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<br />CERTIFICATE OF INSURANCE <br /> <br />tTlIl'UM <br />.. <br /> <br />STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois <br />STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois <br />STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario <br />STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida <br /> <br />18I <br />D <br />D <br />D <br />D STATE FARM LLOYDS, Dallas, Texas <br />insures the following policyholder for the coverages indicated below: <br />Policyholder The Ferguson Gr:oup LI.C <br /> <br />This certifies that <br /> <br />""UU'''," <br /> <br />1130 Connectitcut Avenue NW, Suite 300, Washington, DC 20036 <br /> <br />Address of policyholder <br />Location of operations <br />Description of operations <br /> <br />Legislative Lobbyists <br /> <br />The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is <br />subject 10 all the terms, exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. <br /> <br /> POLICY PERIOD L1MtTS OF L1ABI LITY <br />POLICY NUMBER TYPE OF INSURANCE Effective Date : Expiration Date (at beginning of policy period) <br />99 BU 8962 7 Comprehensive 04/08/06 04/08/07 BODILY INJURY AND <br /> Business Liability , PROPERTY DAMAGE <br />n__ Hn_n -fgf Products-:.COITlplt;tt;(j .Operations- - --- - -- --- - - - - -- ___.____u <br />This insurance includes: <br /> 18I Contractual liability Each Occurrence $ 1000000, <br /> t8J Personal Injury <br /> o Advertising Injury General Aggregate $ 2000000. <br /> [SI Hired l'I.uto <br /> [8] Nonowned Auto Products - Completed $ 2000000, <br /> 0 Operations Ag!1renate <br /> POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE <br /> EXCESS LIABILITY Effective Date : expiration Date (Combined Single Limit) <br />99-I:lU-8978-1 18I Umbrella 04/08/06 04/08/07 Each Occurrence $ 4000000. <br /> DOther , Aggregate $ 4000000. <br /> POLICY PERIOD Part I - Workers Compensation - Statutory <br /> Effective Date : Expiration Date <br />99-BU-8963-9 Workers' Compensation 04/08/06 04/08/07 Part 11- Employers Liability <br /> and Employers Liability , Each Accident $ tOOoooo, <br /> , Disease - Each Employee $ 1000000. <br /> Disease - Policy Limit $ 1000000, <br /> POLICY PERIOD L1MtTS OF LIABILITY <br />POLICY NUMBER TYPE OF INSURANCE Effective Date : Expiration Date (at beginning of policy period) <br /> : <br /> : <br /> <br />THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY <br />AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN, <br /> <br />Name and Address of Certificate Holder <br />City of Santa Ana "' r, <br />20 I-ivic Center Plaza <br />Santa Ana, CA 92701 <br /> <br />, ,'i' <br />1'./ .\ ,; <br /> <br />><~(~(!(T-- <br /> <br />, '- :\i -" , <br /> <br />STAn FARM <br /> <br />A <br /> <br />PAT DADY, Agent <br />15215 Shady Grove A~I SUite 1 02 <br />Nations Bank BuiKling <br />Aockville, MaJYland 20850 <br />Off, 301-948-4414 tax, 301-948-5839 <br />Home 301-948-247t <br /> <br />INSURANCE <br />. <br /> <br />556-9948.5 Rev 11_08_200<1 Printed in U.S.A <br /> <br />If any of the described policies are canceled before <br />their expiration date, State Farm willlry to mail a <br />written notice t the certificate holder 30 days before <br />cancellation. I h wever, we fail to mail such notice, <br />no obligation r Ii ility w. imp d on State <br />Farm or its r re es ntaU e <br /> <br /> <br />Signature of Authorized Representati <br />Agent <br />Title <br />Pat Dady <br />Agent Name <br />Telepl10ne Number 301-948-4414 <br /> <br />Agent's Code Stamp <br />Agent Code 09-9455 <br />AFO Code F673 <br /> <br />5/10/2006 <br />Date <br /> <br />c. , <br />