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,Ag' MERCU <br />Policy Number. BA040000048078 INSURANE <br />Effective Date: 0812812018 <br />New Declarations <br />BUSINESS AUTO DECLARATIONS <br />For resolving issues or other information you can contact your agent or Mercury using the below phone numbers: <br />Issued By: <br />Agent: <br />California Automobile Insurance Company <br />Auto Ins Specialists -CA <br />P.O. Box 10730 <br />PO BOX 6507 <br />Santa Ana, CA 92711-0730 <br />ARTESIA, CA 90702 <br />Billing: (888) 637-2176 <br />Agent Number: 044034 <br />Claims: (800J S03-3724 <br />Agent Phone: (800) 493-7879 <br />Named Insured: A & H REFRIGERATION INC <br />Mailing Address: 7111 Garden Grove Blvd, Ste 102 <br />Garden Grove, CA 92841-4295 <br />Polley Period: From 08/28/2018 to 08/29/2019 at 12:01 AM Standard Time at your mailing address <br />Business Contractor- Heating &Air <br />Business Category; Construction <br />Form of Business: Corporation <br />Total Policy Premium: $2,047.52 <br />This policy may be subject to final audit. In return for the payment of the premium, and subject to all the terms of this policy, <br />we agree with you to provide the insurance as stated in this policy. <br />ATTACHED TO THIS POLICY <br />IL 00 17 1198 - Common Policy Conditions <br />IL 00 2109 09 - Nuclear Energy Liability Exclusion <br />IL 00 03 09 08 - Calculation of Premium <br />CA 00 0110 13 - Business Auto Coverage Form <br />CA 01 21 10 13 - Limited Mexico Coverage <br />CA 0143 05 17 - California Changes <br />IL 02 70 09 12 - California Changes - Cancellation and <br />CA 23 94 10 13 - Silica or Silica Related Dust Exclusion <br />IL N 1.19 1015 - California Auto Body Repair Consumer Bill of <br />MCA650CWI.215 - Transportation Network and Livery <br />MCANONFAC0516 -Permanently Attached Non -Factory <br />CA 2154 10 13 - California uninsured Motorists Coverage - <br />14-P <br />&J /P -'q tl <br />MCAI)S030817-CA Page 1 of 4 08/28/2018 12:01 AM PT <br />