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<br />_.... _., _........ ............ &DA <br /> <br />~..~..OP.,""..~ <br /> <br />rIU.c.,,;, <br /> <br />1aJ006 <br /> <br />CERTIFICATE OF INSURANCE <br /> <br />. 1:!13 STATE FARM FIRE AND CASUALlY COMPANY, Bloomington, Illinois <br />'"'' ..... 0 STATE FARM GENERAL INSuRANCE COMPANY, Bloomington, Illinois <br />~ " 0 STATE FARM FIRE AND CASUAllY COMPANY, Scarborough, Ontario <br />~ 0 STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida <br />, 1.'U'A.". I 0 STATE FARM LLOYDS, Dallas. Texas <br />Insures the following policyholder for the coverages indicated below: <br /> <br />Name of policyholder FRIESS COlfPMY llUILDERS <br /> <br />Address of policyholder 31656 RANCHO VIEJO ROAD, SUITE ll, SAN JUAN CAPISTRANO, CA 9'- 615 <br /> <br />Localion of operations <br />Description of operations <br />The policies listed below have been issued to the policyholder for the poliCY periods shown. The insurance desoribed in these policies Is <br />subject to all the tenns exclusions. and conditions of those policies. The limits of liability shown may have been reduced by any paid <br />claims. <br /> <br /> POUCY PERIOD UMITS OF LIABILITY <br /> POLICY NUMBER TYPE OF INSURANCE Effec:tive Date i ~ (at beginning of polley period) <br /> Comprehensive ; BODILY INJURY AND <br /> , <br /> .~~~~~.~~~I!~......... ..................:.................. PROPERTY DAI\1AGE <br />. 'This' iiisuriiiice'iiiCiude$:" o Products - Completed operations <br /> o Contractual Liability <br /> o Underground Hazard Coverage Each Occurrence $ <br /> o Personal Injury <br /> o Advertlsing Injury General Aggregate S <br /> o explosion Hazard Coverage <br /> o Collapse Hazard Coverage Products - Completed $ <br /> 0 Operations Aggregate <br /> 0 <br /> POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE <br /> EXCESS LIABIUTY ElflIctive Date : [).,AI a(cn Date (Combined Single Um~) <br /> o Umbrella , Each Ooeurrence $ <br /> o Other , Aaaregate $ <br /> : <br /> . Part 1 STATUTORY <br /> . <br /> , Part 2 BODILY INJURY <br /> , <br /> Wor1lers' Compensation : <br /> , <br /> and Employers Liability i Each Accident $ <br /> ; Disease Each Employee $ <br /> , <br /> : Disease. Policy Urnit $ <br /> POUC'f PERIOD LiMns OF UABlLllY <br />POLICY NUMBER TYPE OF INSURANCE Effective Dale Date (at beginning 01 porlCY JHIriod) <br />L36 1521-A15-750 AUTO 01115/02 01/15/03 1,000,000 eSL <br />P41 3956-F19-1SB AUTO 06/19/02 12119/02 1,000,000 CSt. <br />012 8434-029-15C AtrrO 10/29/02 04/29/03 1,000,000 CSt <br /> <br />THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATlVEL Y NOR NEGATIVELY <br />AMENDS. EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POUCY DESCRIBED HEREIN. <br />If any of the desaibed policies are canceled before <br />~ elCpiration dale, State Farm will try to mail a <br />written notice to the certificate holder days <br />before cancellation. If however. we fail to mail such <br />noti' no obligation or Iiabil" will be Imposed on <br />IlJ: r its a or resentatives. <br /> <br />Name and Address of Certificate Holder <br /> <br />THE COMMUNITY REDVEtO~MENT <br />AG8NC~ OF THE CITY OF SANTA ANA <br />AND THt CITY OF SANTA ANA <br />ITS OFFEaICERS AND EM~t.OY8ES <br />AS ADDITIONAt. INSURED <br />20 CIVIC CENTER PLAZA-M26 <br />SANTA ANA ell. 92706 <br /> <br /> <br />1>.'0 'to ~Oi'Jfi <br /> <br /> <br />I <br />J <br />me <br />I Aganl's Code Stamp <br /> <br />AFO Cod. F4l& <br />JQHN McMAi-jAN <br />AIiS.,'UON VIEjO . <br /> <br />05/10/02 <br />0... <br /> <br />. ..~... <br /> <br />558-984 a.3 04-1999 Printed in U.S.A. <br /> <br />-:iO?C'f- <br />I' t. S tl-orne~ <br />"~~" ~ b) <br /> <br />8.3''- <br />, " <br />,- <br />F416 <br />