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Jul OB 03 12:59p <br /> <br />Policy Number! <br />92-B0-009t-3 <br /> <br />Geo~-~e Bullock 562-651 -1068 <br /> DECLARATIONS I~AGE ^MENDED <br /> <br /> STATE FARM GENERAL INSURANCE COMPA~IY <br /> 31303 A, GOURA RD, WESTLAKE VILLAGE,CA 9136~-0001 <br />A STOCK COMPANY WITH HOME OFFICES IN BLOOMIN{~TON, ILLINOIS <br /> <br />APR 8 21303 <br /> <br />p.3 <br /> <br />Nan,.. d Ins~ure~ and Mailing ~ddress <br /> 8637-F412 V <br /> GOI. D COAST APPRAISAL~ INC <br /> 11506 T~LE~IRAPH RD STE 214 <br /> SANTA FE SI~GS CA 90670-3100 <br /> <br />Cov A - Inllafion Coverage Inde~ N/A <br />Coy B CQnsumer Price Index: 181.3 <br /> <br />BUSINESS ~OLICY - I~PECIAL FOruM 3 <br />AUTOMAT1C~REN~WA-t. - If the P.O~_-ICY PERIOD-is shown as ~2 MONTHS, '-this policy will be renewed automatic <br />subject to the pre.re, iu.ms, rul.e.s an, d .f~rms i.n. effect, for each su..cceeding, p.o. licy Reriod. If [his policy is terminated., we <br />give you and the Mongagee/Uennoloer written notice in compfiance w~tn the poficy provisions or as required by ~aw. <br />Policy Perio~l: 12 Months The policy period 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 Covejred Premises: <br /> 11506 E TELEGRAPH RD STE 214 <br /> SANTA FE SPGS .CA 90670-3100 <br /> <br />Coverages & Prc~perty <br /> Section I i <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 <br />General Aggregate (Other <br /> Than PCO) ' <br /> <br />Forms, Options, land Endorsements <br />Special Form 3 <br /> Personal Injury Exclusion <br />Debris Removal Er~dorsement <br />Amendatory E nctoi'sement <br /> Policy Endorsemeht <br /> Business Policy Et~dorsement <br /> Hirect Auto Liabilit~ End <br /> <br />Limits oflnsurance <br /> <br /> Excluded <br /> $ 54,400 <br /> $ Actual loss <br /> <br />$ 1,000,000 <br /> 5,000 <br />~ 2,000,000 <br /> <br />$ 2,000,000 <br /> <br />FP-6143 <br />FE~346 <br />FE-6451 <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 /> Continued oD Revbrse~Side of Page ~, ~. ,. <br /> <br /> Prepared - ., .~..- OTHER LIMITS AND EX~USIONS MAY&PPLY- REFE~O Y~UR POLI~Y <br /> ' <br />APR 15 2003 Counter igned <br /> <br />0~1993 DREW MARTINq ~ <br />Your policy c~ist~ of ~is page, any e~dersemen~ (S62) 943-~343 <br />and the policy lormJ PLEASE KEEP THE6E TOGETHER. <br /> <br /> ~~.Al~rac~ y <br /> <br />None <br /> <br />Agen <br /> <br />(o~t <br /> <br /> <br />