|
?.+o= y ?? :n <-7 o.zn %:y'P:3's (ca ?.nr) l?'1 o:x7'c.P•S'1 , 1-no .,..nAr onK,n
<br />CERTIFICATE OF INSURANCE.
<br />' This certlfles that STATE FARM FIRE AND CASUALTY COMPANY, Bloomington,, Illinois ..
<br />El FARM GENERAL I.N.SURANG.E?.GO.MPANY, Bloomtogtan,:lllinois -
<br />STATE FARM ?FIRE-AND"CASUALTY ?COMPANY, rScarborough,.Ontario
<br />E STATE FARM"FLORIDA INSURANCE:.COMPANY,: Wimer Haven, Florida
<br />'.:
<br />11 STATE FARM.LLOYDS, .gaflas .Toy
<br />as
<br />Insures 4he following p4licyholderfor fI c-overages indicated pelow: _. '
<br />Name of policyholder. G5 -Ca.7aPorrif.:a:7lowxnq:Inc
<br />- ? ? ?-•.. ? -.?
<br />AddreSSofpoilcyholder- 2202.w stn st,.santa ,,rnk,,,c3-.9z7.os
<br />LgCatlDn of operahon3 same.. as above.
<br />'
<br />DefiCflph4n DfO eraYwnS. .. Tbw SeIY 1l.B
<br />P.
<br />. "Tile,pa+icies listed below have been issued to the pglicyholder•far'.the policy periods showri.?-The }nSUrarjde described in these policies, is
<br />^sabiect to all the teems ekolusions, and conditions of those. potiPles,The limits of Iiability sh4Wn maY have been reduced by any paid.dai(ns. "
<br />. .......P.OL,ICYPERIQA.?,.. ?LIMI.TS:OF:LIABILITY:'?
<br />- POLIC.YNUMB(:R TYP.£.OFINSURANCE E(tectlliet]ate
<br />E1ryi"Irahun pate (at'6e Inns
<br />. .9 ngpfpappy:pcHUdj
<br />.. ..Comprehensive. - ...... .. .. .: BODILYINJURY AND` ..
<br />Business LrablUty _ PROPERTY,DAMAGE
<br />" "Thrs insurance Includes: ? .L:1 products.-Completed Operations ? ? " ??" ? ? - ? • ? ??
<br />0 CogtractiedLiabilftY ? ? .. ? ? .
<br />. ... ......Ll Underground :Hazar.d.Govotage .... Each 9ccurrence $
<br />.. ID Advo lisindInlury.
<br />,
<br />- fl Explgslpn.Hazard. Coverage
<br />, Q Operations, Aggregate ..
<br />POL
<br />I(;Y.PERI0.4 •? ? BODILY INJURYANDpROPERT.Y..t7AMAGE-..:
<br />EXGES3LIAE? ITY Effoadve'Date Expiration Dote ' jC:ombmedSjngleLimit) .
<br />rella Each Occurrence $
<br />C3 Uinb.
<br />,.
<br />Other Aggregate: $ ...
<br />':art t STATUTORY
<br />..: Part,2 @ODIt.Y.1NJURY .. - ...
<br />Workers Compansstlon : -
<br />,. - : - and.EmpIwors Liab!Ilty.. Each Accident - $ :. ...
<br />... ? .... ,., ...
<br />,Disease Poiioy'Limit .. $ '.
<br />POLICY PERiQ4. LIMITS OF LIABILITY
<br />POLICY NUMBER TYPE OF INSURANCE Effective Date Exp1 atSon Date
<br />{at be mnln oP ollc
<br />., . _ gi . g P. y period}. .
<br />Y. 4.6IX9/2412. 46 19/207.3:.. -SINN SINGLE.:LTONTO _ED To
<br />;0s. 2803..-F21-75 TrUCIC •Laab'kait .,
<br />: _ ,. _...?.. ? ?.... -, .. '?... ? ., ?, ., .. _..._ $a..,?ooo, coMir/.;a,i. coq.-cokL?-.'-. •. ?".... ..?
<br />7 THE GERTIFICATE?OFJNSURANCE 1S NOT A CONTRACT OF INSURANCE AND NIEITHER'AFFIRMATIVELY NOR.NEG'ATIVELY , .
<br />AMENDS; EXTENDS OR, ALTERS: THE`COVERAGE AP.PRQYEp BY ANY'PPLICY DES..KIE3 D HEREIN. "
<br />-: E68Y2".T. viri# ix8CDl39x4R.D3.37.692 If any, of the. described. policies are canceled :hefore, .
<br />2003::zNxERNAT xinlf:IHTM14AAM63.H.5a%,a7n its expiration.date,
<br />0 ;S3ate. Farm.witltrytomaiLawritlen.,.
<br />: :.2008 .FQXd F,55.Yi.).j 1PAAr56Riii 8 § fi6 7.
<br />notica:to,the _eerft,ote hotder.;ao..,days ,pefnre
<br />oa
<br />pcellatlon If however We tall to mall such nofte ,
<br />na a 40
<br />" nor tiabili wrH be.. imposed on State
<br />Fa or s ago or. Ives.
<br />,
<br />Name and Address of Certiftcata Holder
<br />Sgnattlre. of Authorized Representative
<br />-
<br />..'. ABDZTIDNAL XA78S7REI)-.... ... _ .. .
<br />CXTY. OF-SANTA,ANA' .. .. A icnc J267xg1z
<br />'SANTA ANA POLICE'AEPARTMENT od e S(amp
<br />6q C]'u`I C. CLrN'1'?12 A'LAZA AP I T'°? r ? : 1'1,0 FO - RN„ AgenftC. _ Aate
<br />SANTA 'MA 92701
<br />`"V1Wvu.wk V AFO AodQ Fa a>_
<br />- - .556894 B'S,. (14.7998, Printed in U S.H. .... t, aura A. Rossini
<br />Assistant Gary Attorntly
|