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D 07/2026 15:43 7145278898 STATE FARM PAGE 02 <br />Policy Number DECLARATIONS PAGE AMENDED JUL 3 2006 <br />92-GA-8133-8 <br />STATE FARM GENERAL INSURANCE COMPANY , <br />900 OLD RIVER RD. BAKERSFIELD CA 93311-6000 <br />A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON ILLINOIS <br />Agent Copy <br />Named Insured and Mailing Address <br />23-8621-F790 S <br />GEORGE, MARIE <br />DBA LITTLE STEPS DANCE SCHOOL <br />1186 N TUSTIN AVE <br />ORANGE CA 92867 6006 <br />N-o2006 - 060 <br />BUSINESS POLICY - SPECIAL FORM 3 <br />Gov A -- Inflation Coverage Index: N/A <br />Cov B - Consumer Price Index: 199.2 <br />AUTOMATIC RENEWAL - It the POLICY PERIOD is shown as 12 MONTHS, this policy will be renewed automatically <br />subject to the ppremiums, rules and forms in effect for each succeedingq policy pperiod. ff this policy is terminated, we will <br />give you and fire Mortgagee/Lienholder written notice in compliance Zh the policy provislonS 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: JUN 23 2006 premises location <br />Expiration Date: JUN 23 2007 <br />Location of Covered Premises: <br />1186 N TUSTIN AVE <br />ORANGE CA 92867-6006 <br />Coverages & Property <br />Section I <br />A Buildings <br />B Business Personal Property <br />C Loss of Income - 12 Months <br />Section II <br />L Business Liability <br />M Medical Payments <br />Products -Completed Operations <br />(PCO) Aggregate <br />General Agg regate (Other <br />Than PM <br />Farms, Options, and Endarc <br />Special Form 3 <br />Amendatory Endorsement <br />Debris Removal Endorsement <br />Policy Endorsement <br />Business Policy Endorsement <br />Glass Deductible - Section I <br />Terrorism Insurance Gov Notice <br />Limits of Insurance <br />Excluded <br />5,500 <br />Actual Loss <br />500,000 <br />5,000 <br />1,000,000 <br />1.000-01J0 <br />Your policy is amended JUL 3 2006 <br />SECTION II COVERAGE LIMITS CHANGED <br />Deductibles - Section I <br />$ 500 Basic <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 />Endorsement Premium <br />Decrease <br />-r <br />i <br />Continued on Reverse Side of Page <br />Prepared OTHER LIMITS AND EXCLUSIONS MAY APPLY- REFER TO YOUR POLICY <br />JUL 11 2006 Court igned �QQ <br />FP 8030.2C <br />06/1993 NMOP BY / Agent <br />Your policy consists of this page, any endorsements CHARLENE MA IAKEYAMA <br />and the policy form. PLEASE KEEP THESE TOGETHER. (7141527-9897 <br />127.46 <br />FP-6143 <br />FE-6205 <br />FE-6451 <br />FE-6506.2 <br />FE-6464 <br />FE-6538.1 <br />FE-6999 <br />Discounts Applied: <br />Renewal Year <br />Claim Record <br />