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BROUWER INSURANCE <br />725 E VALLEY PKWY <br />ESCONDIDO, CA 42025 <br />1 -760- 745 -5151 <br />certificate of Insurance <br />RROG�SiEll!!/E° <br />Policy numher. 062 642 4 5 -4 <br />Underwritten by: <br />UI•IITED FINANCIAL CASUALTY COMPANY <br />February 2, 201 2 <br />Page 1 of 1 <br />Certificat¢ Holder <br />Insured <br />Agerrt <br />CITY OF SANTA ANA <br />HADRONEX 1NC <br />BROU WER INSURANCE <br />PURCHASING AGENT <br />38t ENGEL ST <br />725 E VALLEY PKWY <br />20 CIVIC CENTER PLAZA <br />ESCONDIDO, CA 92029 <br />ESCONDIDO, CA92fl25 <br />SANTA ANA, CA 9270 S <br />$5,000 <br />COMPREHENSIVE <br />This document certifies that insurance policies identified below have been issued by the designated insurer to the insured <br />named above for the periods) indicated. This Certificate is issued for information purposes only. It confers no rights upon <br />the certificate holder and does nat change, alter, modify, or extend the coverages afforded by the policies listed below. <br />The coverages afforded by the policies listed belaw are subject to aH the terms, exclusions, limitations, endorsements; and <br />conditions of these policies. <br />Policy Effective Date: Jan 28, 2012 Policy Expiration Date: Jan 28, 2013 <br />lnsuranrx cmr¢rage(s) limits <br />BODILY INJURY /PROPf RTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT <br />UNINSURED /UNDERINSURED MOTORIST $500,000 COMBINED SINGLE LIMIT <br />EMPLOYER'S NON -OWNED AUTO BIPD $1,000,000 COMBINED SINGLE LIMIT <br />HIREDAUTO BODILY INJURYIPROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT <br />Description of Locatior�/Vehicles /Spedal Items <br />Scheduled autos on_ ly <br />... <br />1997 FORD EXPEDITION 1 FMEUI7LSVL686877 <br />Stated Amount $5,000 <br />MEDICAL PAYMENTS _ <br />$5,000 <br />COMPREHENSIVE <br />$500 DED <br />COLLISION <br />$500 W /WAIVER DED <br />201 t FORD RANGER 1 FTKR1 ADXBPA37315 <br />5[ated Amount $ 17,000 <br />MEDICAL PAYMENTS <br />$5,000 <br />COMPREHENSIVE <br />$500 DED <br />COLLISION <br />$500 W/WAIVER DE❑ - <br />Certificate number <br />03312NET245 <br />Please be advised tfiai the certificate holder <br />will not be notified in the event of a mid -term cancellation. <br />�- ��c� <br />Form 5241 f10l027 <br />Laura Stit[ Shc �'._� <br />�+.s�istant City A! � - <br />