Insurance - Mike Kilbride - 2016-01-0401/04/2016 10:35 9497702084 STATEFARMINSURANCE PAGE 01/01
CERTIFICATE OF INSURANCE
This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
insures the following policyholder for the coverages indicated below:
Name of policyholder MIKE KILBRIDE LTD DBA COAST WATER & POWER
Address of policyholder P.O. BOX 3343.
NEWPORT BEACH, CA- 92659
Location of operations
Description of operations
The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is
subject to all the terms exclusions and conditions of those irnlinips The limits of Ilabllll shown me, h b d d b
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
ave een re uce an o d claims.
LIMITS OF LIABILITY
Effective Date Expiration Date
at beginning of policy period
Comprehensive
BODILY INJURY AND
Business Liabilit
PROPERTY DAMAGE
This insurance includes: ❑ Products - Completed Operations
❑ Contractual Liability
❑ Underground Hazard Coverage
Each Occurrence $
❑ Personal Injury
❑ Advertising Injury
General Aggregate $
❑ Explosion Hazard Coverage
Products - Completed
❑ Collapse Hazard Coverage
Operations Aggregate $
❑ General Aggregate Limit applies to each project
El
EXCESS LIABILITY
POLICY PERIOD
BODILY INJURY AND PROPERTY DAMAGE
Effective Date Expiration Date
(Combined Single Limit)
❑ Umbrella
Each Occurrence $
Other
Aggregate $
Part 1 STATUTORY
Part 2 BODILY INJURY
Workers' Compensation
and Employers Liability
Each Accident $
Disease Each Employee $
Disease -Policy Limit $
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
LIMITS OF LIABILITY
Effective Date Expiration Date
at beginning of policyperiod
P4 7 075
0 OBIL
10 16 ]7
1 00
xFLLY l3RENNAN CPCU.CW C11FC
LIC 0673344
e18" 24000 CHRISANTA DR SM 190
MISSION VIFJO. CA92691
PH (949)770.6100
FX (949)770.2064
Name and Address of Certificate Holder
Costa Mesa Sanitation District
628 W. Mesa,
Street 4-1V �/�✓�
Costa Mesa, CA 92629 ,l
558-994 a 2.90 Pdntad in U.S.A,
if any of the described policies arecenceled before its
expirlation date, State Farm will try to mail a written notice to
the (;ertifcate holder 30 days before cancellation. If,
however, we fail to mail such notice, no obligation or liability
will be Imposed on State Farm or its agents or
representatives,
Imo
Date \ I (