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<br />'-' <br /> <br />...., <br /> <br />ALLSTATE LlENHOWER SERVICE CENTER <br />PO BOX 660349 <br />DALLAS,TX 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: 12/04/01 <br /> <br />CERTIFICATE OF INSURANCE <br /> <br />ALLST ATE INSURANCE COMPANY <br />Northbrook,IIlinois, certifies that the following insurance is in force: <br />POLICYHOLDER 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 />At 12:01 A.M. <br />Standud Time <br /> <br />The person or organization designated below is described in the policy as: <br />CITY OF SANTA ANA @ LIENHOLDER <br />20 CIVIC CENTER PLZA (Loss Payable Cia"",) <br />SANTA ANA CA92701-4010 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 $1,000,000 EA.PERS.-$ I ,000,000 EA.OCC. 1992 LEXUS <br />PD $50,000 EA.OCC. JT8VK13T8N0069097 <br />Collision- $500 DED. Comprehensive- $250 DED. <br />BI $1,000,000 EA.PERS.-$ I ,000,000 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 Celtificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage <br />afforded by the policy referred to above. <br /> <br />U6674-1 <br /> <br />TMlljifilllllfll'llllllnlli~IIIII~III~m~i~I~111111 <br />