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Renewal of Number <br />CPP 0105807 <br />T_H_E_ <br />INSURANCE <br />-\ COMPANY <br />Baton Rouge, Louisiana <br />COMMERCIAL LINES POLICY <br />COMMON POLICY DECLARATIONS <br />AMENDED DECLARATION -Policy Changes Effective: 03/30/2021 <br />Additional Premium and any applicable taxes/fees: $1, 878.00 <br />Policy No. CPP 0105807 04 <br />Named Insured and Mailing Address <br />FRIENDS OF SANTA ANA ZOO <br />1801 EAST CHESTNUT AVE <br />SANTA ANA CA 92701 <br />Producer <br />SCHWEICKERT & COMPANY <br />17300 RED HILL AVENUE #210 <br />IRVINE CA 92614 <br />Policy Period: From 01 / 17 / 2 021 To 01 / 17 / 2 02 2 at 12:01 A.M. Standard Time at <br />mailing address shown above. <br />Business Description: NOT FOR PROFIT ORGANIZATION <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL 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 />BUSINESS AUTO COVERAGE FORM <br />COMMERCIAL PROPERTY COVERAGE PART <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />COMMERCIAL INLAND MARINE COVERAGE PART <br />CA Surplus Lines Tax: $336.78 <br />CA Stamping Fee: $28.07 <br />FULL TERM <br />PREMIUM <br />$ <br />353.00 <br />$ <br />6,834.00 <br />$ <br />3,339.00 <br />$ <br />700.00 <br />TOTAL PREMIUMS $ 11, 226. 00 <br />TAX/FEE/SURCHARGE $ 364.85 <br />TOTAL $ 11,590.85 <br />TOTAL AMOUNT DUE: $11, 590.85 PAYABLE ACCORDING TO SCHEDULE. <br />Form(s) and Endorsement(s) made part of this policy at time of issue: <br />D-2 01/20 SL001 01/87 IL0003 09/08 IL0017 11/98 IL0021 09/08 <br />IL0102 05/05 IL0104 09/07 IL0270 09/12 IL0935 07/02 IL0953 01/15 <br />PNCA05 01/20 <br />T.H.E. Insurance Company (A Stock Company) <br />06/10/2021 <br />55 <br />Authorized Representative <br />HortaN IZAMmWmentDMsian <br />REVIEWED & APPROVED BY. - <br />Risk Management Analyst <br />INSURED COPY <br />