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ASIOCKCOMPANYMTHHOMEOFFICESINNLOOMINOTO,,IIIMII5 RENEWALOEGLA1iATIGNZi <br />EPaxafias7s76ea5-e925 <br />ratlsnn, <br />Policy Number 92-EK-VO25.4 <br />Named Insured <br />Policy Period Effective Data Ex Iraliorl Date <br />12 Mon��tyle <br />M� 3� <br />Aft 002972 jy 50610-FBOA F N <br />162020 MRY 162021 <br />NENTE TnC <br />rrII qMAY <br />InvepsilalE �reinlses to a➢oaends at 12:0'I am standard <br />11111 CNAPMAN AVE ❑NIP 1419 <br />GARDEN GROVE CA 92040-4034 <br />Agent and Mailing Address <br />SARIAR DEVEREAO% <br />1202 W IST ST <br />III'I�'I��1�1"'IIIII�I''IIII�'��III��II�III��IIII�iIle,�l�di <br />SANTA ANA CA 927D3-3810 <br />6 <br />PHONE: (714) 541-7280 <br />e Office Policy <br />Autommic Konowed It the policy period is shown as 12 alaldhs, thispolicy <br />will be renewed automatically subjeetto the premiums, rules and <br />forms in effectfor each succeeding policy period. If this policy isterminated, <br />we will give you and the Mortgagee/4enholder written notice in <br />compliance with the policy provisions or as requhed bylaw. <br />Entity: Corporation <br />NOTICE: Information concerning changes In your policy language Is Included. Please call your agent <br />If you have any quesilons. <br />POLICY PREMIUM $ 328.00 <br />Discounts Applied: <br />Renewal Year <br />Years In Business <br />Protective Devices <br />Claim Record <br />Prepared <br />MAR 032020 <br />e; CapyriehC SmtaPormMvNal ActoireNla Insurance Ceiryamt�Ue <br />CMP4000 <br />Includes capyli9gted im[enaloilraurance Services Once, Inc.wiW hsparmdien <br />01=9 204 1 <br />Continued on Reverse Side of Page <br />N <br />Page 1 of 8 <br />9IFEaa0" tm1.1111011) <br />Yc aq RiekManogtnaerxfDiviaian <br />y RmAEwEO S. APPROVED BY: <br />5 GG pp <br />E ,tic r/464HYru6of R. V+,��si/e4Fi <br />�� Risk Managernent Analyst <br />