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PHILADI!rLPH.IA <br />T.NSURANU COMPANTT,S <br />A Member of tbe'rokio bla iva alroup <br />One Bala Plaza, Suite 100 <br />Bala Cynwyd, Pennsylvania 19004 <br />610.617.7900 Fax 610.617,7940 <br />PHLY,com <br />Philadelphia Indemnity hlsurance Company <br />COMMON POLICY DECLARATIONS <br />Policy Number: PHPK1738184 <br />Named Insured and Mailing Address: <br />Natl's House <br />1733 Valencia St <br />Santa Ana, CA 92706-2930 <br />Policy Period From: 01/06/2018 To: 01/06/2019 <br />Business Description: Non Profit Organization <br />Producer: 18025 <br />Levitt & Touche, Inc, <br />1050 W Washington St Ste 233 <br />Tempe, AZ 85281 <br />(602)956-2250 <br />at 12:01 A.M. Standard Time at your making <br />address shown above. <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS <br />POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY, <br />THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS <br />INDICATED, THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT, <br />PREMIUM <br />Commercial Property Coverage Part 203,00 <br />Commercial General Liability Coverage Part 1,670.00 <br />Commercial Crime Coverage Part <br />Commercial Inland Marine Coverage Part <br />Commercial Auto Coverage Part <br />Businessowners <br />Workers Compensation <br />Professional Liability <br />Sexual/Physical Abuse <br />Total <br />Total Includes Federal Terrorism Risk Insurance Act Coverage <br />PART OF <br />277,00 <br />851.00 <br />'&6'r)y <br />3,151,00 <br />38.00 <br />q(` <br />�� b <br />E <br />`Omits applicable Forrns and Endorsements it shown In SPeclflc Cove age Pad/Coverage Form Declarations <br />CPD- PI IC (06/14) c ✓b tr-�. . �1 <br />Secretary President and CEO <br />