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Allianz ili <br />Fireman's Fund Insurance Company <br />A Stock Company <br />225 W. Washington Street, Suite 1800 <br />Chicago, IL 60606-3484 <br />COMMON POLICY DECLARATIONS <br />Policy No: USL005062201 <br />Policy Period: From: 03/01/2020 <br />To: 03/01 /2021 <br />Beginning and ending at 12:01 a.m., standard time at the mailing address of the Named Insured shown below. <br />Named Insured and Mailing Address: <br />S & A MANAGEMENT LLC <br />Et Al, as per Primary Policies <br />P.O. BOX 10728 <br />COSTA MESA, CA 92627 <br />(Refer to Named Insured Schedule) <br />Producer Name and Mailing Address: <br />RSC Insurance Brokerage Inc. <br />2040 Main StreetSuite 450 <br />Irvine, CA 92614 <br />In return for the payment of the premium, and subject to all terms of this policy, we agree with you to provide the <br />insurance as stated in this policy. <br />Premium Summary <br />Lead Excess Liability <br />Certified Terrorism <br />$ 137,364 <br />$ 2,747 <br />Total Amount Payable by the Insured $ 140,111.00 <br />Named Insured Schedule <br />Named Insured <br />Legal Entity <br />S & A MANAGEMENT LLC <br />Et Al, as per Primary Policies <br />Corporation <br />Forms Schedule <br />The following policy forms and endorsements have been attached to and made a part of the policy at Inception: <br />Form Title Form Number <br />Policyholder Messages <br />Important Notice Regarding the Terrorism Coverage Offered in this Quotation 380141 01 15 1 <br />Lead Excess Liability <br />Lead Excess Liability Coverage Section - Declarations <br />Schedule of Primary Insurance <br />Copyright® 2016 Allianz Global Risks US Insurance Company. All rights reserved. <br />178300 06 19 <br />=9. tten��SM �®ahm <br />Rak Management Malysl <br />