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.Jul 08 03 12:59p <br /> <br />Policy Number! <br /> 92-B0-0091-3 <br /> <br /> George Bullock 562-651-106B p.3 <br /> DECLARATIONS I~AGE AMENDED. APR 8 2003 <br /> ST&TE FARM GENERAL INSUR,~NCE COMPANY ~ <br /> 31303 ,~GOURA RD, WES-I-LAKE VILLAGE,CA 9136G-0001 <br />A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS <br /> <br />Nan~. d Ins~Jre~l and Mailing ~ddress <br /> 8637-F412 V <br /> GOI. D COAST APPRAISALS INC <br /> 11506 TE~LEGRAPH RD STE 214 <br /> SAI~ITA FE SI3GS CA 90670.3100 <br /> <br /> Coy A - Inflation Coverage Index:. N/A <br />BUSINESS BOLICY - I~PECIAL FOI~M 3 Coy B COnsumer Price Index: 181.3 <br />AUTOMATIC REN~WA~I- - If the POliCY PERIOD~is shown as ~2 ..MON'F~I.. S, '-thispolicy will b.e renewed au. to.rnatic <br />subject to the pre~iu.ms, rul.e.s an.d .f{)rms i.n. effect, for.each su. cceeaing, p.o. ficy Reriod. If [his policy is lermina, teg, we <br />give you and the ~aongagee/Liennolaer written no[me m compliance ~mn [ne poficy provisions or as required Dy ~aw. <br />Policy Period: 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 Core,red Premises: <br /> 11506 E TELEGRAPH RD STE 214 <br /> SANTA FE SPGS -CA 90670-3100 <br /> <br />Coverages & PrOperty <br /> Section l <br />A Buildings <br />B Business Personal Property <br />C Loss of Income -i 12 Months <br /> <br /> Section II <br />L Business Liabili~ <br />M Medical Payme~ils <br />Products-Completed Operations <br /> (PCO) Aggregate <br />General Aggregate (Other <br /> Than PCO) <br /> <br />Forms, Options, iand Endorsements <br />Special Form 3 <br /> Personal Injury ExClusion <br />Debris Removal Endorsement <br />Amendatory Endorsement <br /> Policy Endorsemeht <br /> Business Policy Et~dorsement <br /> Hired Auto Liabilill~ End <br /> <br />Limits of Insurance <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-6346 <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 /> Continue0 or3 Reverse,Side of Page ~ ,. <br /> { OTHER LIMITS AND EXCLUSIONS MAY;PPLY- REFEP~O Y~UR POLI~Y .. <br />Prepared - ! ? <br /> 15 i Coume ,igned <br />FP-8030.2C i C~OW By <br />06/1993 i DREW MARTIN~\ <br />Your policy c!pnsist~ of tl~is page, any eqdorsements (562) 943-~343 <br />and the policy form;' PLEASE KEEP THE~E TOGETHER. <br /> <br />None <br /> <br />Agen <br /> <br /> <br />