Insurance Auto-Mike Kilbride-2013-01-0201/02/2013 12:57 9497702084 STATEFARMINSURANCE PAGE 01/01
CERTIFICATE OF INSURANCE
This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
Q STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
",$tires the following policyholder for the coverages Indicated below:
Name of policyholder MIKE KILBRIDE LTD DBA COAST WATER & POWER
Address of policyholder P.O. BOX 3
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 nolicips Is
sublect to all ihP forma nvri ... ; ne .. -. ..
POLICY NUMBER
- - -- •_ •
TYPE OF INSURANCE
w� vuucs. i ne limns or uaDUrt shown
POLICY PERIOD
ma have been reduced b an aid claims.
LIMITS OF LIABILITY
Comprehensive
Effective Date Ex "ration Date
at be Innin of policy period)
Business Liaive
BODILY INJURY AND
PROPERTY DAMAGE
is - Llt
This Insurance includes: ❑products - Completed Operations
❑ Contractual Llability
❑ Underground Hazard Coverage
Each Occurrence $
❑ Personal Injury
❑ Advertising Injury
i
General Aggregate $
❑ Explosion Hazard Coverage
Products - Completed
❑ Collapse Hazard Coverage
Operations Aggregate $
Q❑ General Aggregate Limit applies to each project
Q
LIABILITY POLICY PERIOD
BODILY INJURY AND PROPERTY DAMAGE
Effective Date Ex iration Date
(Combined Single Limit)
Each Occurrence $
Aggregate $
Part 1 STATUTORY
mpensation
Part 2 BODILY INJURY
=8P)
rs Liability
Each Accident $
Disease Each Employee $
Disease - Policy Limit $
POLICY NUMBER
SURANCE POLICY PERIOD
Effective Date Ex Iration Date
LIMITS OF LIABILITY
P447489A1075
ILE 1 10 13 1 10 14t
at be innin of oiic erlod
1 000 000
KELL:'fC.BRFNNAN. AGENT ,CPCU,CLU
rtAi[ PpRp
Providing insurance and Finanrdal Services
Li LICENSE 0878344
2480DCHRISANTADR,SUITE1So
MISSION VIEJO. CA 92891
PHONES49- 770.8100
FAX y.�94I��a- 770204
Name and Address o�C% caa[evolderro
Costa Mesa Sanitation District
628 W. 19`" Street
Costa Mesa, CA 92629
A a 2.90 Printed In U.S.A.
any or me aescribea policies are canceled before its
expiratlon date, State Farm will try 10 mail a written notice to
the Certificate 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.
Signature 01 11,11thOri2fed Repm3entatve
Title
JAN -02 -2013 12:54 9497702084 96% P.01