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<br />Commercial Certificate of Insurance <br />Avencv <br />FARMERS <br />•• . MiKQ ISR1ni3Wt ~ <br /> <br />Name .31629 OUTER HW'Y ]0 #A i <br />Issne Date (MMfDD/YY) 72/19/2W9 <br />& Redlands, CA 92373-7590 ------- ' I <br />Address •909-794-g 191 This tzrtlficate is issued as a matter of infomsa6on only and cnnfets no rights <br /> upon the certificate holder. This certtticate does not ancend, extend or alter ttte <br />314 <br />30 A <br />ent <br />99 Ut coverage afforded by the policies shown below. , <br />•. <br />g <br />st. <br />5t. Companies Providing Coverage: <br />Insured Cmrp>any A Truck Insurmrcc Exchange <br />~ <br /> <br />Name i WATER INC Lrtler <br />enmpany B Farmers Insurnnce Exchange <br />I <br />. <br />& 18 GOODYEAR STE#!00 Letter <br />pd°y CMid-Century Insurance Company <br />L <br />n <br />m <br />Address 'IRVINE, CA 92638 e <br />e <br />r <br />b <br /> <br />Lever <br />---- in~ny -- __._______ .~ <br />__. _ __ ___., <br />Coverages I <br />This h to certify that the pugcies of huurance fisted below have been issued to the insured named above far the poacy period indicated. Notwithssanding <br />any requirement. term ar rnndition of any contract ar other docume nt with respect to wlilth this urtifiate may be issued or may penain, the insurance <br />afforded by the policies described herein u subject to all the terms, exdusiom and condhions of such policks-timits shown may have been reduced by <br />paid claims. _- <br />Gz <br />Number <br />lic <br />P <br />f I <br />T -- -- <br />~ <br />Poficy FtFecdve Polfcry Expiration Folic Limits <br />y <br />D <br />y <br />rssurance <br />o <br />ype o <br />Lv. --- <br />ate ;AaM/DD/YYl <br />Uate pixarooml <br /> T General Aggregate S <br /> General Liability ~ Pmducu-Comp; OPS <br />~~ Commercial General i Aggregate S <br />' Liability Petmna5 & <br /> (kcunence Verslan AdvertJshtg Injury S <br /> Canuactual-Incidental Each Occurrence <br />Pitt Damage S <br /> ' Only (lvryanetBrJ Y ' <br /> Owners & Contractors ftot. ~, ' <br />__-- -- <br />-- Medical Expense <br />(Arryone persmJ iI <br />5 ___ <br /> <br /> <br />C - <br />Automobile Liabih <br />rcY 094389020 <br /> <br />09104!2009 <br /> <br />09104!2010 <br />Combined Single <br />LitNt f <br /> <br />S 1,000,000 i <br /> ~ AuICOwned Commercial Bodily In'vry <br />~~~ <br /> K Scheduled Aalos <br />I ~ S <br /> )C ~ F[Ired Autos ! M ~iltu~ry S <br /> >t Non-Chvned Autos <br /> <br />Garage Lia6gity <br />pRQV~Q p0 <br />S TQ <br />Property Damage <br />ate i <br />A <br />re <br />G <br />r <br />51,060,000 <br /> ~P i <br />---- gg <br />g <br />a <br />age S <br /> Umbrella liability ~ i Limit S ~ <br /> Workers' Compensation tau S <br />:~ Assistant ~ <br />r Attorney <br />ity <br />' S~~ory <br />~ Each Accident <br />S <br />i <br /> and Disease-tarhemnky~ g <br />II FtnpfOyers'Liability I Disease-Polity Limit --- <br />5 <br />L- <br />Des crip tion of Operetions/Vehicles/RestrictionslSpecia3 it ems: <br />Ve hicle (s): 2000 FORD F350 StIPER iFDSX34P'7YEB5212 8; 2000 CHEVR OLET C3500 IG CGC33RbYF514042; 1999 TOYOTA <br />TA CO MA XTR 4TAVLi2N5XZ504628; 2004 TOYOTA T ACOMA XTR ST EVL52N64Z338 169; 2004 CHEVROL ET EXPRESS Gi <br />i 1G CFG ISX44I 1b27tb; 1997 WELLS CARG TRA iWC20 0D19V40295W; 200.5 C}~VROLE T C1500 SILV IGCE Ct9T85Z171209; <br /> <br /> ~ <br />Certificate Holder Cancellation <br />~ <br /> ~ <br />Should any otthe above described polices be cancelled before the expfradon date <br />• City of Santa Ana thereof, the issuing company will endeavor to nog 30 days written nonce to ttw <br />Name Water Resources Division certificate holder named to the left, but failure to mail such notice shall impose no ' <br />& 220 S. Daisy Avenue, Building A obligation or lialrili ~feeq-lehtd u son Ehe company, Its agents or representatives. <br />! Address City of Snnta <br /> Au an epresentative ~` ~._:.. .. .\1~~ <br />V <br />~.zavz a~aa Copy D'utribution: Service Center Copy and Agent's Cop r"" <br />~h :g W9 £L :ijU uJJG <br />