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H a71ie <br /> nover <br /> Insurance Group.. <br /> BUSINESSOWNERS DECLARATION <br /> BUSINESSOWNERS AMENDED DECLARATIONS EFFECTIVE 08127/2.024 NUMBER 01 <br /> 33 <br /> SUPERSEDES ANY PREVIOUS DECLARATIONS BEARING THE SAME NO.FOR THIS POLICY PERIOD <br /> ADDED LOC 5 <br /> Policy Number Policy Period Coverage is Provided in the Agency Code <br /> From To <br /> 0133-J114022-02 08/27/2024 08/27/2025 CITIZENS INSURANCE COMPANY OF AMERICA 100158600 <br /> Named Insured and Address Agent <br /> TRUE NORTH COMPLIANCE SERVICES 949-242-9240 <br /> SERVICES, INC. RSC INSURANCE BROKERAGE <br /> 3939 ATLANTIC AVE STE 224 INC. <br /> LONG BEACH, CA 90807 2040 MAIN ST STE 450 <br /> IRVINE, CA 92614 <br /> Policy Period: Beginning and Ending at 12:01 a.m. Standard Time at the Location of the Described Premises. <br /> Business Type: ASSOCIATION. <br /> Mortgagee/Loss Payable: <br /> Business of the Named Insured: <br /> OFFICE. <br /> In consideration of the premium, insurance is provided the Named Insured with respect to those premises described in the <br /> Schedule below and with respect to those coverages and kinds of property for which a specific Limit of Insurance is shown, <br /> subject to all of the terms of this policy including forms and endorsements made a part hereof: <br /> LOCATION SCHEDULE <br /> Described Premises: <br /> NO.001 001 3939 ATLANTIC AVE, LONG BEACH, CA 90807 <br /> NO.002001 990 HIGHLAND DR}VE, SOLANA BEACH,CA 92075 <br /> NO.003 001 1336 N CAROLAN AVE, BURONGAME, CA 94010 <br /> SEE FORM 391-1013 FOR ADDITIONAL PREMISES. <br /> SECTION I-PROPERTY LIMITS OF INSURANCE <br /> Loc No 001 1 Bldg No 001 Loc No 002 1 Bldg No 001 Loc No 003 Bldg No 001 <br /> Deductible Amount $ 500 $ 500 $ 500 <br /> Building Amount NOT COVERED NOT COVERED NOT COVERED <br /> Valuation <br /> Business Personal $ 11 s,s 0 0 $ 29, 700 $ 29, 700 <br /> Property Valuation RC RC RC <br /> Business Income ACTUAL BUSINESS LOSS SUSTAINED NOT EXCEEDING 12 CONSECUTIVE MONTHS <br /> Business Income Excluded / None 124 hours /48 hours /72 hours <br /> Waiting Period 48 HOURS <br /> SECTION II-LIABILITY LIMITS OF INSURANCE <br /> Liability and Medical Expenses Limits of Insurance: <br /> Except for Damage to Premises Rented to You, each paid claim for the following coverages reduce the Amount of Insurance we <br /> provide during the applicable annual period. Please refer to SECTION II-LIABILITY,D.LIABILITY AND MEDICAL EXPENSES <br /> LIMITS OF INSURANCE, paragraph.4. of the Businessowners Coverage Form. <br /> Liability and Medical Expenses Limit $ 2, 000, 000 Per Occurrence $ 4,000, coo Aggregate <br /> Medical Expenses $ 5, 000 Each Person <br /> Damage to Premises Rented to You $ 1, 000, 000 All Perils <br /> Date Issued: 06/28/2024 ORIGINAL/INSURED Payment Type: ELECTRONIC EXCHANGE <br /> GROUT'NAME:ARCHITECTS & ENGINEERS GROUP NUMBER: ZJE <br /> 391-1002 08 16 Page 1 of 2 <br /> 83904623 124-25 GL-AL-❑MH-WC-PL I Sherry Young 1 2/10/2025 2:09;59 PM {PSTJ I page 5 of 7 <br />