Umbrella Liability limit f <br /> Workers' Compensation Statutory <br /> and Each Accident E <br /> <br />Employers' Liability Disease - eaaEm*y" <br />Disease - Policy Limit $ <br />$ <br />Description of Operations/Vehicles/Restrictions/Special items: <br />6568 S FEDERAL WAY, BOISE, ID 83716 <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 PLZ, 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 of any kind upon the company, its agents or representatives. <br />R <br /> Authorbed? y <br />Representative <br />56-Z49Z 4-94 Copy uistribution: Service Center Copy and Agent's Copy H-01