Laserfiche WebLink
$ f8t7ri State Farr Mutual Automobile Insurance Company 22958-4-A MATCH 01507 MUTT_ VOL <br /> PQBox 2368 DECLARATIONS PAGE <br /> Bloomington IL 61702-2368 <br /> PAGE 2 OF 2 <br /> NAMED INSURED 0150775-8127.4 A A POLICY NUMBER 628 3607-EO9-75H <br /> °ARI 04� POLICY PERIOD JAN 03 2024 to MAY 09 2024 <br /> AND DIVERSIFIED <br /> ED WA S PATRICK 12:01 A.M.Standard Time <br /> AND DIVERSIFIED WATERSCAPES, <br /> INC 213 STATE FARM PAYMENT PLAN NUMBER <br /> 27324 CAMINO CAPISTRANO 1346356523 <br /> LAGUNA NIGUEL CA 92677-1118 <br /> YOURDECLARATIONS POLICY CONSISTS OF THIS PAGE THE POLICY BOOKLET - <br /> �FO <br /> }}ITH 98058 AN LENT RENORALEMPTS THAT APPLY, I CLUDING THOSE ISSUED TO YOU <br /> 01 6028BU ADDITIONAL IN RED-CITYFOF SAN MARCOS, SUCCESSOR AGENCY TO THE <br /> SAN MA2R2C}O}S REDEVELOPMENT AGENCY, 1 CIVIC CENTER DR, SAN MARCOS CA <br /> 0206028Bi18ADDITIONAL INSURED-TURNER LOGISTICS AND TURNER CONSTRUCTION <br /> 03 6028BUNAbDITIONAL INSUR€D-SHtFFI LD COMMNUNITIE5,2INC., 133 E VINE ST, <br /> REDLANDS CA 92373-4 59. <br /> 04 6028BU AD ITIONAL INSURED-C DAR LAKE CAMP, INC./CEDAR LAKE LLC, PO BOX <br /> 1568 B G B R LAKE CA 923I5-1 68 <br /> 05 6Q28RU A DITI>ONAL INSURED-KEYSTONE PROPERTY MANAGEMENT, LLC, 16775 ON <br /> A6R60�8BU A AVE DDITIONALIINSUREDALARES6AT9MENIFEE, 30416 LAGUNA VISTA DR, <br /> MENIF EE CA 92584-9999. <br /> 07 6028BU ADDITIONAL INSURED-PERSONALIZED PROPERTY MANAGEMENT, 65-950 <br /> ADELINA ROAD CATHEDRAL CTY CA 9 234-9999. <br /> 08 6028BU ADDITIONAL INSUREDS&L ASSOCIATION MANAGEMENT INCCONDD, 43525 <br /> 09D6028SUKADDITIONALOINSRED-I�tLLAGE2SAN 3316JAN HOME N RS ASSOC AND DOVE <br /> REAL ESTATE AND, ASSOC ENT LLC 3001 RED HILL AVE STE �-200, COSTA MESA CA <br /> 10 O28 I1 ADDITIONA INSUR COU�N��TYpp OF LLlS ANGELE�rS EPARTMENT OF PARKS gg, <br /> 1106©8 ON U ADOITRIONAggL ©N RFO-tl- %FSLARQUTNTA, 495HCABLLE TAMPICO, LA 3. <br /> T2I6028BU_AS ITISNAL INSURED-CITY OF SANTA ANA RISK MANAGEMENT DIVISION, 20 <br /> CIVIC2 CENTER <br /> UT ADDITIONAL4INtUREDTEAAgSTLAKE 92HOA � WALTERS MANAGEMENT, 9665 <br /> 1144E66AYL8288gABgUEADDITIONgALO NSURED-FFpI77RSSr��TASERVICEIppRESIDENNT�TIAL CALIFORNIA LLC, 6190 <br /> iMANAGERB9060 IRVINELCENTERDRFOSTEER3©DONEIRVINERCA 92618-4645ATTN: RISK <br /> 16 6028BU ADDITIONAL INSURED-TH TR I�IE COMPANY LLC IRVINE MANAGEMENT CO., <br /> 1 A60'L8BU0AD FI4I0NALFTNNSURxED-30 AOY$-CI EXIGIS INSURANCE <br /> 18M6028BUFApDI ICNAL 1NSDREVV04SHE FIELWDYCIIMMUNITIIE63-INCB CEDAR LAKE CAMP <br /> 19C&02$BU ADDITI00NAL1INSU1RE©-16092 SORLTRUSTCPIVOTAL-ENTERPRISES LLC, 12335 <br /> 134©©TH CT )AREDMONO WA 99052-2433. <br /> 61032MGE %C�S�SS NAM OF EROGIANSIRDRSOUNDEA THE <br /> HICLELIABILITY <br /> SHARiNCOVERAGE. <br /> G. <br /> 6129JC AMENDATORY E ORSEMEN -EFF MAY ©9Y20242024. <br /> 6165CC5 EMPLOYERS N, NED CARELIABILITY COIVERAGE. <br /> ONI F IER HOMANAG&M LC;CQMPANCONTRACT NGB CALIFflR IA�ThEiC FOTAE IRVINE <br /> RiskMougmumtDMsIcrn <br /> Agent: GARY BLACKBURN REVIEWED&APPROVED BY. <br /> Telephone:(949)581.0800 0 ;; t� t�Geva <br /> � <br /> �1 Risk Management Specialist <br /> 09156/�� 2 oG�WW2510 tasa�w Prepared JAN 23 20Z4 B12 <br /> i3SJCP (a1e0 <br />