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160 WATER STREET, 16th FL <br />NEW YORK, NY 10038 <br />BUSINESS AUTO DECLARATIONS <br />POLICY NUMBER: UCA 5361445 <br />ITEM ONE <br />COMMERCIAL AUTO <br />CA DS 03 10 13 <br />Company Name: 7105 <br />Producer Name. 5011 <br />SENECA INSURANCE COMPANY, INC. <br />Barney & Barney A Marsh & McLennan <br />160 WATER STREET, 16th FL, <br />Agency LLC Cc <br />NEW YORA, NY 1.0038 <br />101 Enterprise Drive <br />Suite #330 <br />Aliso Viejo, CA 92656 <br />Named Insured: OC Labor Federation <br />Mailing Address: 309 E. Rampart St., Unit A-E <br />Orange, CA 92868 <br />policy <br />Period <br />From: 06/27/2016 <br />To: 06/27/2017 At 12:01 AM Standard Time at your melting address shown above <br />Previous Policy Number: UCA 5361445 <br />Form Of Business: <br />0 Corporation ❑ Limited Liability Company El Individual= <br />171 Partnership 0 Other: Not for Profit Org, 1 <br />In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide <br />the insurance as stated in this policy, <br />Premium Shown Is Payable At Inception: $3,942. 00 <br />Audit Period (if applicable): 11 Annually El Semiannual Iv El Quarterly ❑ klorithyl­ <br />Endorsements Attached To This Policy <br />IL 00 17 - Common Policy Conditions (IL 01 46 in Washington) <br />IL 00 21 - Broad Form Nuclear Exclusion (not applicable in New York) (IL 01 98 In Washington) <br />See Schedule of Forms and Endorsements. <br />CA DS 03 10 13 0 Insurance Services Office, Inc., 2011 <br />DIREC]" BILL <br />Page 1 of 13 LJ <br />