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/ <br /> TRAVELERS!' One Tower Square, Hartford, Connecticut 06183 <br /> TRAVELERS CORP. TEL: 1-800-328-2189 <br /> WOOD PRODUCTS <br /> COMMON POLICY DECLARATIONS <br /> ISSUE DATE: 01/06/26 <br /> POLICY NUMBER: Y-630-C1657307-TIL-26 <br /> INSURING COMPANY: <br /> TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br /> 1. NAMED INSURED AND MAILING ADDRESS: <br /> PRIME TECH CABINETS, INC. <br /> 2215 S STANDARD AVE BLDG A & B <br /> SANTA ANA, CA 92707-3036 <br /> 2. POLICY PERIOD: From 01/01/26 to 01/01/27 12:01 A.M. Standard Time at <br /> your mailing address. <br /> 3. LOCATIONS <br /> Premises Bldg. <br /> Loc. No. No. Occupancy Address <br /> SEE IL TO 03 <br /> 4. COVERAGE PARTS FORMING PART OF THIS POLICY AND INSURING COMPANIES: <br /> DELUXE PROPERTY COVERAGE PART DECLARATIONS DX TO 00 11 12 TIL <br /> COMMERCIAL GENERAL LIABILITY COV PART DECLARATIONS CG TO 01 11 03 TIL <br /> EMPLOYEE BENEFITS LIABILITY COV PART DECLARATIONS CG TO 09 09 93 TIL <br /> 5. NUMBERS OF FORMS AND ENDORSEMENTS <br /> FORMING A PART OF THIS POLICY: SEE IL T8 01 10 93 <br /> 6. SUPPLEMENTAL POLICIES: Each of the following is a separate policy <br /> containing its complete provisions: <br /> Policy Policy No. Insuring Company <br /> DIRECT BILL <br /> 7. PREMIUM SUMMARY: <br /> Provisional Premium $ 45,801 <br /> Due at Inception $ <br /> Due at Each $ <br /> NAME AND ADDRESS OF AGENT OR BROKER: COUNTERSIGNED BY: <br /> FILSOOF INSURANCE AGENCY (DSR65) <br /> 4425 BAYARD ST STE 122 <br /> SAN DIEGO, CA 92109 Authorized Representative <br /> DATE: <br /> IL TO 02 11 89 (REV. 09-07) PAGE 1 OF 1 <br /> OFFICE: IRVINECA <br />