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<br />JUl 16 '05 14:17 FROM: <br /> <br />T-146 P 01 <br /> <br />H70 <br /> <br />-.1 <br /> <br />Policy Number 150B003~2Q <br /> <br />~ <br /> <br />IFG Companies' <br /> <br />COMMON POLICY DECLARATIONS <br /> <br />Renewal 01: <br /> <br />THE UURLlNGTON INSURANCE COMPANY <br /> <br />Home Office: Burlington, North Ca(ollna <br />AOmlnlGuative Office: 238 Internetlonoill Road, Bl..lrl ington, Ne 272.15 Qaims Qtfics: 238 International Road, Budlnglon, NC 27215 <br /> <br />1565 ELDERTREE DRIVE <br />I AMOND BAR, <br />91766 <br /> <br />Code; <br /> <br /> <br />Item 1. Named Insured and Mailing Address <br />IVIC COLLECTION CORPOJU\TIO':f <br /> <br />EneCllve Oalo;05/12/2005 Explretion 00Ie:05/12/2 006 <br />at 12;01 A.M. ,Standard Time at your mailing address shown above. <br /> <br />Item 3. In return for the payment of the premium. and subject to all the terms of this polley, we agree wrth you to <br />provide the Insurance as stated in this policy. This policy consists of the following coverage parts for which a <br />premium Is Indicated. Where no premium is shown, there is no coverage. <br />CDvDrage Pert Is) <br />Commercial General Liability <br /> <br />Item 2 PoliCY Period <br /> <br />, . <br />. <br /> <br />$ <br /> <br />Premium <br />850.00 <br /> <br /> <br />" , <br /> <br />$ <br />$ <br />$ <br />$ <br />$ 850.00 <br />$ 182.25 <br />$ 1,032.25 <br /> <br />Other ChargeR IWappllcable) <br />POLICY FEE: <br />STATE TAX: <br />STAMPING FEE: <br /> <br />Total Policy Premium or Daposll Pramlum <br />Total Other Chargas <br /> <br />150.00 <br />30.00 Total Amount Dua" <br />2.25 <br /> <br />· Premium Is; 00 Flat 0 Audrtable Policy Minimum Premium $ 850.00 <br />Intheevent oucancelthlB otic ,wQwillrutain ~9Q.OO <br />lIem 4. Forms and Endorsements applicable to this policy; See "listing of Forms and Endorsements" (IFG-I-O 150) <br /> <br />Ilem 5. Form of Business [) Individual 0 Partnership 0 Joint Venture <br />[] Limited Uabiltty Company 00 Other Organl2ation, including a Corporation <br />[] Trust <br />Bus;lngss Description: DOG LIC.1\TS~ COLLECTION AGENCY <br />KW IJS <br />THESE DECLARATIONS TOGETHER WITH THE COMMON POLlCV CONDITIONS AND COVERAGE FORM(S) AND ANY <br />ENDORSEMENT(S). COMPLETE THE ABOVE NUMBERED POLICY. <br /> <br />Countersigned' <br /> <br />Date; <br />IIIBulll Dale: 05/31/05 <br /> <br />By; <br /> <br />Authorized Representative <br /> <br />IFG-I-01010204 <br /> <br />PRODUCER <br /> <br />page 1 011 <br />