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PHILADELPHIA One Bala Plaza, Suite 100 <br />I,NSURA.NCE COMPANIES Bala Cynwyd, Pennsylvania 19004 <br />.._._...-.._._--- __. ______..___..__.__. 610.617.7400 Fax 410.617.7940 <br />A Member of the Tokio Marine Group K-ILY.Com <br />Philadelphia Indemnity Insurance Company <br />COMMON POLICY DECLARATIONS <br />Policy Number: PHPK1738184 <br />Named Insured and Mailing Address: <br />Natl's House <br />1733 Valencia St <br />Santa Ana, CA 92706-2930 <br />Policy Period From: 01/06/2018 To: 01/06/2019 <br />Business Description: Non Profit Organization <br />Producer: 18025 <br />Lovitt & Touche, Inc. <br />1050 W Washington St Ste 233 <br />Tempe, AZ 85281 <br />(602)956-2250 <br />at 12:01 A. V, Standard Time at your mailing <br />address shown above. <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS <br />POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY, <br />THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS <br />INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. <br />PREMIUM <br />Commercial Property Coverage Part 203.00 <br />Commercial General Liability Coverage Part <br />Commercial Crime Coverage Part <br />Commercial Inland Marine Coverage Part <br />Commercial Auto Coverage Part <br />Businessowners <br />Workers Compensation <br />Professional Liability <br />Sexual/Physical Abuse <br />Total <br />Total Includes Federal Terrorism Risk Insurance Act Coverage <br />1,670.00 <br />277,00 <br />851,00 <br />150.00 <br />$ 3,151,00 <br />98.00 <br />FORM (S) AND ENDORSEMENT (S) MADE A PART OF THIS POLICY AT THE TIME OF ISSUE <br />Refer To Forms Schedule <br />"Omits applicable Form and Endorsements it shown In Specific Coverage Part/Coverage Form DeclarationsV: `� <br />V <br />CPD- PIIC (06/14) <br />Secretary <br />President and CEO -JI <br />