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?Jj n.17 C , State Farm Specialty Products CERTIFICATE OF INSURANCE ISSUE DATE: February 26 2018 Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF Kim Forsyth INFORMATION ONLY AND CONFERS NO RIGHTS UPON KIMBERLY FORSYTH STATE FARM AGENCY THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES 802 Avenida Talega Ste 106 NOT AMEND, EXTEND OR ALTER THE COVERAGE, San Clemente, CA 92673-6534 TERMS, EXCLUSIONS AND CONDITIONS AFFORDED BY Producer Code #: 750451 THE POLICIES BELOW. Producer Fax #.: (949) 366-3322 INSURER AFFORDING COVERAGE State Farm Fire and Casualty Company Named Insured BLOOMINGTON, IL MONICA SIMPSON ASLA DBA: MS + MEGT COLLABORATIVE 305 North Coast Highway, Suite T Laguna Beach, CA 92651 COVERAGES 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 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 AFFORDED BY THE POLICY(IES) DESCRIBED HEREIN IS SUBJECT TO ALL THE COVERAGE, TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE PS0000004294605 April 4, 2017 April 4, 2018 TYPE OF INSURANCE LIMIT OF LIABILITY Architects and Engineers Professional Liability Insurance $2,000,000 - Limit of Liability Each Claim Policy $2,000,000 - Total Limit of Liability CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE City of Santa Ana ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS 20 Civic Center Plaza WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO Santa Ana, CA 92701 THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENT IVE REVIEWED BY: EUNICE HEREDIA (PG 6 F5 ) CERT(Rev4) (08/11)