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86698-4-P MATCH 00534 MUTL VOL <br />Staterbrin State Farm Mutual Automobile Insurance Company <br />A• PO Box 853922 <br />Richardson, TX 75085.3922 <br />00534 <br />NAMED INSURED aze 75-7501-4 P A <br />aD <br />NANCV K COINC <br />DNA THE COUNSELING <br />SELILI <br />NG TEAM <br />INTERNATIONAL <br />PO BOX 1D427 <br />SN BERNRDNO CA 92423-0427 <br />DECLARATIONS PAGE <br />PAGE 2 OF 2 <br />POLICY NUMBER 441 4187TF24-75W <br />POLICY PERIOD OCT 31 2019 to JUN 24 2020 <br />12:01 A.M. Standard Time <br />EXCEPIiON% POLICY BOOKLET & ENDORSEMENTS (See policy booidet & individual endorsements for coverage details.) <br />YOUR POLICY COpQpNSISTS OrypF�ERWTHIS DECLARATIONS PAGE THE POLICY BOOKLET - <br />WW1I1RN6NO2NBUBAGDITpIpONALANY W77INSUREDNTHECORGANIZATIONAEMENTS THAT APPLY, LtCNEOING TWORKTHPOEBONS1D4270 YOU <br />02R6D $BUCADDIONAL2IRSURED-CITY OF REDLANDS ATTN: RISH M ANAGEMENT, PC <br />BO3N 553202 5 REO NOS NpCA 92373-1505. <br />AOTSDEMPL ANO VO UNTEERSUATTNCRISK MNGT, 11222DACACIA PKWY, GARDENIGROVE CA <br />92840-5208. <br />04„60288U ADDITIONAL_IN$URED-RIVERSIDE CITY POLICE, 4102 ORANGE ST, <br />COUNTY FIRE AUTHORITY ISAOA, 1 FIRE <br />ERS,((��EMPpPLCOYEES AND AOENTS777 iN -F STREET, SN BERNRDNO'CA <br />I INSCAE92522YORF RIVERSIDE IT'S OFFICERS & EMPLOYEES, <br />INSURED -COUNTY OF ORANGE ISAOA, 1055 N MAIN ST, SANTA <br />INSURED -WEST BASINMUNICIPALWATER DISTRICT ISAOA, <br />E 210 INSURED -THE COUNTY DISTRICTS OF SAN BERNARDINO, ISAOA <br />S7. <br />IRSURED-CITYMOF4CORONADO, 101 B AVE, CORONADO CA <br />TN NBCHED-CITY BEACH IT'S OFFICER'S, ISAOA, <br />121. <br />1NS(U15RR5EpO-CAL STATE NDIIP <br />UNIV, POMONA, 3801 W <br />5qq}1}N29DC55N20IST OppSNSBERNRDNORCAN9M1-1704FICERS', ISAOA <br />DINSUREDFCITY2DFHEL SEGUNDO DPFICERSEPOFFICIAL565900 <br />DA 350 MAIN $7 EL SEGUNDO CA 90245-3895. <br />I �JSURED-CITY P CARSON AND ISAOA, ATTENTION PURCHASING <br />N ST CARSON CA 90745-2257. <br />PONBb%E4668UI N�EW YYORK VENTURA C/O INSUR <br />INSURED-CItY OF SANTA ANA, ISAOA, 20 CIVIC CENTER PLZ <br />9270I-4058. <br />INSURED -THE CITY OF ONTARIO, 303 E B ST, ONTARIO CA <br />UNDER THE LIABILITY COVERAGE. <br />RSONAL VEHICLE SHARING. <br />BILITY AND MEDICAL PAYMENTS COVERAGES <br />REHENSIVE COVERAGE AND COLLISION <br />CITY OF <br />06814/07236 <br />tzzazaz cn,z mzora lot.oaae) totaozs4c) <br />�� lot.u[5uq <br />FOR: <br />Agent: SKALA INSURANCE A� <br />Telephone. (909)883-8861 <br />Prepared DEC 04 2019 75( <br />Rime Manager erdDivisinn <br />REVIEWED&APPROVEDBY: <br />�� Risk Management Analyst <br />