Laserfiche WebLink
JAN -23-2001 10:20 <br />Rohnert Palo, CA 94$26.0001 <br />POLICY NUMBER <br />$7 -CF -1003-3 <br />iii <br />DONALD H. MRYNOR <br />OCT 16 2000 TO OCT 16 2001 <br />L- 2005- F152 F U 3 <br />DONALD H NAYNOR ATTORNEY <br />A PROFESSIONAL CORPORATION <br />235 CATALPA OR <br />ATHERTON CA 44027-2002 <br />Location: 235 CATALPA DR <br />ATHERTON CA <br />Add Ins -i1_ CITY OF ANAHEIM ITS OFFICERS, <br />Acid Ins -IC CITY OF HUNMNGTON BEACH <br />Add Ins -II: CITY OF BURBANK <br />Forms, Options, and fEndorsements <br />$207.01) <br />Special Form 3 <br />FP -6143 <br />Additional Insured <br />FE -6320 <br />Glass Deductible - section i <br />FE -653$.1 <br />Amendatory Endorsement <br />FE -6205 <br />Tree Debris Removal <br />FE -6451 <br />Policy Endorsement <br />FE -6506.1 <br />Policy Endorsement -Business <br />FE -6464 <br />APPROVED <br />Ag TO FCjr.� <br />L4! ssistant City Attorney <br />OCT 16 2000- <br />P.03 <br />$220. <br />Coverages and Limits <br />Section I <br />A Buildings Excluded <br />8 Business Personal Property 32 300 <br />C Less of Income Actual Loss <br />Deductibles . Section I <br />Basic 250 <br />Other deductibles may <br />apply - refer to policy <br />Section if <br />L Business Liability $1,000,000 <br />M Medical Payments 5,000 <br />Gen Aggregate (Other than PCO) Z, 000, 000 <br />Products -Completed Operations 2,000,000 <br />(PCO Aggregate) <br />Annual Premium <br />$207.01) <br />Bus Liability - Cov L <br />13.00 <br />Amount Due <br />$220, 00 <br />Premium Reductions <br />Your premium has already been reduced <br />by the following: <br />Renewal Year Discount <br />Yrs in Business Discount <br />Claim Record Oisccunt <br />Cov. A - Inflation Index: NIA <br />Cov. R - Consumer Price: 172.3 <br />AA, at M" See reverse side ibr impartant intarmadan- <br />MARTIN JOHNSdN INS AGCY INC A/ease keep this part for your record. <br />