Insurance- Auto - Mike Kilbride - 2015-09-01 09/01/2015 03:53 9497702084 STATEFARMINSURANCE PAGE 01/01
CERTIFICATE OF INSURANCE
This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
El STATE FARM GENERAL INSURANCE COMPANY, Elloomington, Illinois
insures the following policyholder for the coverages indicated below:
Name'of policyholder MIKE KILBRIDE LTD DBA, COAST WATER _& BOWER
Address of policyholder P.O. BOX 3341
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 policies.The limits of liability shown may have been reduced by any paid claims.
POLICY PERIOD LIMITS OF LIABILITY
POLICY NUMBER TYPE OF INSURANCE '
Effective Date Expiration Date
Comprehensive I (at beginning of policy period)
Business Liability BODILY INJURY AND
This insurance Includes: ❑Products-Completed Operations PROPERTY DAMAGE
0 Contractual Liability
❑ Underground Hazard Coverage Each Occurrence $
0 Personal Injury
❑Advertising Injury General Aggregate $
El Explosion Hazard Coverage Products-Completed
Q Collapse Hazard Coverage Operations Aggregate $
❑General Aggregate Limit applies to each project
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 policy_period)
_2447489A1075 AUTOMOB�L� 1/10/15 1110/3.6 1A00, 000
000
If any of the described policies are canceled before its
KI_u.Y BRENNAN CPCU.CWU,ChFC expiration date, State Farm will try to mail a written notice to
StateFarm LIC 0676344
Q 24600 CHRISANTA DR STE 150 the certificate holder 3 0 days before cancellation. If,
MISSION VIEJO.CA 92691 however, we fail to mail such notice, no obligation or liability
O O iv PH(949)770.6100 will be imposed on State Farm or its agents or
FX(949)770.2084
representatives.
Name and Address of Certificate Holder � %� 7\44/1
Costa Mesa. Sanitation District
628 W. 1.9 th Street Si nat of Auth rized Representative
Costa Mesa, CA 92629 ���,r^L
Title 1.(..-4/1
�"` ,
558-994 a 2-90 PrInted In U.S.A. G I I
Date ttt 1