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<br />08/15/2008 15:05 <br /> <br />71452788g8 <br /> <br />STATE FARM <br /> <br />PAGE 02 <br /> <br />CHARLENE HATAKEYAMA. AgBnl <br />UcensB 1/0171272 <br />7841 Vlllley View Sr..el <br />La PelmB, CA 90623 <br />IN......,- (714) 527-81191 <br />FB.; (714) 527-8898 <br />e~m8jl; charleno,hatakeV8ma,wrdOslatelarm.com <br />Fire <br /> <br />n.n "A.. <br /> <br />A <br /> <br />Policy Status <br /> <br />AUGUST 15, 2008 <br /> <br />GEORGE, MARIE <br />DBA ACT ONE ACADEMY OF DANCE <br />1186 N TUSTIN AVE <br />ORANGE CA. 92867-6006 <br /> <br />B Ph. (714) 625-9356 <br />GENL Policy: 92-GA-8133-8 G Yr issd: 2002 <br />Xref: <br /> <br />Location: 1186 N TUSTIN AVE <br />ORANGE CA <br /> <br />92867 <br /> <br />Term: CaNT <br /> <br />Type: BUSINESS - MISe <br />Coverage information <br /> <br />Premium: <br /> <br />Renew date: JUN-23-09' <br />1,209_00 Written date: SEP-06-02 <br /> <br />B-BUSN PROP 10000 <br />C-LOSS INC ACT LOSS <br /> <br />L-BUSN LIAB <br />GEN AGGREGT <br />PCO AGGREGT <br />M-MED/PERSN <br /> <br />1000000 <br />2000000 <br />2000000 <br />5000 <br /> <br />End act 06/23/08 <br /> <br />Amount due: <br />Date due: <br />Bill to: <br /> <br />SFPP <br />SFPP <br />SFPP <br /> <br />Prev premo <br /> <br />1,255 <br /> <br />Prev risk: <br /> <br />5,800 <br /> <br />SFPP acct:0404-0556-23 <br /> <br />Deductibles applied: 500 ALL PER OTHER DED MAY APPLY <br /> <br />Messages: <br /> <br />Year built: 1951 <br />Zone: 59 <br />Sub zone: 01 <br /> <br />Constr: FRAME <br /> <br />~ /.~. ~tvt~ hV~-;J.-3-CK! <br />.;. .,:t ,,?: -.:,...'07 <br /> <br />~ <br /> <br />~jA~ <br /> <br /> <br />tJ - ;)OC(g .- <br />()GO - 02- <br /> <br />~':; :'~: '.";.~ <br /> <br />