KILEY COMPANY A-2011- B & G TBD REVIEWED BY, ' • FUNICF HEREDIA
<br />wffm
<br />A g * C1 RTIFICATF OF LIABILITY INSURANCE !13181
<br />/06D2CIS
<br />j06/201a
<br />PRODDCER THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION
<br />STAIS .c CE . JOHN LOTTTLTY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />16271 's:ANXOE2 HI} STR F HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />IRVINE, C'A. 42618-4011 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />I
<br />cERL Lncraac
<br />E P6LR.Y! .tEGT
<br />B X ;W10"061.2 UAI MTY
<br />ANY AUT)
<br />I iX Au.cmlvE)AUT6E
<br />SCHE044E T ALTOS
<br />:X HeawmtTOS
<br />X N NY1h't1EDAUTCIS
<br />X COMA DBD
<br />IX COLL DRD
<br />_ LiABt6iTY
<br />ANY ktf€O
<br />A I X '.6XCES3aEk3Ei.CA LIAB
<br />C
<br />EMPLOYEiE s twN AND
<br />ANY PF%PFNIYIET4"{vY'Ah"R!£'tF}.gfifiME
<br />I)FROER1 AHfFR EXCLUDEOY
<br />' tt yy++ttx Ccenffia vkzt
<br />'. S6ECVIi PROSRSIONS L'81tre ,_,„,_
<br />OTHER
<br />I
<br />A-2911.058
<br />A-201:-034
<br />2012 MERCRIVIS
<br />HDD1,47DOSEA106763
<br />ADDSTIONA1 "DICI.ED:
<br />CITY OF SANTA IRNA
<br />ITS' OFPIC:EFS, 3MPWYUkS 11 f,!3RNTS
<br />C/c RCSB A T GBX
<br />2t CNBC. CENTER PLZ
<br />SANTA ANA, CA 927 1-40'50
<br />112444 03.134 ,
<br />75 -CD -.2458-7
<br />92 -CX -J657-2
<br />OVOI/15 1 09/01/16
<br />9Y EN99RSEMENTI SPECIAL PAO OLONS
<br />us
<br />11 WWI ry is 1,409,060
<br />2Y INAUR%- CHs I 110001000
<br />PEYtTY L4s7aAGE 3 1,fkQ0, 040
<br />zHmis
<br />��FN„ttGt AGC�9Etie 5
<br />EH THAN ER AUC 8
<br />I8
<br />HIM
<br />5HOULD ANY OF THE ANE TAWF SED POLICAR K CANCTILOD SEPORE T4) EXPIRATION
<br />DATE THEREOF, THE ISSIBUN ROBBER WILL ENDEAVOR 10 BA£L _I' , BAYS WRITTEN
<br />NOTICE TO "IF,, CERTIFIVATE HOLDER AIMED iii THS LEF L BUT FAILUPF, TO W SSI SHALL
<br />IMPOSE NO OBLIGATION QA LIAMLITY OF AINY Me 1100H THE INSURER. ITS ACTS OR
<br />R£Pfi@9HNTA?IVES.
<br />kHTHORfiED RLPRESPN6AT3YE v.a.�.� ,•�.
<br />.4-31111 EMIT€R.,Y
<br />INSURED I'NIAmERA$e5 a Farm Gaaeral Tnnutaaea Con ant 2SY@1 I251$1
<br />ELIZAHE'.TH N KILEY %NIC NINjREit TI State Farm Huceal Auto Insurance Compas4y %51?B
<br />OSA RILEY COMPANY &AMIRIC state ram Eire And CaBualsy C05Aany 2510
<br />2151 MICITELSON DR STE 205 E�R—D
<br />j----^
<br />IAVINS, CA 92612 I
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUG PERIOD INDICATED NOTWITHSTANDING
<br />ANY REQUIREMENT, TERGA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDiTKSNS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />.,,.,,_._�
<br />.�._. ------ ...... �`I EPP LAY �IR�. �- �..r_.�
<br />3 iAB'S'LI
<br />im SIRE ITRE DP S#SURANCS POL4CYNUMBER DATE M61—% BATE I1NAXE LIMITS
<br />A X neercnae. elAa�em 92 -C5 -V665-'7 06101115 E 06/91/15 IPArx m;ninecwtr s 2.600.06
<br />I
<br />cERL Lncraac
<br />E P6LR.Y! .tEGT
<br />B X ;W10"061.2 UAI MTY
<br />ANY AUT)
<br />I iX Au.cmlvE)AUT6E
<br />SCHE044E T ALTOS
<br />:X HeawmtTOS
<br />X N NY1h't1EDAUTCIS
<br />X COMA DBD
<br />IX COLL DRD
<br />_ LiABt6iTY
<br />ANY ktf€O
<br />A I X '.6XCES3aEk3Ei.CA LIAB
<br />C
<br />EMPLOYEiE s twN AND
<br />ANY PF%PFNIYIET4"{vY'Ah"R!£'tF}.gfifiME
<br />I)FROER1 AHfFR EXCLUDEOY
<br />' tt yy++ttx Ccenffia vkzt
<br />'. S6ECVIi PROSRSIONS L'81tre ,_,„,_
<br />OTHER
<br />I
<br />A-2911.058
<br />A-201:-034
<br />2012 MERCRIVIS
<br />HDD1,47DOSEA106763
<br />ADDSTIONA1 "DICI.ED:
<br />CITY OF SANTA IRNA
<br />ITS' OFPIC:EFS, 3MPWYUkS 11 f,!3RNTS
<br />C/c RCSB A T GBX
<br />2t CNBC. CENTER PLZ
<br />SANTA ANA, CA 927 1-40'50
<br />112444 03.134 ,
<br />75 -CD -.2458-7
<br />92 -CX -J657-2
<br />OVOI/15 1 09/01/16
<br />9Y EN99RSEMENTI SPECIAL PAO OLONS
<br />us
<br />11 WWI ry is 1,409,060
<br />2Y INAUR%- CHs I 110001000
<br />PEYtTY L4s7aAGE 3 1,fkQ0, 040
<br />zHmis
<br />��FN„ttGt AGC�9Etie 5
<br />EH THAN ER AUC 8
<br />I8
<br />HIM
<br />5HOULD ANY OF THE ANE TAWF SED POLICAR K CANCTILOD SEPORE T4) EXPIRATION
<br />DATE THEREOF, THE ISSIBUN ROBBER WILL ENDEAVOR 10 BA£L _I' , BAYS WRITTEN
<br />NOTICE TO "IF,, CERTIFIVATE HOLDER AIMED iii THS LEF L BUT FAILUPF, TO W SSI SHALL
<br />IMPOSE NO OBLIGATION QA LIAMLITY OF AINY Me 1100H THE INSURER. ITS ACTS OR
<br />R£Pfi@9HNTA?IVES.
<br />kHTHORfiED RLPRESPN6AT3YE v.a.�.� ,•�.
<br />.4-31111 EMIT€R.,Y
<br />
|