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®Allstate. <br />You're In good hands, <br />CERTIFICATE OF INSURANCE <br />Cl CW A01 1011 <br />This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued <br />to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided <br />by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage <br />is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other <br />contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at <br />the policy inception. Subsequent paid claims may reduce these limits. <br />Certificate Holden Named insured: <br />CITY OF SANTA ANA, PUBLIC WORKS AGENCY EDWARD SCHADE <br />220 S DAISY AVE. M -85 1144 BRADFORD DR <br />SANTA ANA, CA 92702 GLENDORA CA 91740 -5302 <br />Automobile Liability <br />Insurer Name: Allstate Insurance Company <br />Po li Number. 648657348 <br />1 — Any Auto <br />12 — Owned Autos Only <br />13 — Owned Priv. Pass. Autos Only <br />4 — Owned Autos Other Than Priv. <br />Pass. Autos Only <br />5 — Owned Autos Subject to No <br />Fault <br />6 — Owned Autos Subject to a Compulsory UM Law <br />X <br />7 — Specifically Described Autos <br />X <br />18 — Hired Autos Only <br />X <br />19 — Nonowned Autos Only <br />Policy Effective Date: 05 -23 -2013 <br />1 Policy Expiration Date: 05 -23 -2014 <br />Limits of <br />$ 1,000,000 <br />Combined Single Limit (each accident) <br />Insurance: <br />BI Per Person <br />I BI Per Accident <br />PD Per Accident <br />Description of Operations/Locations/VehMes/Endorsoments/SpeciaI Provisions <br />SILVER ENDORSEMENT WITH WAIVER OF SUBROGATION. INCLUDED IS HIRED AUTO AND NON <br />OWNED AUTO. <br />Interested Party Type: ADDITIONAL INSURED <br />THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. <br />IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST <br />EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL <br />INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH <br />POLICY LANGUAGE OR ENDORSEMENT. <br />Cancellation <br />In the event of cancellation of any policy described above, the insurer will attempt to mail 30 days written notice to the <br />certificate holder prior to the effective date of cancellation. However, failure to do so will not impose any duty or liability upon the insurer, <br />its agents or representatives, norwill it delay cancellation. <br />Producer. <br />CRYSTAL CLARK INSURANCE AGENCY <br />Date: <br />Authorized Representative: <br />eu...... Cl CW A01 1011 <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission <br />Allstate Insurance Company <br />Insured Copy <br />Page 1 of i <br />