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<br />TRANSOLUTIONS <br /> <br />S4864Z68~ <br /> <br />11/~6/~Z 02:48pm P. ~01 <br /> <br />Policy Number <br />92-WK-8292-5 <br /> <br />DECLARATIONS PAGE <br /> <br />~ <br /> <br />STATE FARM GENERAL INSURANCE COMPANY <br />31303 AGOURA RD, WESlLAKE VILLAGE,CA 91363-0001 <br />A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS <br /> <br />" <br /> <br />Named Insured and Mailing Address <br />8468-F415 D <br /> <br />HIGLEY, CATHERINE <br />DBA TRANSOLUTIONS <br />310 ROBIN HOOD LN <br />COSTA MESA CA 92627-2134 <br /> <br />Cov A -Inflation Coverage Index: N/A <br />BUSINESS POLICY - SPECIAL FORM 3 Cov B - Consumer Pricelndex: 181.0 <br />AUTOMATIC RENEWAL - If the POLICY PERIOD is shown as 12 MONTHS, this policy will be renewed automatically <br />subject to the premiums, rules and forms in effect for each succeeding. pOliCY period. If this policy is terminated, we will <br />give you and the MortgageelLienholder written notice in compliance WIlli the p61icy provisions or as required by law. <br />Policy Period: 12 Months The policy period begins and ends at 12:01 am standard time at the <br />Effective Date: OCT 24 2002 premises location. <br />Expiration Date: OCT 24 2003 <br />Named Insured: Individual <br /> <br />Coverages & Property <br />Section I <br />A Buildings <br />B Business Personal Property <br />C Loss of Income - 12 Months <br /> <br />Certificate Holder as Additional <br />Insured: <br />City of Santa Ana M-93 <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br /> <br />Limits oflnsurance Occupancy: Offlce <br /> <br />Location of Covered Premises: <br />310 ROBIN HOOD LN <br />COSTAMESACA 92627-2134 <br /> <br />Excluded <br />$ 10,000 <br />$ Actual Loss <br /> <br />Seetio n II <br />L Business Liability <br />M Medical payments <br />products-Completed Operations <br />(PCO) Aggregate <br />General Aggregate (Other <br />Than PCO) <br /> <br />Deductibles . Section I <br /> <br />1 <br /> <br />1,000,000 <br />5,000 <br />Excluded <br />2,000,000 <br /> <br />$ SOO Basic <br /> <br />$ <br /> <br />In case of loss under this policy, the deductible will be <br />applied to each occurrence and will be deducted from the <br />amount of the loss. Other deductibles may apply - refer to <br />policy. <br />POLICY PREMIUM $ 273.00 <br /> <br />Forms, Options, and Endorsements <br />Special Form 3 <br />Policy Endorsement <br />TestinglConsutting E&O Excl <br />Amendatory Endorsement <br />Debris Removal Endorsement <br />Business Policy Endorsement <br />AdVertising Injury ExcI <br /> <br />FP-6143 <br />FE-6506.1 <br />FE-6510 <br />FE-6205 <br />FE-6451 <br />FE-6464 <br />FE-6345 <br /> <br />Prepared <br />OCT 29 2002 <br />FP-8030.2C <br />06/1993 <br />Your polley consists of this page, any endorsemenls <br />and the polley form. PLEASE KEEP THESE TOGETHER. <br /> <br />Continued on Reverse Side of Page <br />OTHER LIMITS AND EXCLUSIONS MAY APPL V. REFER TO YOUR POLICY <br /> <br />~;unters,gn7~ -J-- ~ 2-~ <br />WAYNE IRELAND <br />(949) 852-8573 <br /> <br />Agent <br /> <br />CKKU <br /> <br />(o1f2172b) <br />