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COVERAGE INFORMATION PAGE <br />The Coverage Information Page of this policy states the Coverage that you have selected. Only those sections <br />that are completed with respect to limits of liability, rates, and premiums shall be deemed to be covered by this <br />policy. <br />Policy Type: <br />Named Insured: <br />Exhibition Policy <br />City of Santa Ana <br />Exhibition Name: "Wings of the City" <br />Mailing Address: P.O. Box 1988 <br />Santa Ana, CA 92701 <br />Policy Term: From: November 6, 2017 To: November 6, 2018 <br />12:01 A.M. Standard Time at the place of issuance. <br />Policy Premium: <br />$2,912.00 Premium <br />$146.00 Terrorism premium <br />$3,058.00 Total Premum <br />PARTICIPATING INSURANCE COMPANIES <br />In witness whereof the Companies hereunder have caused this policy to be signed by a duly qualified officer, <br />attorney or agent, this 6th day of November, 2017. <br />Percentage <br />Company(s): Policy Number(s): Underwritten: <br />Ironshore Indemnity Inc. HTB -003337-000 100% <br />Authorized Representative: Huntington a/(��C4-r T. <br />}}Block Insurance Agency, Inc. <br />Issued Date: December 5, 2017 By: // <br />(CIPFA_EX) FINE ART EXHIBITION CLP <br />