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<br />~c.,> <br /> <br />03(31(2025 11:44 <br /> <br />71452788'38 <br /> <br />STATE FARM <br /> <br />PAGE 02 <br /> <br />CERTIFICA.TE OF INSURANCE <br /> <br />o STATE FARM FIRE AND CASUALTY COMPANY, Bloomilll/lon, lHinois <br />liS! STATE FARM GeNERAL INSURANCE COMPANY, Bloomington, Illinois <br />o STATE FARM FIRE AND CASUALTY COMPANY. ScarboroUgh, Ontario <br />o STATE FARM FLORIDA INSURANCE COMPANY, WmterHeven, Florida <br />o STATE FARM LLOYDS, Dailas. Texas <br /> <br />insures the folklwlng pOlicyhOlder for the coverages indicated below: <br /> <br />PolicyhOlder Marie George DBj:l,.~ Little Steps Da.r.I.l:~lOt! School <br /> <br />'A <br />41_'...._1. <br /> <br />This certifies that <br /> <br />N - .'}.DoS - / ~ <br /> <br />Addreu of policyholder 11a6 TusHn Ave, Orange, CA naG? <br /> <br />Location of operations same <br />Deseriplion of opemtians dancQ school <br /> <br />Th~ ryo!,C'", \isted beklw have been Issued to the policyholder for the policy periods shown. The insurance described in these policies is <br />subject to all the \elms, exdu$ions. and conditions of those policies. Tile limits of liability shown may have been reduced by lIIl)/ paid claims. <br /> <br /> POLICY PERIOD LIMITS OF LIABILITY <br />POLlCY NUMBER TYPE OF INSURANCE Effectlve Dale : Elqliration Da!I! (;It beglnnlng of policy period) <br />92-GA-S133-S G Comprehensive 06/23(2005 : 06(23(2006 eODIL Y iNJURY AND <br /> ,e~~i~~~U,,,bil!'X..... ," 0' ,n'__ n, n", n.. L ."nOn' h" m. PROPERTY DAMAGE <br />, This Insu;,;"",; i"i:iu(j;;$'" 121 Products. Completed Operations <br /> ~ Contractual Liability Each occurrence $ 500, 000 <br /> o Personallnj\llY <br /> o Adverti$ing InjUIY General Aggregete $ L 000, 000 <br /> 0 <br /> 0 Products - Comple1ed $1,000,000 <br /> 0 Operations AQQI'ooate <br /> POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE <br /> EXCeSS LIABILITY Effective Dm : ExpI_ DaIR (Combined Single Limij) <br /> o Umbrella , Each Occurrence $ <br /> o Other : Aggregate $ <br /> POLICY PERIOD Part I ' Worlters CompenGBlion - StatutolY <br /> Effective Date : ExpI_ DaIR <br /> Workers' Compensation : Part II - Emptoy"rs liability <br /> and Employers Liability , Each Accident $ <br /> Disease, EBC:h Employee $ <br /> Dis....se - Policy Limit $ <br /> POLICY PERIOD LIMITS OF LIABILITY <br />POLlCY NUMBER TYPE OF INSURANCE Effective Dale : ExpIratlon OllIe (at beginning of polley period) <br /> : <br /> : <br /> <br />THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE ANO NEITHER AFFIRMATlVEL.Y NOR NEGATIVELY <br />AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. <br /> <br />Ci~y of Santa Ana <br />20 Civic Centerflaza <br />Santa, Ana, CA 92701 <br /> <br />\1 <br /> <br />If any of the dElScribed policies are canceled befol1; <br />their expiration date, State Farm will try to mall a <br />written notice to the certiflcate holder 30 days before <br />canceUalion" If however, """ fail to mail such notice, <br />no obligation or liability will be Imposed on State <br />Farm Or its a900ts or l~ sentB\ives. <br /> <br /> <br />03/31/2006 <br />Date <br /> <br />Name and Address of Certificate Holder <br />Additional Insured: <br /> <br />o i ;.// <br />/(;i"l ~-' <br /> <br />Signature 01 Authorized Rep"'''''nta <br />Agent <br />Title <br />Charlene flatakeyamQ <br />AlI'lnt Name <br />Telophone Numbe, '714 527-BB97 <br /> <br />~Ag8ntls Cod@Stamp <br />AIlenl Code <br />AFO Code <br /> <br />5SB;..9g4a.5 f<<!v.11..oe.Z0Q4 Pfml;ed In U.S.A. <br /> <br />---- <br />