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Philadelphia Insurance Companies <br />One Bala Plaza, Suite 100, Bala Cynwyd, Pennsylvania 19004 <br />Philadelphia Indemnity Insurance Company <br />COMMON POLICY DECLARATIONS <br />Policy Number: PHPK196567 <br />Named Insured and Mailing Address: <br />HOTLINE OF SOUTHERN CALIFORNIA <br />PO# 32 <br />LOS ALAMITOS, CA 90720 <br />Producer: 17921 <br />S.D. HINES INSURANCE SERVICES, INC <br />3580 E. PACIFIC COAST HIGHWAY, #8 <br />LONG BEACH, CA, 90804 <br />Policy Period From: 21/26/2006 To: 11/26/2007 <br />Business Description: Non Profit Organization <br />at 12:01 AM. Standard Time at your mailing <br />address shown above. <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS <br />POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. <br />THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS <br />INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. <br />Commercial Property Coverage Part PREMIUM <br />Commeraal General Liability Coverage Part 145.00 <br />Commeraal Crime Coverage Part 167.00 <br />Commeraal Inland Marine Coverage Part <br />Commeraal Auto Coverage Part <br />Businessowners <br />Workers Compensation <br />APPROVED AS TO FARM <br />` ~ 76~ 2,298.00 <br />LISA E. STORCK <br />Assistant City Attorney <br />e~ ~) <br />Total $ 2,610.00 <br />Total Includes Federal Terrorism Risk Insurance Act Coverage <br />2.00 <br />FORM (S)AND ENDORSEMENT (S) MADE A PART OF THIS POLICY AT THE TIME OF ISSUE <br />Refer To Forms Schedule <br />wun~erslgnature Date Authorized Representative <br />