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-ro: PosJa r oe n ao?3-oa-ae tvaase <omro gar oavaasi? ,m m?i rr®y <br />s-?om P? <br /> <br />VEHICLE QR EQUIPMENT CERTIFICATE OF INSURANCE <br />0312012011 <br />THIS CERTIFICATE IS. ISSUED AS A MATTER OF INFORMATION ONLY AND CON <br />FERS NO RIGHTS UPON THE;CERTIFICATE' HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND <br />, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />. BELOW, THIS CERTIFICATE OF INSURANCE-DOES. NOT CONSTITUTE A :CONTRACT <br />BETWE <br />T <br />I <br />- <br />.... <br />EN <br />HE <br />SSUING- INSORER(S);.AUTHORIZED <br />' REPRESENTATIVE OR PRODUCER;. AND THE CERTIFICATE HOLDER. - --- ---..., -.. - - <br />This form is used to report,caverages provided We single Specific Vehicle or. equipment Oo not use this form to report liability Covers 0 . <br />id <br />-prov <br />ed to multiple vehicles under a single policy. Use ACORD 26 for that. purpose _ <br />PRODUCER , <br />SfateFOYIN PAM MURRA <br />S D& . C PAM MURRAY '... <br />Y <br />TATEFARM:INSURA <br />NCE 310 <br />316 <br />? <br />, <br />.604 N.PACIFIC COAST HIGHWAY - <br />? Ono <br />- <br />.6799 <br />En ; <br />EMAIL ' uc Rot 310.376_8511 <br />. . <br />- <br />• o a as: <br />REDONDO BEACH <br />CA 90277 PR DucsR <br /> <br /> <br />INSURED "" `INSURER a AFFORDING COVERAGE- -- "'' <br />NAICR <br />' <br />.G$ CALIFO 14SURERA• State Farm Mutual AutomohileinSum ce Company 2$176 .?- <br />RNIA TOWING, <br />INC 2202 W 5TH ST -- <br />_ <br />2202 W 5TH <br />- INSURER R: <br />ST <br />- <br />SANTA <br />N INSURERC• ,. .. . <br />A <br />A CA 92703.2809. <br /> N UREA 0: <br />DESCRIPTIm nF vFuir-10 ^a cnum..cu. I sURER'E: - -' <br />YEAR MANEIVANUFACTURER MODEL -- <br />- <br />.. <br />. - BODY TYPE'. -...,YERICLEIOENTIFICATION NUMBER " <br />` <br />20Q3 FREIGHTLINER <br />.,.... <br />- ...- - <br />. <br /> 1FVACXAK43HL65876 _,. .... ' <br /> <br />.. <br />DESCRIPTION <br />._ .. <br />. <br />?.._. <br />. <br />_ <br />? <br />... .. ?- SERIAL NUMBER <br />-COVERAGES CERTIFICATE-N .... <br />..UMBER. 'REVISION NUMBER: <br />THIS tS TO CERTIFY THAT THE POLICY(IES) OF INSURANCE LISTED BELOW HAS/HAVE BEEN ISSUED TO THE INSURED NAMEOABOVE FOR THE POLICY <br />PERIOD(S) INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT,OROTHER DOCUMENT WTH RESPECT TO <br />WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICY(IES) DESCRIBED: HEREIN ISIARESUBJECT TQ <br />ALL THE TERMS, EXCLUSIONS ANp CQNOITIONS OF'$UCH POLICY(IES), <br />INSR !NADDL <br />sm - "' -" POLICY EFFECTIW POLICY EXPIRATION <br />LTR'NSao fFINSUMN <br />POLICY NUMBER GA <br />TE IMMIO <br />DfYYYY) DATE(MM@DmYYI LIMITS x COMBINED DINGLE LJMIT $ <br />105223•Ff5-75A-000312612003 Da.262D14 s1,000,000 <br />BODILYINJURY(eramdeM) $ -- •. , PRWERTYDAMAGE.~- $ ...- <br />GENERALLHla1UTY EACH OCCUKINCE $ <br />OCCURRENCE - - _ , - <br />GENBRALAGGREGATE $ - <br />OLAiMS MADE '.. -. ...' -- - <br />- INSR LOSS . , - $. - .. <br />LTR PA TYPE OPIN$URANG6 POLICY EFFECYIVE POLICY EXPIRATION ,-. <br />_ - POLICY NUMBER DATE IMMIOOA^(ry) DATEYMMIDONYM - LINTSIDEDDCTIBLE <br />VEH COLLISION LOSS " ?3qV AGREED <br />AMT $ LIMIT <br />? CI STATED.AMT $ BED. <br />VEHCOMP VFA,OTC. ?. ACV Q AGREED AMT 1 -' LIMIT' <br />PROPERTY I] ? STATEDAMT ; OED <br />?m [] ACV E AGREEDAMT .... ..., <br />BASIC, SNEAD - ' ' - S <br />?. RC, M STATEDAMT 'LIMIT <br />... Q. OED _ <br />SPECIAL 1•TpPPgg?9ROT' yVIY A 4'n@? 'ry+O V ?y yr/? b <br />lt?t <br />_ _ _,....• _._ , oSSlril. <br />REMARKS(INCLIIDINGSPECIALCONDITIONSIOTHERWVERAGES (AUecn COR 1 tl sdulq amore FPncnla raqulredl. <br />ksy?s?ari4 C"3? ?"tfS7P" <br />ADDITIONAL INTEREST - - _.. , -.. <br />'Select one o the following; <br />_, - CANCELLATION <br /> <br />X The addltgnal inWaSt deSChred Oelow has baen addea to the Po4cyles) listed herein by policy.bumbi((c) <br />AY <br />l <br />lt SHOULD ANY OF THE ABOVE POLICIES BE cA I <br />NOTICEWILLRECELLED - <br />BEFORE THE XPI13TIION DATE STHEREOF <br />. <br />ws <br />ma <br />aeen BU6mllan to edd the aadMmal ntaraddasmbed NglWrtoihy pAltrylms) -... <br />lisla hareln pall wml>er s - , <br />DELIVERED IN ACCORDANCE WITH THE p041CY PROVISIONS, <br />.VEHICLEiEQUIPMENT INTER EST: LEASED ,, FINANCED ~ -DESCRIPTION OF THE ADDITIONAL INTEREST <br />_ <br />NAME AND ADDRESS OF ADDITIONAL INTEREST X, ADD1110ryAL INSURED -- LOSS PAYEE, <br />ADDITIONAL INSURED <br /> <br />- CITY OF SANTA <br />NA - - DE 01011 PAYEE <br />A <br />SANTA ANA POLICE DEPARTMENT'-- -- ..LOAN " IN ,,rr <br />->- 14.1,+7,?•'"t ^sFP^''T' <br />60 CHIC CE <br />TER PLAZA <br />` - <br />SANTA ANA, CA,92701 <br />N AUT <br />. <br /> ` <br />I <br />'ACORD 23 (2010105) The ACORD Dame and to 01997.2010 ACORD,CpRPORATIO -All rights reserved, - <br />_ ._.9o are regleteNld. Marks.of.ACIQRD <br />__ _1006361 142987:2 01 28 2415'-.--