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Jul 08 03 !2:59p <br /> !, <br /> <br />Policy Number! <br />92-B0-0091-3 <br /> <br /> Georce Bullock 5B2-BSI-IOBB p.3 <br /> DECLARATIONS I~AGE AMENDED. APR 8 2003 <br /> ST_,~TE FARM GENERAL INSURANCE COMPA~IY ~ <br />31303 &GOURA RD, WESTLAKE VILLAGE,CA 9136,3-0001 <br /> <br />A STOCK COMPANY WIT_H HOME OFFICES IN BLOOMIN?TON, ILLINOIS <br /> <br />Name. d Ins~Jre~ and Mailing ,~ddress <br /> 8637-F412 V <br /> GOLD COAST APPRAISALS INC <br /> 11506 TE~LEGRAPH RD STE 214 <br /> SAMTA FE SPGS CA 90670.3100 <br /> <br /> CoyB A - Inllation Coverage Index,:. N/A <br />BUSINESS ~OLICY - ~PECIAL FORM 3 Coy COnsumer Price Index:. 181.3 <br />AUTOMATlC-RENEWA~I. - tf the P.O~_-ICY PERIOD~is shown as ~2 MON'I~I.. S, ' this policy will be renewed automatic <br />subject to the pre~iu.rns, rul.e.s an.d .f(~rms i.n. effect, for.each su..cceeding, p.o. hcy Reriod. If [his policy is termin, a. ted., we <br />give you and'the Mongagee/Liennoloer wri[mn no[me In compliance w]zn [ne policy provisions or as requirea Dy law. <br />Policy Period: 12 Months The policy pedod begins and ends at 12:01 am standard time at the <br />Effective Date: MAR 5 2003 premises location. <br />Expiration Date: MAR 5 2004 <br /> <br />Named Insured: CorPoration <br /> <br />Location of Covet'ed Premises: <br /> 11506 E TELEGRAPH RD STE 214 <br /> SANTA FE SPGS .CA 90670-3100 <br /> <br />Coverages & PrOperly <br /> Section l <br />A Buildings <br />B Business Personal Property <br />C Loss of Income -.[12 Months <br /> <br /> Section II <br />L Business Liabili~ <br />M Medical Payme~ls <br />Products-Completed Operations <br />(PCO) Aggregate i <br />General Aggregate (Other <br /> Than PCO) ' <br /> <br />Forms, Options, land Endorsements <br />Special Form 3 <br /> Personal injury ExClusion <br />Debris Removal Ehdorsement <br />Amendatory EndorSement <br /> Policy Endorseme.ht <br /> Business Policy Et~dorsement <br /> Hired Auto Liabili~ End <br /> <br />Limits oflnsurance <br /> <br /> Excluded <br /> $ 54,400 <br /> $ Actual Loss <br /> <br />$ 1,000,000 <br /> 5 <br /> 000 <br /> ,00o:000 <br />$ 2,000,000 <br /> <br />FP-6143 <br />FE-6346 <br />FE-6451 <br /> <br />FE-6205 <br />FE-6506.1 <br />FE-6464 <br />FE-6311 <br /> <br />Your policy is amended APR 8 2003 <br />NUMBER OF ADDL INTERESTS CHANGED <br /> <br />Occupancy: Office <br /> <br />Deductibles - Section I <br />$ 500 Basic <br /> <br />In case of loss under this policy, the deductible wil <br />applied to each occurrence and will be deducted frorr <br />amount of the loss. Other deductibles may apply - reft <br />policy. <br /> <br />Endorsement Premium <br /> <br />Discounts Applied: <br />Renewal Year <br />Years in Business <br />Protective Devices <br />Sprinkler <br />Claim Record <br /> <br />None <br /> <br /> Continued op Reverse~ide of Page <br /> i OTHER LIMITS AND EXCLUSIONS MAY~PPLY- <br />Prepped - [ ~ <br />APR 15 2003 ~ Counter <br /> <br />06/1993 ~ DREW ~AR~N,~ <br />Your policy c~is~ of I~s page, any ~dorsemen~ (562) 943-~343 <br />and the policy tormJPLEASE KEEP THE6E TOGETHER. <br /> <br />Age~ <br /> <br /> <br />