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^08/20/2008 01:02 FAX 714 973 7902 <br />~~~~y rvumoer <br />~ 92-BF-X492-3 <br />utCLARATIONS PAGE <br />900 OLD RIVER RD BAKER8rFIELDACA 93301F1 60p0 <br />A STOCK COMPANY WfrH HOME OFFICES IN eLOOMING7r <br />Named Insuretl and Mailing Address <br />23-3199-F419 S <br />MARTINEZ, RUEBEN <br />DBA LITERACY ENRICHMENT <br />ACHIEVEMENT PLUS <br />1200 N MAlN S7 STE 100 <br />SANTA ANA CA 92701.3610 <br />r~oo2 <br />ILLINOIS <br />C <br />BUSINESS POLICY -SPECIAL FORM 3 Cov A • Ir-ilatlon Coveerraagqe Index: N/A <br />Cov B -Consumer Pn'oelndex: 216.6 <br />AU7'AMATIC RENEWAL - If the POLICY PERIQb is shown as 12 MONTHS, tFtjs Doricy will be renewed automaticaliv <br />subject to the~ppremiums, ruled and forms in effect for each succeeding ~ICy pen ff (nis policy is terminated, we wi <br />give you and me Mortgagee/Uenholder written notice in compliance vn11f the policy provisions or as required by law. <br />PDltcy Period: 12 Months The policy period begins and ends at 12:01 am standard time at the <br />Effective pate: JUN 17 2008 prem,ses bcation, <br />Expiration pate: JUN 172009 <br />location of Covered Premises: <br />1200 N MAIN ST STE 1 p0 <br />SANTA ANA CA 92701~6t0 <br />.overages & Property <br />Section I <br />A Buildings <br />[3 Business Personal Properly <br />C Loss of Income - 12 Months <br />Section II <br />L Business Liability <br />M Medical Payments <br />Protlucts-Completed Operations <br />(PCO) Aggregate <br />general Agg regate {Other <br />Than PCO~ <br />orms Options, and Endora <br />>peciaj Form 3 <br />'oliCy Endorsement <br />list Mat vigor Statues Exd <br />.mentlatory Endorsement <br />rebris Removal Endorsement <br />OiiCy EndOrsemem-Business <br />egistered Domestic Partnrship <br />Limits of Insurance <br />Excluded <br />5 000 <br />Actual toss <br />I,aoo,ooo <br />2,000;000 <br />$ 2,000,000 <br />FP-6143 <br />FE-6506.2 <br />FE-6655 <br />FE~205 <br />FE-6451 <br />FE-6610 <br />F6-5383 <br />mtinued on Reverse Side of Page <br />spared OTHEq LlLrrrS aND EXGLUSK)NS MAY <br />- f S 2008 Counter <br />993 .2C HF3CI B <br />Y_~ <br />r policy consists of this page, any endpr$emen~ ((IN~AGRGI~ <br />the PolieY roan. PLEASE KEfiP THESE TOGE7HER_ 2541 Z:7' <br />n F!, . <br />v:.;Vj <br />{7 <br />/ //~_. <br />Deductibles -Section I <br />$ 1,000 Basic <br />In case of loss under this policyt 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 <br />In,H1]~61 <br />