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<br />."'" <br /> <br />....J <br /> <br />ALLSTATE: LlhNl/OLDER SERnCE CENTER <br />PO BOX 660349 <br />DALUS,IX 75266-0349 <br /> <br />11,1""1,11",111"""11,1"111,,,,"1111.,,,.1,111,.,,1,,11 <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLZA <br />SANTA ANA CA 92701-4010 <br /> <br />Date: t 2/04/0 I <br /> <br />CERTIFICATE OF INSURANCE <br /> <br />ALLSTATE INSURANCE COMPANY <br />Northbrook,IIlinois, certifies that the following insurance is in force: <br />POLlCYHI lLDER POLICY NUMBER <br />RALPH FERGUSON 02448250901104 <br />1720 ADMORE APT 121 <br />HERMOSA BEACH CA 90254-3028 <br /> <br />EFFECTIVE DATE <br />OF CERTIFICATE <br />JANUARY 4, 2002 <br /> <br />POLICY PERJOD <br />JANUARY 4, 2002 <br />JULY 4, 2002 <br /> <br />Al 12:01 AM <br />Slandud Time <br /> <br />The person or organization designated below is described in the policy as: <br /> <br />CITY OF SANTA ANA @ LIENHOLDER <br />20 CIVIC I 'ENTER PLZA (Lo" Payable Cia"",) <br /> <br />SANTA ANA CA 92701-4010 X ADDITIONAL <br />INTERESTED PARTY <br /> <br />AGENT RJCHARD E WEBER <br />PHONE (310) 376-0231 <br /> <br />Coverages designated below are afforded for each described vehicle: <br />BI $1,000,000 EA.PERS,-$ 1 ,000,000 EA.OCC. 1992 LEXUS <br />PD $50,000 EA.OCC. JT8VKI3T8N0069097 <br />Collision- $500 DED, Comprehensive- $250 DED, <br />BI $1,000,000 EA,PERS,-$I,OOO,OOO EA,OCC. 1995 TAURUS <br />PD $50,000 EA,OCC. IFALP57U2SG256039 <br />Collision- $500 DED, Comprehensive- $250 DED, <br /> <br />See reverse side for provisions concerning Loss Payable Clause and Additional Interested Party <br />Endorsements. <br /> <br />This Certifh.:ate of Insurance neither aftirmatively nor negatively amends, extends or alters the coverage <br />afforded by the policy referred to above, <br /> <br />U6674-1 <br /> <br />'1Irlll~jI18Irlllrl'llUllnlllilllmllmlll~illli~lml <br />